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Published on: February 23, 2024
Prevalence of Acute Pediatric Burns in a Tertiary Care Hospital
Kiran Kishor Nakarmi1, Bishnu Deep Pathak2
1Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kathmandu, Nepal.
Insights
Pediatric burn injuries are a significant concern, with most occurring domestically and preventable. This study found a 29.71% prevalence of acute pediatric burns in a hospital setting, with a high mortality rate, emphasizing the need for household-level prevention.
Area of Science:
- Pediatric Emergency Medicine
- Public Health
- Epidemiology
Background:
- Pediatric burn injuries represent a major global cause of mortality and morbidity, particularly in developing nations.
- A significant proportion of these injuries are preventable, often occurring in domestic environments.
- Understanding the local prevalence and characteristics of pediatric burns is crucial for targeted prevention strategies.
Purpose of the Study:
- To determine the prevalence of acute pediatric burns within a hospital setting.
- To identify the demographic characteristics, etiologies, and circumstances surrounding pediatric burn injuries.
- To inform public health initiatives and clinical management of childhood burns.
Main Methods:
- A descriptive cross-sectional study analyzed secondary data from pediatric burn admissions between 2016 and 2018.
- Data were collected from a tertiary care hospital following ethical approval.
- Statistical analysis included calculating point prevalence with 95% Confidence Intervals and descriptive statistics for demographic and injury-related factors.
Main Results:
- The prevalence of acute pediatric burns in the hospital setting was 29.71% (95% CI: 24.85-34.57).
- The majority of affected children were males (53.47%) and toddlers (38.61%).
- Scalding (53.47%) was the primary cause, with most injuries (75.25%) occurring indoors. The mortality rate was 10.89%.
Conclusions:
- While the hospital prevalence of pediatric burns was lower than in many countries, the associated mortality rate was notably higher.
- The findings underscore the critical role of household-level burn prevention strategies.
- Enhancing the availability of emergency medical services for childhood burns nationwide is recommended.
Introduction:
Burn injury is an important cause of mortality and morbidity in children worldwide. Mortality is higher in developing countries than in developed ones. Most of them occur in predictable domestic settings and can be prevented. The objective of this study was to find out the prevalence of acute pediatric burns in a hospital setting.
Methods:
A descriptive cross-sectional study was conducted by reviewing the secondary data of burn cases admitted during the years 2016 AD to 2018 AD in a tertiary care hospital after taking ethical clearance from the Institutional Review Committee (IRC No. 016-2019). The sample size was calculated and systematic random sampling was done. Data analysis was done using Statistical Package for the Social Sciences, version 23. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
Results:
The prevalence of acute pediatric burns at the hospital was found to be 101 (29.71%) (24.85-34.57 at 95% Confidence Interval). The majority of them were males 54 (53.47%) and toddlers 39 (38.61%). Scalding 54 (53.47%) was the main etiology. Most of the burn injuries occurred inside the house 76 (75.25%) and on November 11 (10.9%). The mortality rate was 11 (10.89%).
Conclusions:
The prevalence of acute pediatric burns in a hospital setting was lower than most other countries but mortality was higher. The majority of the burn injuries occurred inside the house. Therefore, special focus should be done on prevention at the household level. Adequate medical services for emergency management of childhood burns should be available in different parts of the country.
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