Factors associated with an extended length of stay in the pediatric burn patient

Ridelman, Elika; Ray, Marissa A.; Klein, Jessica; Shanti, Christina

doi:10.1016/j.surg.2022.07.044

Cited by 1 publication

(6 citation statements)

References 8 publications

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“…7 Burn injuries among children are most commonly caused by scalding, with most occurring in the childhood age group. 8 , 9 , 10 According to studies conducted in Turkey, results were similar to those reported in other parts of the world. The most common cause of injury was scald burns with 96.1% in the 0–2 age group and 50% in the 7–16 age group, according to Arslan et al 11 As per the study of Özer and Vural, 3.4 years was the mean age of children with burns, and scald burns were the most common.…”

Section: Introductionsupporting

confidence: 82%

“…In a study conducted in Iran, the most common age group of burn injuries in hospitalized burn patients was under 19 years (35.8%) 7 . Burn injuries among children are most commonly caused by scalding, with most occurring in the childhood age group 8–10 . According to studies conducted in Turkey, results were similar to those reported in other parts of the world.…”

Section: Introductionsupporting

confidence: 73%

“…A study of paediatric burn cases in the USA found that severe burns above TBSA 20% had a higher median LOS 26 . A single center investigated 405 paediatric burn patients and found a mean LOS of 13.4 days, with differences based on burn cause and TBSA% 10 . A study conducted in the burn center of a tertiary care hospital in Turkey found that the average length of stay for paediatric patients was 14.78, 16.6 days for survivors, and 23.4 days for the deceased 27 .…”

Section: Discussionmentioning

confidence: 99%

“…According to a study of 1215 children admitted to the emergency room, 72% were younger than 5 years old and 60% were boys 8 . In a single‐center study of 405 paediatric burn cases, the mean patient age was 3.36 years and the most common cause was scald burn (72.3%) 10 . Thermal burns are the most common burns in childhood and usually result from household accidents 3 .…”

Section: Discussionmentioning

confidence: 99%

“… 8 In a single‐center study of 405 paediatric burn cases, the mean patient age was 3.36 years and the most common cause was scald burn (72.3%). 10 Thermal burns are the most common burns in childhood and usually result from household accidents. 3 In a multicentre study of paediatric burns in the United Kingdom, 58% of cases were scalds.…”

Section: Discussionmentioning

confidence: 99%

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Investigation of morbidity, length of stay, and healthcare costs of inpatient paediatric burns

Sari,

Akkoc,

Kilinç

et al. 2023

International Wound Journal

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Burn injuries are the third most common cause of death in children due to trauma. Hospitalizations related to burn injuries are common. Prolonged hospitalization associated with burn treatment can result in increased resource utilization, leading to higher costs. Thus, it is essential to investigate these areas to reduce costs. The study investigated the morbidity and length of hospital stay of paediatric burn patients, as well as calculated the social security costs of hospitalization and treatment. The retrospective observational descriptive study examined the medical records of 774 paediatric patients treated in a burn intensive care unit at a tertiary medical faculty hospital between 01 March 2019 and 31 March 2022. The invoice records of payments made by the Social Security Institution to the hospital in return for health services provided to patients were examined. The healthcare costs were calculated. A total of 57.6% of the participants were boys and 79.2% were between the ages of 1–4. About 90% of the cases involved burns with a total body surface area (TBSA) of less than 20% and a 2nd‐degree burn depth. Scalding was the most common cause of burns (88.2%). Among all patients, the mortality rate was 2.1% (n = 16). The mean length of hospital stay was 10.29 ± 9.59 days. The mean cost per day was 212.02 ± 190.94 US dollars ($US), and the cost per 1% TBSA was 241.70 ± 301.32 $US. According to the causes of burn injury, the mean cost of electricity was 5000.77 ± 8101.85 $US, fire 4818.02 ± 5852.22 $US, and chemical 3285.49 ± 4503.2 $US were observed in the first 3 ranks respectively. According to this study, paediatric burn cases occur due to preventable causes, and even though the mortality rate was low, the severity of burns, TBSA%, and presence of complications caused prolonged lengths of hospital stays, which caused social security costs to rise.

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