Identifying Abuse and Neglect in Hospitalized Children With Burn Injuries

Quiroz, Hallie J.; Parreco, Joshua; Khosravani, Nima; Thorson, Chad M.; Pérez, Eduardo A.; Sola, Juan E.; Rattan, Rishi; Pizano, Louis R.

doi:10.1016/j.jss.2020.07.077

Cited by 4 publications

(14 citation statements)

References 28 publications

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“…Regarding the reasons for the differences in preoperative anxiety scores at different ages, it can be seen from previous studies that with the increase of age, the psychological endurance of individuals is continuously improved, and the psychological emotions expressed in medical operations are also significantly different. This confirms the lower anxiety scores of older children in the present study (24,25).…”

Section: Discussionsupporting

confidence: 90%

Preoperative Anxiety and Postoperative Pain in Children with Burn Patients and Their Correlation Analysis

2023

ircmj

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Background: Burn is a kind of skin tissue damage under the influence of heat source, which is a common type of accidental injury in current society. Objective: To investigate the status of preoperative anxiety and postoperative pain in children with burn patients, and to analyze the correlation between preoperative anxiety and postoperative pain. Methods: A total of 108 pediatric patients who underwent burn surgery under general anesthesia in our hospital from October 2020 to August 2021 were selected. FLACC and Facial Expression Pain Scale were used to evaluate the pain of the children, and STAI and YPAS were used to evaluate the anxiety of the children. Correlation was used to analyze the effect of preoperative anxiety on postoperative pain in burn children. Results: Preoperative anxiety and severe anxiety accounted for more than 50% of burn children, and there was a statistically significant difference in preoperative anxiety and postoperative pain between 1-3-year-old children and 4-12-year-old children. The influencing factors of postoperative pain in children with burns were analyzed, including burn area, depth of burn, and previous operations. The multivariate analysis showed that the risk factors for postoperative pain in children were age, burn area, depth of burn, preoperative anxiety of children, and parental trait anxiety, after statistical test, it shows that each influencing factor has a significant influence on postoperative pain in children (P < 0.05). In the correlation analysis of preoperative anxiety and postoperative pain in children with burns, it was shown that preoperative anxiety in children aged 1 to 3 years had a significant impact on postoperative pain of children, and the correlation analysis showed that preoperative anxiety of children with burns There was a positive correlation between anxiety score and postoperative pain (r=0.479, P=0.001). Conclusion: The incidence of preoperative anxiety in children with burn patients is high, and the postoperative pain scores are also different in different age groups. In addition, there is a current correlation between preoperative anxiety and postoperative pain in children with burn patients, and the correlation is positively correlated, that is, the higher the patient's anxiety score, the more intense the patient's postoperative pain.

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Section: Discussionsupporting

confidence: 90%

Preoperative Anxiety and Postoperative Pain in Children with Burn Patients and Their Correlation Analysis

2023

ircmj

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“…The results of the sensitivity analysis showed that the removal of each study had a different effect on the confidence interval (95% CI: 0.12‐0.18). Removing Quiroz's study (2021) and Loos's study (2022) led to a prevalence of 0.16 (ES = 0.16, 95% CI: 0.14‐0.18) and 0.13 (ES = 0.13, 95% CI: 0.12‐0.14), respectively 64,66 …”

Section: Resultsmentioning

confidence: 99%

“…Based on the results of the studies, abused children had larger total body surface area burned, 89 deeper burns, and required skin grafting than non‐intentional burns victims 63 . Also, injury to bilateral burns and the lower limbs, 64 especially the buttocks and perineum, 86 were the areas with most cases of burns.…”

Section: Resultsmentioning

confidence: 99%

“…Burn injuries produce some of the most painful patient experiences 30‐45 and may result in unpleasant physical and psychological outcomes 46‐62 . Non‐accidental burns (NABs) among children are related to adverse effects such as severe burns, requiring a skin graft, and mortality 63,64 . Neglect, suspected abuse, and child abuse are causes of NABs.…”

Section: Introductionmentioning

confidence: 99%

“…Scars often remain after healing, and severe comorbidities can lead to aesthetic and permanent functional problems 74‐77 . So, it is critical to diagnose the signs of abused children with burns to decrease the length of hospital stay, severe burns, and risk of mortality 64 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of non‐accidental burns and related factors in children: A systematic review and meta‐analysis

Hermis

Tehrany

Hosseini

et al. 2023

International Wound Journal

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Non‐accidental burns (NABs) in children had some adverse effects, such as severe burns, requiring skin grafting, and mortality. Previous studies reported NABs in the form of neglect, suspected abuse, and child abuse. Also, different statistics were estimated for the prevalence of NABs in children. Therefore, the current study aimed to comprehensively review and summarise the literature on the prevalence of NABs in children. Also, factors related to NABs as a secondary aim were considered in this review. Keywords combined using Boolean operators and searches were performed in international electronic databases, such as Scopus, PubMed, and Web of Science. Only studies in English were considered from the earliest to 1 March 2023. The analysis was performed using STATA software version 14. Finally, 29 articles were retrieved for the quantitative analysis. Results found that the prevalence of child abuse, suspected abuse, neglect, ‘child abuse or suspect abused’, and ‘abuse, suspect abused, or neglect’ was 6% (ES: 0.06, 95% confidence interval [CI]: 0.05‐0.07), 12% (ES: 0.12, 95% CI: 0.09‐0.15), 21% (ES: 0.21, 95% CI: 0.07‐0.35), 8% (ES: 0.08, 95% CI: 0.07‐0.09), and 15% (ES: 0.15, 95% CI: 0.13‐0.16) among burns victims, respectively. Also, factors related to NABs are categorised into age and gender, agent and area of burns, and family features. Considering the results of the current study, planning for rapid diagnosis and designing a process to manage NABs in children is necessary.

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Initial Pediatric Burn Management: A Practical Guide

Palmieri

2024

Semin Plast Surg

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Children have an imperative to explore their environment to grow and develop, which puts them at risk for sustaining burn injury. Burn injury remains the third leading cause of injury-related death worldwide. Plastic surgeons, as experts in the evaluation and management of cutaneous injuries, are frequently called upon to evaluate and treat children with burn injuries. This article focuses on the unique physiologic aspects of children and how they impact initial evaluation and management of burn injury. Children are not “little adults,” and they have different airway, circulatory, and cutaneous systems. Understanding the signs of potential child abuse is important to avoid further child harm. Finally, recognition of the criteria for referral to a pediatric burn center is important to optimize both short- and long-term outcomes for patients and families.

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Identifying Abuse and Neglect in Hospitalized Children With Burn Injuries

Cited by 4 publications

References 28 publications

Preoperative Anxiety and Postoperative Pain in Children with Burn Patients and Their Correlation Analysis

Preoperative Anxiety and Postoperative Pain in Children with Burn Patients and Their Correlation Analysis

Prevalence of non‐accidental burns and related factors in children: A systematic review and meta‐analysis

Initial Pediatric Burn Management: A Practical Guide

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