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Paediatric burns in Bucharest, Romania; 4327 cases over a 5-year period
D Enescu1, I Davidescu, M Enescu
1Department of Burns and Plastic Surgery, Grigore Alexandrescu Children's Hospital, Bucharest, Romania.
Insights
This study analyzed 4327 pediatric burns in Romania, finding an overall mortality rate of 5.8%. The introduction of Flamazine cream significantly reduced pediatric burn mortality to 2.6%.
Area of Science:
- Pediatric Burn Epidemiology
- Public Health
- Clinical Outcomes
Background:
- Childhood burns represent a significant public health concern.
- Limited epidemiological data on pediatric burns exists for Romania.
- Understanding burn injury patterns is crucial for prevention and treatment.
Purpose of the Study:
- To analyze the epidemiology of pediatric burns in Romania.
- To identify factors associated with mortality in pediatric burn patients.
- To evaluate the impact of Flamazine cream on burn mortality rates.
Main Methods:
- Retrospective study of 4327 pediatric burn admissions (0-16 years) from January 1988.
- Data collected included age, sex, burn cause, injury extent, socioeconomic status, and time to admission.
- Mortality rates were analyzed and correlated with epidemiological data.
Main Results:
- The overall mortality rate was 5.8%.
- Introduction of Flamazine cream (silver sulfadiazine) in January 1993 coincided with a decrease in mortality to 2.6% (12 deaths out of 450 patients).
- This is the first reported study on childhood burns in Romania.
Conclusions:
- Pediatric burns in Romania exhibit specific epidemiological characteristics.
- Flamazine cream (silver sulfadiazine) shows a promising reduction in pediatric burn mortality.
- Further research is warranted to confirm these findings and optimize burn care in Romania.
Abstract:
This is a retrospective study based upon 4327 paediatric burns (0-16 years of age) admitted over a period of 5 years, as from January 1988. Epidemiological data include age, sex, cause of burn, extent of injury, social and economic status, period of time between the accident and the admission to hospital. The overall mortality rate was 5.8 per cent. We tried to correlate the mortality rate with the epidemiological data. The recent use of Flamazine cream in our centre (as from January, 1993) seems to have decreased the mortality rate to 2.6 per cent (12 deaths out of 450 patients admitted during the first 7 months of 1993). No study of childhood burns has previously been reported from Romania.