Medical management of paediatric burn injuries: Best practice part 2

D'Cruz, Rachel; Martin, H; Holland, A.J.A.

doi:10.1111/jpc.12179

Cited by 10 publications

(7 citation statements)

References 64 publications

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“…The observed fall in hospitalisation rates may also reflect improvements in the medical and nursing care of children with burn injuries. These include earlier prediction of burn wound‐healing potential though the use of laser Doppler imaging; nano‐crystalline silver‐based wound care products that may decrease burn wound dressing changes to every week, together with day‐case surgery for more minor burns that still require grafting …”

Section: Discussionmentioning

confidence: 99%

Hospitalised burns in children up to 16 years old: A 10‐year population‐based study in Australia

Seah

Holland

Curtis

et al. 2018

J Paediatrics Child Health

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Aim Globally, burns remain a significant public health issue that disproportionately affect young children. The current study examines the 10‐year epidemiological profile of burn hospitalisations, hospital treatment cost and health outcomes by age group for children ≤16 years in Australia. Methods National, population‐based, linked hospital and mortality data from 1 July 2002 to 30 June 2012 were used to identify burn‐related hospitalisations. Age‐standardised hospitalisation rates and hospital treatment costs were estimated. Results There were 25 098 children aged ≤16 years hospitalised after sustaining a burn. The age‐standardised hospitalisation rate was 54.4 per 100 000 (95% confidence interval (CI): 53.7–55.1). Children aged 1–5 years had the highest burn hospitalisation rate (105.6 per 100 000; 95% CI: 103.8–107.3). The burn hospitalisation rate of infants <1 year declined by 3.1% per annum (95% CI: −4.84, −1.37, P < 0.001). Contact with heat and other substances, hot drinks, food, fats and cooking oils was the most common burn mechanism, and the home was the most common place of occurrence for children ≤10 years. Exposure to the ignition of highly flammable material was the most common burn mechanism for children aged 11–16 years. There were 7260 hospital readmissions within 28 days and 11 deaths within 30 days of the index burn hospitalisation. Total hospital treatment costs were estimated at $168 million. Conclusions Childhood burns continue to account for a large proportion of hospitalised morbidity. To assist in reducing burn hospitalisations, the development, implementation and resourcing of national multi‐sectorial childhood injury prevention is needed in Australia.

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Section: Discussionmentioning

confidence: 99%

Hospitalised burns in children up to 16 years old: A 10‐year population‐based study in Australia

Seah

Holland

Curtis

et al. 2018

J Paediatrics Child Health

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“…The role of a CLTP has become instrumental in the paediatric burns multidisciplinary team [18]. It has been well established b u r n s x x x ( 2 0 1 5 ) x x x -x x x that the use of distraction during medical procedures significantly reduces pain and anxiety experienced by children [9,19].…”

Section: Discussionmentioning

confidence: 99%

An assessment of early Child Life Therapy pain and anxiety management: A prospective randomised controlled trial

Hyland

D'Cruz

Harvey

et al. 2015

Burns

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“…In Australia, these specialist tertiary services are metropolitan. We also found that burn care is best delivered by multi-disciplinary teams [35] comprising many healthcare professionals, who each bring a unique skill set, focus and contribution to care. Key professions in these teams include: nursing, occupational therapy, physiotherapy, medical, dietetics, psychology, and social work [35][36][37][38].…”

Section: Developing the Apjm Toolmentioning

confidence: 94%

“…We also found that burn care is best delivered by multi-disciplinary teams [35] comprising many healthcare professionals, who each bring a unique skill set, focus and contribution to care. Key professions in these teams include: nursing, occupational therapy, physiotherapy, medical, dietetics, psychology, and social work [35][36][37][38]. We also found that burn care can be separated into distinct critical points in time from a biomedical perspective, evident in the existing models that guide burn care [36] and research evidence [34].…”

Section: Developing the Apjm Toolmentioning

confidence: 94%

Patient Journey Mapping To Investigate Quality and Cultural Safety in Burn Care for Aboriginal and Torres Strait Islander Children and Families – Development, Application and Implications

Fraser¹,

Mackean²,

Grant³

et al. 2021

Preprint

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Background Quality and safety in Australian healthcare is inequitably distributed, highlighted by gaps in the provision of quality care for Aboriginal and Torres Strait Islander children. Burns have potential for long-term adverse outcomes, and quality care, including culturally safe care, is critical to recovery. This study aimed to develop and apply an Aboriginal Patient Journey Mapping (APJM) tool to investigate the quality of healthcare systems for burn care with Aboriginal and Torres Strait Islander children. Study Design Interface research methodology, using biomedical and cultural evidence, informed the modification of an existing APJM tool. The tool was then applied to the journey of one family accessing a paediatric tertiary burn care site. Data were collected through yarning with the family, case note review and clinician interviews. Data were analysed using Emden’s core story and thematic analysis methods. Reflexivity informed consideration of the implications of the APJM tool, including its effectiveness and efficiency in eliciting information about quality and cultural safety. Results Through application of a modified APJM tool, gaps in quality care for Aboriginal and Torres Strait Islander children and families were identified at the individual, service and system levels. Engagement in innovative methodology incorporating more than biomedical standards of care, uncovered critical information about the experiences of culturally safe care in complex patient journeys. Conclusion Based on our application of the tool, APJM can identify and evaluate specific aspects of culturally safe care as experienced by Aboriginal and Torres Strait Islander peoples and be used for quality improvement.

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Medical management of paediatric burn injuries: Best practice part 2

Cited by 10 publications

References 64 publications

Hospitalised burns in children up to 16 years old: A 10‐year population‐based study in Australia

Hospitalised burns in children up to 16 years old: A 10‐year population‐based study in Australia

An assessment of early Child Life Therapy pain and anxiety management: A prospective randomised controlled trial

Patient Journey Mapping To Investigate Quality and Cultural Safety in Burn Care for Aboriginal and Torres Strait Islander Children and Families – Development, Application and Implications

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