Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

Ryder, Courtney; Mackean, Tamara; Hunter, Kate; Towers, Kurt; Rogers, Kris; Holland, A.J.A.; Ivers, Rebecca

doi:10.1186/s40621-020-00278-7

Cited by 12 publications

(15 citation statements)

References 56 publications

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“…Third, the parents preferred to discharge until the wound healed. In addition, the median LOS was 15 days (IQR: 8–25 days), which approximated the findings of existing studies ( 1 , 24 , 41 , 51 , 52 ). Analogous to cost, according to research results, LOS was associated with the etiology, TBSA, etc.…”

Section: Discussionsupporting

confidence: 83%

“…Based on the investigation and analysis, publicity and education on burn prevention should be performed individually according to age ( 40 ). Preschoolers should be provided with extensive safety training regarding burn prevention, and guardians' awareness of prevention must be consistently reinforced to deepen and consolidate prevention knowledge ( 41 ). By sharing educational materials with guardians, preschool teachers, community workers, and rural committee members can alert them to prevent burns among school-age children.…”

Section: Discussionmentioning

confidence: 99%

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Epidemiological and Clinical Characteristics of 5,569 Pediatric Burns in Central China From 2013 to 2019

Han

Wei

et al. 2022

Front. Public Health

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BackgroundPediatric burns of all the ages are prevalent worldwide, posing a severe health risk to children. This study aims to examine pediatric burns' clinical characteristics and epidemiology in central China.MethodsThe pediatric patients of the Burn Research Center, Department of the First People's Hospital of Zhengzhou City from 2013 to 2019 were retrospectively studied and the relevant data were collected from the hospitalized medical records [e.g., demographic, etiology, length of stay (LOS), age, gender, burn area and depth, number of surgeries, cost, and outcome].ResultsA total of 5,569 pediatric burn patients were included, accounting for 43.9% of the total burn population. Electric burns represented a relatively small proportion (1.17%) but were more likely to lead to disabilities or death than scalds (90.63%) and flames (5.12%). The median age was 2 years [interquartile range (IQR): 1–4] and the boys/girls ratio ranged from 1.3:1 to 1.6:1. The most commonly burnt anatomic sites were the limbs (38.3%), with a median %TBSA (total body surface area) of 6 (IQR: 4–10). The complications of shock and pneumonia accounted for 7.6 and 19.2%, respectively. The peak months of pediatric burns included January, May, and August and the rural/urban ratio reached 1.61:1. The percentage of burn wounds treated surgically increased considerably from 2013 to 2019 (3.8 vs. 37.8%). The median hospital LOS was 15 days (IQR: 8–28 days), with the three high-risk factors (e.g., more surgeries, more %TBSA, full-thickness skin burns). The median cost of hospitalization was 1,511 USD (IQR: 848–2,648 USD) and the main risk factors consisted of full-thickness burns, more %TBSA, longer LOS, and more surgical procedures. Among all the patients, LA50 was 78.63% (95% CI = 75.12–83.45) and the overall mortality reached 0.1% since seven deaths were recorded.ConclusionScalds, flames, contact, and chemicals are the main causes of burns among children aged 1–5 years in central China. Accordingly, various prevention strategies should be employed depending upon the cause of the burn.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Epidemiological and Clinical Characteristics of 5,569 Pediatric Burns in Central China From 2013 to 2019

Han

Wei

et al. 2022

Front. Public Health

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“…This feature is rather essential, especially for victims admitted to burns centers from remote areas. Since the results of previous studies have shown that rural victims suffer more severe burns with greater complications and longer hospital stays compared to city dwellers [ 17 – 20 ], this group of victims have a greater need for rehabilitation measures. Meanwhile, they often leave the medical and rehabilitation process half-way through due to their long geographical distance from rehabilitation and medical centers and poor socioeconomic status and thus develop undesirable burns complications, such as deformity and several contractures, after a short while.…”

Section: Introductionmentioning

confidence: 99%

The effect of rehabilitation education through social media on the quality of life in burn patients: a randomized, controlled, clinical trial

Rouzfarakh

Deldar

Froutan

et al. 2021

BMC Med Inform Decis Mak

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Background Burn is one of the most brutal harms to the human body and mind and its wide-ranging complications have many adverse effects on the patients’ quality of life. The present study was conducted to investigate the effect of rehabilitation education through social media on burn patients’ quality of life. Methods The present randomized, controlled, clinical trial was conducted on 60 patients admitted to Imam Reza Hospital Burn Center in the city of Mashhad, Iran, who were randomly assigned to either the intervention or control groups (n = 30 per group). The researcher then created a WhatsApp channel to provide educational content and a WhatsApp group for burns patients to join and get their questions answered. The intervention group patients pursued their post-discharge education through the social media for a month. The control group patients received their discharge education according to the ward’s routine procedures through pamphlets and face-to-face training by the personnel. As the study’s main variable, the Burn Specific Health Scale-Brief was completed by both groups before and 1 and 2 months after the intervention. Data were analyzed using the ANCOVA and repeated-measures ANOVA. Results There was no significant differences between the intervention and control groups in terms of the QOL score and any of the domains at baseline. The results indicated the significant effect of the intervention both 1 and 2 months post-intervention on the QOL score and all the domains (P < 0.05), except for body image (Pmodel1 = .550 and Pmodel2 = .463) and skin sensitivity (Pmodel1 = .333 and Pmodel2 = .104). Conclusion The post-discharge rehabilitation education of burns patients through social media improves their quality of life and can be used as an appropriate educational and follow-up method in different stages of the rehabilitation of burn patients. Trial registration no. IRCT20190622043971N1, 05-10-2019.

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“…Chez l'enfant, les liquides chauds en sont la cause dans près de 75% des cas (Peck, 2011;Gülhan et al, 2019;Santiso et al, 2020). La gravité d'une brûlure est définie selon la surface corporelle brûlée (SCB), la profondeur, la localisation, le terrain (âge et antécédents) et l'existence de lésions associées (lésions pulmonaires par inhalation ou autres traumatismes) (Wassermann, 2002;Ryder et al, 2020;Zhang et al, 2020).…”

Section: Introductionunclassified

Profil de l’ionogramme sanguin chez les enfants brûlés du Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle de Ouagadougou (Burkina Faso)

Soudre¹,

Kiba²,

Kouraogo³

et al. 2021

Int. J. Bio. Chem. Sci

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Les brûlures de l’enfant peuvent être à l’origine de troubles ioniques graves, entrainant une morbi-mortalité importante. Ce travail avait pour objectif de décrire les perturbations de l’ionogramme sanguin chez les enfants brûlés, afin de contribuer à l’amélioration des soins. Il s’est agi d’une étude transversale rétrospective allant du 01 janvier 2017 au 30 juin 2019. Ont été inclus les enfants hospitalisés dans le service de chirurgie du CHU pédiatrique Charles de Gaulle pour brûlure et chez lesquels un ionogramme sanguin a été réalisé. L’étude a porté sur 212 enfants, avec un âge moyen de 38,52 mois et un sex ratio de 1,12. La surface corporelle brûlée moyenne était de 26,60% et le délai moyen d’admission de 5,71 heures. La mortalité était de 16,98%. L’ionogramme sanguin à l’entrée a retrouvé une hyponatrémie (27,88%), une hypobicarbonatémie (53,95%), une hypoprotidémie (26,67%) et une hyperchlorémie (53,59%). Au contrôle, ces troubles ioniques étaient toujours présents. S’y sont associées une hypocalcémie (30,43%), une hypomagnésémie (27,27%) et une hyperphosphatémie (28,79%). La natrémie, la bicarbonatémie et la protidémie à l’entrée étaient significativement plus basses chez les patients décédés. Les brûlures de l’enfant sont fréquentes. Leur évolution est marquée par des perturbations de l’ionogramme sanguin et une mortalité élevée.Mots clés : Brûlure, Ionogramme sanguin, Enfants, Burkina Faso. English title: Blood ionogram profile in burned children at the Charles de Gaulle University Pediatric Hospital of Ouagadougou (Burkina Faso)Burns in children can be the cause of serious ionic disorders, leading to significant morbidity and mortality. The aim of this study was to describe the disturbances in the blood ionogram of burnt children, in order to contribute to the improvement of care. This was a retrospective cross-sectional study from 01 January 2017 to 30 June 2019. Children hospitalised in the surgery department of the Charles de Gaulle Pediatric University Hospital for burns and in whom a blood ionogram was carried out were included. Our study involved 212 children, with an average age of 38.52 months and a sex ratio of 1.12. The average body surface area burned was 26.60% and the average admission time was 5.71 hours. Mortality was 16.98%. The blood ionogram at the entrance showed hyponatremia (27.88%), hypobicarbonatremia (53.95%), hypoprotidemia (26.67%) and hyperchloremia (53.59%). At the control, these ionic disorders were still present. They were associated with hypocalcaemia (30.43%), hypomagnesemia (27.27%) and hyperphosphatemia (28.79%). Natremia, bicarbonateemia and protidemia were significantly lower on admission in patients who died in the course of the evolution. Childhood burns are frequent at the CHUP-CDG; their evolution is marked by disturbances of the blood ionogram and high mortality.Keywords: Burns, Blood Ionogram, Children, Burkina Faso.

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Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury

Cited by 12 publications

References 56 publications

Epidemiological and Clinical Characteristics of 5,569 Pediatric Burns in Central China From 2013 to 2019

Epidemiological and Clinical Characteristics of 5,569 Pediatric Burns in Central China From 2013 to 2019

The effect of rehabilitation education through social media on the quality of life in burn patients: a randomized, controlled, clinical trial

Profil de l’ionogramme sanguin chez les enfants brûlés du Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle de Ouagadougou (Burkina Faso)

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