Mortality in paediatric burns at the Women’s and Children’s Hospital (WCH), Adelaide, South Australia: 1960–2017

Chong, Hsu Phie; Quinn, Linda; Cooksey, Rebecca; Molony, Darren; Jeeves, Amy; Lodge, Michelle; Carney, Bernard

doi:10.1016/j.burns.2019.06.004

Cited by 14 publications

(9 citation statements)

References 15 publications

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“…Our burn center has substantially reduced mortality for patients with severe burns by establishing a burn intensive care unit and other measures to monitor and treat them more effectively. On the other hand, patients without inhalation injury accounted for 99.2% in this study, whereas only 2.1% had a TBSA above 30%, which may account for the lower mortality rate than in other studies ( 8 , 23 , 49 , 50 ). Additionally, our burn center has significantly improved the level of pediatric burn diagnosis and treatment.…”

Section: Discussioncontrasting

confidence: 71%

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: Discussioncontrasting

confidence: 71%

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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“…15 Burn injuries are the third leading cause of preventable death in children worldwide, resulting in more than 100,000 annual hospitalizations. 16 The majority of burn injuries are preventable and caused by heat from hot liquids, solids, or fire, but the injuries can be caused by friction, cold, heat, radiation, chemical, or electric sources. 17 Traumatic injuries such as traumatic brain injury and skull fracture may increase morbidity and mortality in children with burn injury.…”

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confidence: 99%

“…18 Of the 21 pediatric patients who died of flame burn injuries, 12 of them were described as clothes catching alight from being in close proximity to the source of flame. 16 Alongside legislative strategies, successful implementation of prevention programs such as grassroots changes of lifestyle and reduced flammability of children's clothing has reduced the incidence of burn injuries in high-income countries. 17 Nomex shirts and trousers worn by firefighters as part of their personal protective equipment during firefighting activities is developed in the early 1960s by DuPont and first marketed in 1967.…”

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confidence: 99%

Retracted Article: The Miracle of Ibrahim's (Alayhi As-Salam) “The Fire that Does Not Burn”: Lessons to Today's Health Professionals

Çaksen

2023

Journal of Pediatric Neurology

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“…The most recent Australian annual report showed 5430 cases of hospitalisation for burns, the majority of which were young children (aged 0–4) [ 1 ]. Paediatric burn management and medical aftercare has made significant advances in recent decades (for a review, see; [ 2 ]), such that current survival rates are high for even very serious burns [ 3 , 4 ]. Historically, burn aftercare has focused on physical healing, in recent years, however, research has uncovered the poor psychological outcomes in children who experience burns, including a minor burn injury [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The psychological impact of paediatric burn injuries: a systematic review

et al. 2021

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Objective To review and synthesise qualitative literature regarding the psychological outcomes following paediatric burn injuries, and to determine if children and adolescents who experience a burn injury have elevated risk of psychopathology following the injury. Design Systematic review of quantitative and qualitative studies. Data sources Informit health, Medline, Embase, and PsycINFO were searched from January 2010 to December 2020. Data extraction and synthesis Two reviewers screened articles, and one reviewer extracted data (with cross-checking from another reviewer) from the included studies and assessed quality using an established tool. Narrative synthesis was used to synthesise the findings from the quantitative studies, and thematic synthesis was used to synthesise the findings of included qualitative studies. Results Searches yielded 1240 unique titles, with 130 retained for full-text screening. Forty-five studies from 17 countries were included. The psychological outcomes included in the studies were mental health diagnoses, medication for mental illness, depression, anxiety, stress, fear, post-traumatic stress, post-traumatic growth, emotional issues, self-harm, self-esteem, self-concept, stigmatisation, quality of life, level of disability, resilience, coping, and suicidality. Conclusions Our findings highlight paediatric burn patients as a particularly vulnerable population following a burn injury. Studies suggest elevated anxiety and traumatic stress symptoms, and higher rates of psychopathology in the long-term. Further research is recommended to determine the psychological outcomes in the other mental health domains highlighted in this review, as findings were mixed. Clinical care teams responsible for the aftercare of burn patients should involve psychological support for the children and families to improve outcomes.

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Mortality in paediatric burns at the Women’s and Children’s Hospital (WCH), Adelaide, South Australia: 1960–2017

Cited by 14 publications

References 15 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

Retracted Article: The Miracle of Ibrahim's (Alayhi As-Salam) “The Fire that Does Not Burn”: Lessons to Today's Health Professionals

The psychological impact of paediatric burn injuries: a systematic review

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