Developing a Focused Scald-Prevention Program

Cagle, Kathleen M.; Davis, James W.; Dominic, William; Ebright, Steffanie; Gonzales, Wendy

doi:10.1097/01.bcr.0000216324.22074.03

Cited by 16 publications

(18 citation statements)

References 6 publications

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“…19 Due to their thinner skin, children are more susceptible to the effects of scalds and develop more damage at a lower temperature than adults. 20 The mean age of burn victims was 15.57 years. The most common age group in burned patients was (0-10 years) representing 57.…”

Section: Discussionmentioning

confidence: 99%

The Medicolegal Aspects of Burn Cases Admitted to Assiut University Hospitals During Years of 2015 and 2016

George

Abdellah

2017

Zagazig Journal of Forensic Medicine

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Background: Burns are not uncommon in Egypt, for successful prevention of such accidents it is essential to analyze the medicolegal aspects of these cases. The present study was conducted in Assiut university hospitals. Burn cases that were admitted to the emergency units during years of 2015 and 2016 were retrospectively analyzed from the available records. Purpose: to investigate medicolegal aspects and demography of burn cases presented in emergency units at Assiut University Hospitals during years 2015 and 2016 to identify vulnerable personnel, and to evaluate their outcomes. Methods: A retrospectives study analyzing data from the records between 01/01/2015 to 31/12/2016. Data regarding age, gender, type of burn, percentage of body surface area involved in burn, hospital stay of victims, fate of cases, and survival period of deceased victims was collected and analyzed using SPSS. Results: The study revealed male predominance, 258 (75.26%) male victims out of total 380 victims. The mean age for victims was 15.57 years with most of the victims (52.89%) of burn were between the ages of 0 to 10 years, the minim age was 2 months while the maximum age was 73 years. Hot liquids and flame were the commonest causes of burn. 77.11% of burns in children age less than 11 years were due to hot liquids. The highest percentage of cases of burn was found in winter (29.2%). 32.89% of victims were students. The mean of hospital stay was 8.29 days. 17.63 % of burn victims admitted during these two years died. Conclusions: Male victims represent most burn patients with children being more vulnerable. Preventive measures against burns should be taken in order to prevent burns particularly in children.

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Section: Discussionmentioning

confidence: 99%

The Medicolegal Aspects of Burn Cases Admitted to Assiut University Hospitals During Years of 2015 and 2016

George

Abdellah

2017

Zagazig Journal of Forensic Medicine

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“…17 Children sustain the majority of burnrelated injuries; scald burns, in particular, are a major cause of burn injuries among children Ͻ6 years of age. 10,12,14,16,[18][19][20][21][22][23][24][25][26][27][28][29] Children who sustain burn-related injuries are at increased risk for posttraumatic stress disorder. 30 Most published studies examining unintentional pediatric burn injuries focused on scald burns by studying populations of Ͻ2000 patients.…”

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confidence: 99%

Pediatric Burn Injuries Treated in US Emergency Departments Between 1990 and 2006

2009

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“…Once a high-risk community was identified, focus groups were used to help define and refine the program. 20 The Children Safe at Home project paired educational workshops with home visits, provided incentives and prevention devices to parents, and performed pre-and postintervention evaluations of behavior change by direct observation when possible. The program was delivered in the primary language of the participants and by a health educator who was the same ethnicity as the majority of the participants.…”

Section: Discussionmentioning

confidence: 99%

“…The Children Safe at Home Project was designed based on the information gained during the formative evaluation phase, as described in a previous study. 20 Families in the target zip code were identified through a women's health center at the safety net hospital, elementary school parent groups, refugee and migrant service centers, high school teen parent groups, a perinatal addiction treatment center, and the Mexican Consulate.…”

Section: Methodsmentioning

confidence: 99%

“…In a previous study, one zip code in Fresno County accounted for more than 20% of the pediatric scald admissions, and the incidence for this zip code compared with other Fresno County zip codes was found to be statistically significant. 20 A pilot scald prevention program was designed for this high-risk area. The purpose of this study was to determine the effectiveness of the prevention program.…”

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confidence: 99%

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Results of a Focused Scald-Prevention Program

Cagle

Davis

Dominic

et al. 2006

Journal of Burn Care & Research

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Scalds are a leading cause of burn injury for young children. A focused prevention program was developed in the zip code accounting for the majority of scald burns. This study investigated the effect of the program. Families in the high-risk area were identified at clinics, community centers, and schools. Parent workshops and home visits were the interventions used. A pretest was administered at the workshop to measure baseline knowledge. A post-test was administered at either the home visit or by telephone to measure change in knowledge. A survey was used to measure baseline scald risks in the home. Home visits were used to reinforce information from workshops, evaluate the home environment, and assist parents to make environmental changes. Changes to the home environments were made, with antiscald devices installed in the shower, sink, or bathtub depending on parent preference. The survey was repeated on a follow-up home visit to determine whether parents adhered to environmental changes and safety practices. The postmeasurements were performed from 6 to 12 months after the initial measurement. More than 900 parents attended the initial workshops, and 173 consented to participate in the follow-up study and took the pretest. Of these, 62 completed the post-test, and 48 participated in a home visit. The mean pretest score was 72 +/- 1%, and mean post-test score was 85 +/- 1% (P < .01). The initial home visit surveys revealed an average of 7 +/- 2 scald risks per household, whereas follow-up surveys showed an average of 2 +/- 1 risks (P < .01). Antiscald devices were installed in 37 households on the initial visit and remained in place and functioning in 22 households (60%) on the follow-up visit. Before the focused prevention program, the admission rate from the target zip code was 137 per 100,000 children ages 0 to 5 years. After the intervention, there was a greater than 2-fold reduction, to 59 per 100,000 (P < .01). In addition, there were no new scald burns in the homes in which the focused prevention program took place. This study demonstrates that a focused burn-prevention program can identify high-risk groups, decrease the number of scald risks per home, and decrease the rate of scald burns in the population. This straightforward program could be used to intervene in high-risk groups in other communities.

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Developing a Focused Scald-Prevention Program

Cited by 16 publications

References 6 publications

The Medicolegal Aspects of Burn Cases Admitted to Assiut University Hospitals During Years of 2015 and 2016

The Medicolegal Aspects of Burn Cases Admitted to Assiut University Hospitals During Years of 2015 and 2016

Pediatric Burn Injuries Treated in US Emergency Departments Between 1990 and 2006

Results of a Focused Scald-Prevention Program

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