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Published on: February 23, 2024
The Early Childhood Development of Pediatric Burn Patients
Maxime D Cuijpers1,2,3,4, Moniek Akkerman4,5,6, Martin G A Baartmans7,8
1Burn Center, Red Cross Hospital, Vondellaan 13, 1942 LE Beverwijk, The Netherlands.
Insights
Pediatric burn patients aged up to two-and-a-half years old showed typical early childhood development compared to Dutch reference values. This study offers reassuring insights for parents of young burn survivors.
Area of Science:
- Pediatric developmental pediatrics
- Burn injury research
- Child health outcomes
Background:
- Early childhood development is crucial for long-term outcomes.
- Burn injuries in young children can raise concerns about developmental trajectories.
- Understanding developmental patterns post-burn is essential for supportive care.
Purpose of the Study:
- To describe early childhood development in pediatric burn patients.
- To compare development against established Dutch reference values.
- To assess the impact of burn size and sex on development.
Main Methods:
- Utilized the Dutch Development Instrument (DDI) and D-score.
- Calculated age-standardized D-scores for 38 pediatric burn patients.
- Compared patient development to normative Dutch data, similar to growth charts.
Main Results:
- 95% of pediatric burn patients met age-appropriate developmental milestones.
- The mean age-standardized D-score was +0.49 SD, slightly above the Dutch average.
- Developmental outcomes did not significantly differ by sex or burn size (1.0%-36.0% TBSA).
Conclusions:
- Pediatric burn patients under two-and-a-half years with non-full thickness burns generally follow typical developmental paths.
- Findings provide initial data on early childhood development post-burn.
- Results may help alleviate parental concerns regarding their child's development after a burn injury.
Abstract:
Our study aimed to provide a description of the early childhood development of pediatric burn patients relative to Dutch reference values, using both pre- and post-burn data from the Dutch Development Instrument and the D-score. Data from the Dutch Development Instrument were used to calculate the D-score and age-standardized D-score. Similar to a growth chart, the D-score was used to plot pediatric burn patients' development relative to Dutch reference values for their age. Pediatric burn patients' (n = 38) median age at the time of injury was 1.0 (1.0-2.0) years old. Burn size ranged from 1.0% to 36.0% of the total body surface area. Ninety-five percent (± 6.0%) of pediatric burn patients passed each of the age-appropriate developmental milestones at the target age. The mean age-standardized D-score was just above the Dutch average (+0.49 SD [0.18, 0.80]) and did not vary depending on sex (p = 0.06) or burn size (p = 0.41). In conclusion, among pediatric patients aged up to two-and-a-half years old, with non-full thickness burns, development was on track relative to the Dutch reference values. Our findings offer valuable first insights into the early childhood development of pediatric burn patients and may alleviate some parental concerns.
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