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Published on: February 23, 2024
[Epidemiology of Burned Inpatient Children in French Guyana]
N Martz1, A Sika1, P Guemaleu1
1Service de Chirurgie Pédiatrique, Hôpital Andrée Rosemon, Cayenne, France.
Insights
Pediatric burns are common in Guyana, especially among young males and children under six, with hot water being the main cause. Serious burns requiring specialized care disproportionately affect older children near the Maroni River.
Area of Science:
- Pediatrics
- Epidemiology
- Public Health
Context:
- Guyana, a French district, lacks a dedicated burn treatment center.
- Data spans January 2010 to December 2022, analyzing 358 pediatric burn hospitalizations.
- Cayenne Hospital Centre serves as the primary data source.
Purpose:
- To describe the epidemiological profile of pediatric burn hospitalizations in Guyana.
- To identify high-risk populations for targeted burn prevention strategies.
- To inform public health interventions in a region without specialized burn care.
Summary:
- Burns predominantly affected males (58%) and children under six (75%).
- Hot water (61%) and flames (16.5%) were the leading causes.
- Young children in urban coastal areas were most at risk; severe burns requiring transfer to Paris occurred in older children near the Maroni River.
Impact:
- Identifies specific demographics and geographic locations most vulnerable to burns.
- Highlights the need for tailored prevention programs in Guyana.
- Informs resource allocation for burn care and prevention initiatives.
Abstract:
This descriptive observational study aims to describe the epidemiological profile of children hospitalized for burns in Guyana, a French district which does not have a burn treatment centre, and direct prevention towards the populations most at risk. Retrospective analysis of 665 hospitalizations was made thanks to the coding of patients aged 0 to 18, hospitalized for burns between January 2010 and December 2022 at Cayenne Hospital Centre. Univariate and multivariate descriptive analyses were carried out on age, sex, municipality of origin, date of burn, duration of hospitalization, mode of burn, location, percentage and depth of burn. A total 416 children with "burn" coding were hospitalized over this period and 358 patients were included. Burns were more common in males (58%) and in children under 6 (75%). A majority of patients were townspeople and lived on the coast (70%). 9.5% of patients were transferred to Trousseau Hospital in Paris for more specialized care. 61% of burns were caused by hot water and 16.5% by flames. Duration of hospitalization was on average 8 days and the burnt skin surface was 9.5%. Children under 2 years old living in Cayenne and its suburbs are the most at risk of burns, but the most serious burns requiring a transfer to Paris are found in children over 3 years old living on the Maroni River and playing with flammable products.
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