Burns Down Under: Lessons Lost, Lessons Learned

Mills, Stephen

doi:10.1097/01.bcr.0000151596.79944.ab

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Throughout high‐income countries, most burns involving young children occur in the home environment and involve unintentional exposure to smoke, fire and flames and/or scalds from hot drinks, food and cooking oil . The mechanism of burns differs with age, with younger children more likely to sustain a scald and older children more likely to be burned as a result of flame injury …”

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confidence: 99%

Hospitalised burns in children up to 16 years old: A 10‐year population‐based study in Australia

Seah

Holland

Curtis

et al. 2018

J Paediatrics Child Health

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Aim Globally, burns remain a significant public health issue that disproportionately affect young children. The current study examines the 10‐year epidemiological profile of burn hospitalisations, hospital treatment cost and health outcomes by age group for children ≤16 years in Australia. Methods National, population‐based, linked hospital and mortality data from 1 July 2002 to 30 June 2012 were used to identify burn‐related hospitalisations. Age‐standardised hospitalisation rates and hospital treatment costs were estimated. Results There were 25 098 children aged ≤16 years hospitalised after sustaining a burn. The age‐standardised hospitalisation rate was 54.4 per 100 000 (95% confidence interval (CI): 53.7–55.1). Children aged 1–5 years had the highest burn hospitalisation rate (105.6 per 100 000; 95% CI: 103.8–107.3). The burn hospitalisation rate of infants <1 year declined by 3.1% per annum (95% CI: −4.84, −1.37, P < 0.001). Contact with heat and other substances, hot drinks, food, fats and cooking oils was the most common burn mechanism, and the home was the most common place of occurrence for children ≤10 years. Exposure to the ignition of highly flammable material was the most common burn mechanism for children aged 11–16 years. There were 7260 hospital readmissions within 28 days and 11 deaths within 30 days of the index burn hospitalisation. Total hospital treatment costs were estimated at $168 million. Conclusions Childhood burns continue to account for a large proportion of hospitalised morbidity. To assist in reducing burn hospitalisations, the development, implementation and resourcing of national multi‐sectorial childhood injury prevention is needed in Australia.

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confidence: 99%

Hospitalised burns in children up to 16 years old: A 10‐year population‐based study in Australia

Seah

Holland

Curtis

et al. 2018

J Paediatrics Child Health

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“…In 1916, Sir Harold Gillies returned from service in France to lead the first plastic and oral-maxillofacial surgery service in the UK at Cambridge Military Hospital, Aldershot, later moving to Queen's Hospital in Sidcup, Kent. Gillies and team treated over 11,000 casualties with facial injuries by the end of the war, including burns [11,12]. The Spanish Civil War (1936)(1937)(1938)(1939) convinced the British leadership that the next war would involve air combat and asked Gillies to establish plastic surgery units around London [12].…”

Section: The Guinea Pig Clubmentioning

confidence: 99%

“…Gillies and team treated over 11,000 casualties with facial injuries by the end of the war, including burns [11,12]. The Spanish Civil War (1936)(1937)(1938)(1939) convinced the British leadership that the next war would involve air combat and asked Gillies to establish plastic surgery units around London [12]. Historically there was little to guide one in this field apart from the general principles of repair perfected by British, Continental and American surgeons.…”

Section: The Guinea Pig Clubmentioning

confidence: 99%