Children Younger Than 18 Years Treated for Nonfatal Burns in US Emergency Departments

Mitchell, Meghan; Kistamgari, Sandhya; Chounthirath, Thiphalak; McKenzie, Lara B.; Smith, Gary A.

doi:10.1177/0009922819884568

Cited by 10 publications

(13 citation statements)

References 37 publications

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“…The same trends were noticed by Matuszczak et al, Brodzińska et al, Topczewska-Cabanek et al, and Gontko et al [9][10][11][12][13]. Also, Mitchell et al in a study that investigated children < 18 years old treated for burns in United States (US) emergency departments from 1990 to 2014 using data from the National Electronic Injury Surveillance System, in which most patients (58.4%) were boys [1]. Similar observations were noticed in the other countries -most burned patients were male [2].…”

Section: Discussionsupporting

confidence: 58%

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Characteristics of burns in children – results of a Polish multicentre study

Kawalec¹

2020

polp

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Aim of the study: To characterise burns in Polish children according to sex, age group, and depth of burn. Material and methods: The anonymous survey included 200 children under 18 years old hospitalised due to burns in five Polish hospitals. The location of burn was characterised in detail and also in agreement with ICD-10 classification. The surface of burned skin (% TBSA) was counted with use of Lund-Bowder chart for children under 16 years old and with the rule of nines for children over 16 years old. Depth of burn was assessed clinically. The study was accepted by the Bioethical Committee of Wroclaw Medical University. Statistical analysis of the obtained data was performed using Excel and Statistica v. 12. Results: 60% of the burned children were boys (120) and in 40% were girls (80). Children under one year old comprised 50.5% of all participants of the study. Among participants of the study thermal burns comprised 93.0%, chemical burns-4.5%, and electrical burns-2.5% of all cases. Boys underwent chemical (5.0% vs. 3.8%) and electrical (3.3% vs. 1.3%) burns more than girls (p > 0.05). There were statistically significant differences in the type of burn in different age groups. In 84.5% the thermal burns were caused by hot liquid, in 3.7% by a hot object, and in 4.3% by flame. Most commonly burns affected the trunk (57%) and upper extremity (50%). The average burn surface area was 8.26 ±7.87% TBSA. Most burns did not extend to the full depth of the skin (I degree-3%, II degree-61.5%). Conclusions: Prevention programs should be aimed at minimising the risk of burns in the group at highest risk-children under one year old.

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Section: Discussionsupporting

confidence: 58%

“…Burns are known to be one of the most devastating types of trauma that can occur in children. Decreasing trends in the number of burns are observed in many countries [1,2]. Furthermore, the problem of burns in children remains due to the complications and sequels of burn injury such as contractures, scars, and loss of function [3,4].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of burns in children – results of a Polish multicentre study

Kawalec¹

2020

polp

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“…Globally, burn injuries cause high morbidity and mortality in all age groups 26 . Children can have long term physical, psychological, economical, and social effects on them and their families due to burns 27,28 . Although a considerable number of burn patients are admitted and treated, most of these cases are not reported for medico legal examinations 28 .…”

Section: Discussionmentioning

confidence: 99%

Profile of children presenting for clinical forensic examination to the Teaching Hospital complex, Peradeniya, Sri Lanka

Siddique

Vadysinghe

Wickramasinghe

2022

Sri Lanka J Forensic Med, Sci & Law

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Introduction:Children are more susceptible to injuries due to their inability to protect themselves. Our study aims to determine the socio-demographic profile, causative factors, intent, and severity of injuries in children presenting to the Teaching Hospital Complex Peradeniya for clinical forensic examination (CFE).Methodology: This is a cross-sectional descriptive study. Children who presented for clinical forensic examination for a period of one year (from September 2017 up to September 2018) to Teaching Hospital Complex, Peradeniya, Sri Lanka, were included. Data was collected using a questionnaire at the time of clinical forensic examination where the Medico-legal examination form (MLEF) was also completed. Written informed consent was obtained from both the patient and guardian for routine medico-legal procedures and for inclusion in the study.Results: Two hundred and forty-two children were recruited. One hundred and fifty-seven (65%) were male. The majority (43%) were between 16-18 years of age. Most of the injuries were due to road traffic accidents (RTA) (61%) followed by assault (18%), sexual abuse (12%), and accidental falls (5%). 'Other' types of injury or presentations were seen in 9 (4%) which was due to poisoning, drowning, air gun injury or burns. Males were predominantly affected except in the category of sexual abuse. Twice the number of males sustained injuries due to RTA compared to females, while three times the number of males was affected by assaults compared to females. The main category of hurt was non-grievous (62%). In this cohort, 31% had intentional trauma with a male predominance. Conclusion:In children presenting to the Teaching Hospital Complex Peradeniya for clinical forensic examination (CFE), road traffic accidents are the main cause for injuries. Males are more vulnerable to injuries in general, while females are more vulnerable to sexual abuse.

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“…For the countries of the Americas, we found 7 epidemiological studies, including: 5 in the USA [13][14][15][16][17] and 2 in Canada [18,19].…”

Section: Countries Of the Americasmentioning

confidence: 93%

Epidemiology Of Thermal Hand Injury In Children And Youths In Russia And Abroad

et al. 2022

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Thermal hand injury (THI) is a severe open damage of superficial and deep hand tissues caused by exposure to high temperatures. THI is characterized by damage of different severity grades to the tissues and hand structures, vascular changes, occurrence of local and multipart inflammatory responses, formation of secondary cicatricial skin changes, as well as of inner tissues, and/or secondary deformation and dysfunction of the hand. Objective -Systematization and update of knowledge about THI occurrence frequency among children and youths. Material and Methods -We analyzed full-text publications originated in Russia and abroad, including: original articles, thematic and systematic reviews, along with Cochrane Reviews. Our search covered the articles published in 2011-2021. We analyzed 368 publications and included 29 studies in our analysis. Results -Mean frequency of THI occurrence among children and youths was as follows: 10.0% in countries of South-East Asia, 12.3% in Mediterranean countries, 23.9% in European countries, 28.4% in Western Pacific countries, 33.0% in African countries, and 36% in countries of the Americas. Mean frequency of THI occurrence among children and adolescents worldwide was 31.3%, and 29.5% in Russia. Conclusion -Mean frequency of THI occurrence, compared with other thermal injuries in children and adolescents, is quite high and makes up for about one-third of all cases (31.3%). Hence, an importance of this interdisciplinary problem in combustiology, as well as in traumatology and plastic surgery, since the long-term consequences of THI in people who experienced it in their childhood or adolescence largely depend on close interaction of physicians representing various specialties.

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Children Younger Than 18 Years Treated for Nonfatal Burns in US Emergency Departments

Cited by 10 publications

References 37 publications

Characteristics of burns in children – results of a Polish multicentre study

Characteristics of burns in children – results of a Polish multicentre study

Profile of children presenting for clinical forensic examination to the Teaching Hospital complex, Peradeniya, Sri Lanka

Epidemiology Of Thermal Hand Injury In Children And Youths In Russia And Abroad

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