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Published on: February 23, 2024
Epidemiology and outcome of 1442 pediatric burn patients: A single-center experience
Özer Özlü1, Abdulkadir Başaran1
1Department of General Surgery, Adana City Training and Research Hospital, Adana-Turkey.
Insights
Pediatric burn injuries, primarily scalds, are common indoors and affect infants and males most. Targeted family education is crucial for prevention.
Area of Science:
- Pediatric Burn Epidemiology
- Injury Prevention
- Public Health
Background:
- Childhood burns lead to significant mortality and morbidity, particularly in developing nations.
- Understanding epidemiological patterns is vital for effective burn prevention strategies.
- This study analyzes pediatric burn cases to inform preventive measures.
Purpose of the Study:
- To detail the epidemiological characteristics of pediatric burn patients.
- To identify common burn etiologies and risk factors.
- To propose targeted preventive strategies for childhood burns.
Main Methods:
- Retrospective analysis of 1442 pediatric burn patients admitted between January 2015 and June 2019.
- Data collected included demographics, burn etiology, total body surface area (TBSA) burned, and hospital stay duration.
- Infection and mortality rates were also reported.
Main Results:
- The average burned TBSA was 11.23±10.70%, with a mean hospital stay of 14.38±18.1 days.
- Most burns (89.18%) occurred indoors, with scalds from hot liquids being the most frequent cause across all ages.
- Flame burns increased post-infancy, electrical burns in school-aged children, and the mortality rate was 0.69%.
Conclusions:
- Infants and males are the most affected pediatric burn patient groups.
- Burn severity and hospital stay duration correlate with increasing patient age.
- Indoor scald burns, often occurring with parental supervision, highlight the need for family-focused educational interventions to prevent childhood burns.
Background:
Burns are common injuries among children resulting with significant mortality and morbidity, especially in developing countries. Epidemiological data may guide for the preventive measures and contribute reducing the incidence of burns in children. The aim of this study is to report the epidemiological features of pediatric burn patients treated in a tertiary burn center and to suggest preventive measures.
Methods:
Between January 1, 2015, and June 30, 2019, a total of 1442 children hospitalized in our burn center were evaluated retrospectively. Demographic, epidemiological, and clinical data including burn etiology, percentage of burned total body surface area (TBSA), hospital stay, infection, and mortality rate were reported.
Results:
The percentage of burned TBSA was 11.23±10.70 and the length of hospital stay was 14.38±18.1 days. In total, 89.18% of the patients (n=1286) experienced burn injury indoors. With regard to the etiology, scalding with hot water and tea was the most common in all age groups. Flame burn incidence increases after infancy, and electrical burns occur more in school age. A total of 10 patients (0.69%) were died and seven of them were delayed referrals from other hospitals.
Conclusion:
Infants and males consist of the majority of our pediatric burn patients. The percentage of burned TBSA and length of hospital stay increased as the patient age increased. Childhood burn injuries are mainly scald burns that occur indoors, while their parents were nearby. Therefore, education programs focusing on primary prevention addressing family members are required to avoid pediatric burns.
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