Spatial analysis of pediatric burns shows geographical clustering of burns and ‘hotspots’ of risk factors in New South Wales, Australia

Goltsman, David; Li, Zhe; Bruce, Eleanor; Connolly, Siobhan; Harvey, John G.; Maitz, Peter

doi:10.1016/j.burns.2016.02.026

Cited by 12 publications

(4 citation statements)

References 35 publications

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“…15,27,32 The age distribution resembles that in previous studies where young children compared with older make up a large proportion of the patients. 10,11,15,29,30 As in previous research, the present study also demonstrates that the most frequent causes of burn injury are scalds in children below 5 years, whereas flame and contact burns are more common in older children. 28,30,34–37 This information is important for the development and implementation of prevention strategies for pediatric burns.…”

Section: Discussionsupporting

confidence: 87%

“…2 For several types of childhood injury, including burns, there is an association between socioeconomic status and risk of injury. 3–12…”

Section: Introductionmentioning

confidence: 99%

“…2 For several types of childhood injury, including burns, there is an association between socioeconomic status and risk of injury. [3][4][5][6][7][8][9][10][11][12] In most high-income countries, burn incidence has become lower over time. 13,14 In Sweden, it diminished by 45% between 1987 and 2010.…”

Section: Introductionmentioning

confidence: 99%

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Sociodemographic Patterns of Pediatric Patients in Specialized Burn Care in Sweden

Holm

Tell

Karlsson

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Trauma is a leading cause of mortality in children. Burns affect children disproportionally. Although burn incidence and mortality are decreasing, differences in the risk depend on socioeconomic status. The present study aimed to investigate the sociodemographic patterns of pediatric patients (0–17 years) managed at the two burn centers in Sweden, Uppsala, and Linköping, between 2010 and 2020. Method: This retrospective register-based study used hospital records from the two burn centers combined with information from Statistics Sweden plus data regarding number of asylum seekers from the Swedish Migrations Agency. Choropleth maps representing the patients’ geographical distribution were created. Information about income levels per geographic area was added. A Wilcoxon signed-rank test was performed to investigate differences in median income levels between the areas where the patients lived, related to Sweden’s median income. Results: The study included 2455 patients. Most of the children aged below 5 years (76%) and were boys (60%). The mean percentage of total skin area was 4.2%. There was no significant increment or decrease in the incidence of pediatric burns during the study. Most patients with recorded zip codes lived in areas with an income level below the national median (n = 1974, 83%). Children with asylum status were over-represented compared with residents and/or Swedish citizens. Conclusions: In Sweden, most pediatric burns occur in families that live in areas with low-income levels. Pediatric burns affect children with asylum status disproportionally compared with those who are residents in and/or citizens of Sweden. Prevention strategies should be designed and implemented to alleviate this health inequity.

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Section: Discussionsupporting

confidence: 87%

“…2 For several types of childhood injury, including burns, there is an association between socioeconomic status and risk of injury. 3–12…”

Section: Introductionmentioning

confidence: 99%

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Sociodemographic Patterns of Pediatric Patients in Specialized Burn Care in Sweden

Holm

Tell

Karlsson

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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show abstract

“…Burn trauma is considered as very devastating and often occurs in childhood. The problem of burns among children is still actual in low-income and high-income countries [1][2][3][4][5][6][7][8][9][10][11][12]. The problem of burns among children, especially infants and toddlers, is usually related to the behavior of the caregivers [13][14].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic characteristic of burned children families

Kawalec¹,

Pawlas²

2022

Ann Agric Environ Med.

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Objective. The aim of the study was to determine the relationship between the socioeconomic factors and chosen parameters of burns in children. Materials and method. An anonymous survey was conducted among caregivers of 200 children hospitalized due to burns in 5 Polish hospitals. The socioeconomic factors and location of the burn, surface of the burn, depth of the injury, type of treatment, and length of hospitalization were analyzed. Statistical analysis was performed using Statistica v.12. Results. Single parenthood was related with longer hospitalisation of the child, higher degree of burn wound, and more frequent operative treatment (p < 0.05). Children from families with several children (≥3) more often had severe burns than the only children (p = 0.018). A statistically significant relationship was observed between fathers' age and the surface of burn wound, burn depth, burn severity, type of required treatment, and duration of hospitalization (p < 0.05). In the group of children with minor burns, the percentage of mothers with secondary education was lower than in mothers with primary education (p = 0.004) and with higher education (p = 0.006). In the group with average burns, the proportion of mothers with secondary education was higher than with primary education (p = 0.019). In the group of children with severe burns, the percentage of fathers with primary education was higher than the percentage of fathers with secondary (p = 0.005) and higher education (p = 0.018). The surface of burn was higher in children those fathers had lower education (p < 0.05). Fathers' unemployment was related to higher surface of burn in children (p < 0.05). Conclusions. The relationship between socioeconomic factors and analyzed parameters of burns is important to identify the groups for which preventive actions should be designed.

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Injuries as Global Health Risk Factor

Jagnoor

Peden

2020

Handbook of Global Health

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Spatial analysis of pediatric burns shows geographical clustering of burns and ‘hotspots’ of risk factors in New South Wales, Australia

Cited by 12 publications

References 35 publications

Sociodemographic Patterns of Pediatric Patients in Specialized Burn Care in Sweden

Sociodemographic Patterns of Pediatric Patients in Specialized Burn Care in Sweden

Socioeconomic characteristic of burned children families

Injuries as Global Health Risk Factor

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