Epidemiological evaluation paediatric burn injuries via an outpatient database in Eastern Ontario

Garland, Katie; Nahiddi, Nima; Trull, Brent; Malic, Claudia

doi:10.1016/j.burnso.2018.06.004

Cited by 6 publications

(6 citation statements)

References 27 publications

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“…The pediatric age group constitutes 36% to 76% of all burn cases 11 . In general, 16.9% to 37.9% of the burn cases are localized in the head and neck region 12–14 . In a study involving all age groups, the rate of burns in maxillofacial injuries was 0.7 per 100,000 2 .…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Pediatric Maxillofacial Injury

Ulusoy¹,

Armağan

Çağlar³

et al. 2021

Pediatr Emer Care

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Objective: Isolated facial injuries are less common among pediatric trauma patients. The literature has focused on, especially, fractures in facial injuries. There is a limited number of studies evaluating all facial injuries in childhood. The study aims to evaluate the clinical characteristics of maxillofacial injuries and to identify patients who require further intervention. Methods:The data from pediatric patients with maxillofacial injury (<18 years) between January 2011 and December 2015 were collected. Demographic characteristics, trauma mechanisms, concomitant injuries, treatments, hospitalization, and follow-up results were recorded. Results:The median age of the patients (N = 2926) was 5.0 years (2.0-10.0 years), and 63.1% were boys. Falls and motor vehicle accidents were the leading mechanism of injury. The most common injury types were lacerations (49.3%) and fractures (15.5%). One hundred thirty (0.4%) patients had concomitant injuries. Surgical treatment was performed in only 3.4% of the patients, and the mortality rate was 0.6%. Patients with concomitant injuries had more hospitalization rates, surgical treatment, and organ dysfunction. All patients who underwent cardiopulmonary resuscitation and resulted in mortality were in the concomitant injury group.Conclusions: Isolated facial injuries are unlikely to be life-threatening, and basic interventions are sufficient in most of the maxillofacial injuries. The primary issue in maxillofacial injuries is to recognize and manage concomitant injuries that can lead to organ dysfunction and mortality.

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Section: Discussionmentioning

confidence: 99%

“…11 In general, 16.9% to 37.9% of the burn cases are localized in the head and neck region. [12][13][14] In a study involving all age groups, the rate of burns in maxillofacial injuries was 0.7 per 100,000. 2 In our study, this rate was found to be higher because it included the pediatric age group, wherein burns were more common.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Pediatric Maxillofacial Injury

Ulusoy¹,

Armağan

Çağlar³

et al. 2021

Pediatr Emer Care

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“…A total of 21 epidemiological studies were analyzed, performed in the Russian Federation (3) and abroad (18). Although, sensu the classification of WHO regions, the Russian Federation belongs to the European Region, in this thematic review, however, epidemiological studies in our country were singled out into a separate category for subsequent analysis and comparison with the results obtained in other regions of the world.…”

Section: Discussionmentioning

confidence: 99%

“…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: 94%

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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“…Les données extraites ont été colligées dans une base de données REDCap hébergée sur un serveur sécurisé du Centre de recherche du CHU de Québec-UL (CRCHUdeQc-UL).2.3.2 Extraction des données médico-administrativesEn parallèle à la revue des dossiers électroniques, le SCIENTA nous a fourni une seconde base de données identifiant les patients répondant aux mêmes critères d'inclusion précédemment identifiés (section 2.2 et Annexe 1). La base de données fournie comprenait les données financières directes et indirectes, telles qu'identifiées par le CPSS, ainsi que le NIRRU estimé par le ministère de la Santé et des services sociaux (MSSS) pour chacun des séjours hospitaliers index12 .Toutes les données démographiques et cliniques ont été stratifiées en fonction du %TBSA, soit <20 % versus ≥20 % TBSA (16, 31) 13 .2.4.2 Analyse des données financièresLes valeurs du NIRRU 14 ont été converties en valeurs financières nominales (coûts directs) grâce à la valeur fournie par la Direction de la performance clinique et organisationnelle du CHU de Qc-UL15 . Par la suite, toutes les données financières nominales ont été converties en valeurs financières canadiennes de 2021 grâce aux indices des prix à la consommation16 pour le Canada (32).…”

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Estimation du coût de l’hospitalisation index des patients admis dans une unité de soins des grands brûlés d’un centre hospitalier du Québec selon deux approches méthodologiques

Robert Guertin,

Chouinard,

Beaudoin Cloutier

et al. 2024

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Les traumatismes de brûlures sévères sont reconnus comme étant parmi les plus sévères en termes de morbidités et de mortalité qu’un individu peut vivre. Étant donné la nature des hospitalisations et des soins requis, ces hospitalisations sont reconnues comme étant parmi les plus dispendieuses au sein du système de santé. Les analyses de coûts en santé permettent de quantifier la valeur monétaire des ressources utilisées lors d’un épisode de soins. Historiquement, au Québec, l’approche basée sur le niveau d’intensité relative des ressources utilisées (NIRRU) était l’approche la plus utilisée lorsqu’on désirait examiner le coût d’un séjour hospitalier. Une nouvelle méthode est récemment apparue, soit l’approche basée sur le Coût par parcours de soins et de services (CPSS). À partir de données du Centre de valorisation et d’exploitation de la donnée (SCIENTA) du CHU de Québec-Université Laval portant sur 362 hospitalisations index liées à des traumatismes de brûlures sévères étudiées, les auteurs montrent que les coûts moyens directs estimés selon l’approche du CPSS sont 73 % plus élevés que ceux obtenus selon l’approche du NIRRU. Par contre, il n’est pas possible de déterminer laquelle des deux estimations se rapproche le plus du coût moyen réel. Aussi, il n’est pas possible d’exclure le risque que les différences observées entre les coûts estimés selon les approches méthodologiques soient spécifiques aux populations et conditions étudiées.

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Epidemiological evaluation paediatric burn injuries via an outpatient database in Eastern Ontario

Cited by 6 publications

References 27 publications

Evaluation of Pediatric Maxillofacial Injury

Evaluation of Pediatric Maxillofacial Injury

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

Estimation du coût de l’hospitalisation index des patients admis dans une unité de soins des grands brûlés d’un centre hospitalier du Québec selon deux approches méthodologiques

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