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Pediatric burns and the leading factors of burn injury

Year 2022, Volume: 32 Issue: 2, 215 - 219, 29.04.2022
https://doi.org/10.54005/geneltip.1002395

Abstract

Objective: Burn trauma is an important health problem especially in children who are mostly the affected group as they are not fully capable of protecting themselves from injuries. The aim of this study is to present the clinical features of preschool pediatric burn patients treated in our tertiary reference burn center and highlight the main factors leading to burn injury.
Material and Methods: This study was conducted between 1 January 2021 and 30 June 2021 in our tertiary burn center. A total of 123 patients at preschool age who were hospitalized are included in this cross-sectional study. The clinical features, burn etiology and the environmental factors leading to burn injury were obtained from patient files, hospital registry and face to face interviews with parents of hospitalized children.
Results: The mean age of the study population was 2.40±1.3 years. The etiology of burn was mainly scalds (%87.8) followed by flame (%10.6) and electrical burns (%1.6). Among the patients 81 (%65.9) of them were living in urban area, 32 (%26) in rural area and 10 (%8.1) in tents or refugee camps. The household population was 5.53±2.3. The children were not alone (%84.6) during the burn injury and in %54.5 of cases the kitchen was the place of injury.
Conclusion: Overcrowded conditions were prominent among the patients. Although there was an adult nearby at the time of injury there was lack of supervision by the caregiver. The burns are likely to occur in the kitchen where unsafe cooking and dining on the floor takes place. Therefore preventive strategies are required to imply the importance of simple safety measures for safe cooking and dining if the children cannot be kept away from the kitchen

Supporting Institution

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Project Number

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Thanks

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References

  • World Health Organization. Burns fact sheet. Geneva: World Health Organization; updated 2018. http://www.who.int/news-room/fact-sheets/detail/burns
  • Al-Hajj S, Pike I, Oneissi A, Zheng A, Abu-Sittah G. Pediatric Burns Among Refugee Communities in Lebanon: Evidence to Inform Policies and Programs. J Burn Care Res. 2019;40(6):769-75.
  • Forjuoh SN. Burns in low- and middle-income countries: A review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns 2006;32:529-37.
  • Battle CE, Evans V, James K, et al. Epidemiology of burns and scalds in children presenting to the emergency department of a regional burns unit: a 7-year retrospective study Burns Trauma 2016;4:19.
  • Ferguson DM, Parker TD, Marino VE, Garcia EI, Arshad SA, Kamat PS, Anding CM, Tsao K, Girardet RG, Austin MT. Risk factors for nonaccidental burns in children. Surg Open Sci. 2020 Jun 5;2(3):117-21.
  • Othman N, Kendrick D. Epidemiology of burn injuries in the East Mediterranean Region: a systematic review. BMC Public Health 2010;10:83.
  • Alemayehu S, Afera B, Kidanu K, Belete T. Management Outcome of Burn Injury and Associated Factors among Hospitalized Children at Ayder Referral Hospital, Tigray, Ethiopia. Int J Pediatr. 2020;2020:9136256.
  • Amador EV, Solano MAH. Risk factors of burns in children from low-income families and without medical insurance. Salud Uninorte. Barranquilla 2018;34(2):263-75.
  • Delgado J, Ramírez-Cardich ME, Gilman RH, Lavarello R, Dahodwala N, Bazán A, Rodríguez V, Cama RI, Tovar M, Lescano A. Risk factors for burns in children: crowding, poverty, and poor maternal education. Inj Prev. 2002;8(1):38-41.
  • Kawalec A. Environmental risk factors of burns in children – review. Medycyna Środowiskowa - Environmental Medicine 2015;18(3):40-6.
  • Dhopte A, Tiwari VK, Patel P, Bamal R. Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India. Burns & Trauma 2017;5:1.
  • Zou K, Wynn P, Miller P, et al. Preventing childhood scalds within the home: Overview of systematic reviews and a systematic review of primary studies. Burns 2015;41:907-24.
  • Yastı AÇ, Koç O, Şenel E, et al. Hot milk burns in children: a crucial issue among 764 scaldings. Ulusal Travma ve Acil Cerrahi Dergisi 2011;17:419-22.
  • Bayramoglu A, Sener MT, Cakir Z, et al. Characteristics of patients who admitted to the emergency department because of burns due to dens liquids such as hot milk/oil. Eurasian J Med 2016;48:20-23.
  • Wang, S., Li, D., Shen, C., Chai, J., Zhu, H., Lin, Y., & Liu, C. Epidemiology of burns in pediatric patients of Beijing City. BMC Pediatrics 2016;16:166.
  • Tegtmeyer LC, Herrnstadt GR, Maier SL, Thamm OC, Klinke M, Reinshagen K, et al. Retrospective analysis on thermal injuries in children. Demographic, etiological and clinical data of German and Austrian pediatric hospitals 2006-2015-Approaching the new German burn registry. Burns. 2018;44(1):150-7.
  • Mock C, Peck M, Peden M, Krug E, eds. World Health Organization. (‎2008)‎. A WHO plan for burn prevention and care. World Health Organization. https://apps.who.int/iris/handle/10665/97852
  • Trop M, Herzog SA, Pfurtscheller K, Hoebenreich AM, Schintler MV, Stockenhuber A, et al. The past 25 years of pediatric burn treatment in Graz and important lessons been learned. An overview. Burns. 2015;41(4):714-20.
  • Smolle C, Cambiaso-Daniel J, Forbes AA, Wurzer P, Hundeshagen G, Branski LK, et al. Recent trends in burn epidemiology worldwide: a systematic review. Burns 2017;43:249-57. .
  • Sozen I, Guldogan CE, Yastı AC. Etiology of childhood burns and parental awareness in Turkey. Ulusal Cerrahi Dergisi 2015;32:168-72.
  • Mohammed M, Mekonen Y, Berhe H. Clinical Profile of Pediatric Burn Patients in Burn Care Unit of Halibet Hospital in 2018: Asmara, Eritrea. Pediatric Health Med Ther. 2021;12:13-21.
  • Kazanasmaz O, Dinc N. Clinical Evaluation of Pediatric Age Group Patients Followed in Burn Unit. Journal of Harran University Medical Faculty 2019;16(3):535-9.
  • (Eurostat) People in the EU - statistics on household and family structures. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Archive:People_in_the_EU_-_statistics_on_household_and_family_structures.
  • Kawalec A, Pawlas K. Home environment and burns in children. Burns Open 2020;4:167-75.
  • Lee CJ, Mahendraraj K, Houng A, Marano M, Petrone S, Lee R, et al. Pediatric burns: a single institution retrospective review of incidence, etiology, and outcomes in 2273 burn patients (1995-2013) J Burn Care Res. 2016;37:e579–e585.
  • Atiyeh BS, Gunn SWA. Refugee camps, fire disasters and burn injuries. Ann Burns Fire Disasters 2017;30:214-7.
  • Kazerooni Y, Gyedu A, Burnham G, Nwomeh B, Charles A, Mishra B, et al. Fires in refugee and displaced persons settlements: The current situation and opportunities to improve fire prevention and control. Burns 2016;4:1036-46.
  • Oseni OG, Olamoyegun KD, Olaitan PB. Paediatric burn epidemiology as a basis for developing a burn prevention program. Ann Burns Fire Disasters 2017;30(4):247-9.

Pediatrik yanıklar ve yanık yaralanmalarının önde gelen etkenleri

Year 2022, Volume: 32 Issue: 2, 215 - 219, 29.04.2022
https://doi.org/10.54005/geneltip.1002395

Abstract

Amaç: Yanık yaralanmasından en çok etkilenen grup çocuklardır. Çocuklar yaralanmalardan kendilerini koruyamadıkları için yanıklar önemli bir sağlık sorunu olarak karşımıza çıkmaktadır. Bu çalışmanın amacı, üçüncü basamak referans yanık merkezimizde tedavi edilen okul öncesi pediatrik yanık hastalarının klinik özelliklerini sunmak ve yanık yaralanmasına neden olan ana faktörleri vurgulamaktır.
Gereç ve Yöntem: Bu çalışma 1 Ocak 2021 ile 30 Haziran 2021 tarihleri arasında üçüncü basamak yanık merkezimizde yapıldı. Kesitsel tipteki bu çalışmaya hastanede yatarak tedavi edilen okul öncesi yaştaki toplam 123 hasta dahil edildi. Yanık oluşumuna neden olan klinik özellikler, yanık etiyolojisi ve çevresel faktörler hasta dosyalarından, hastane kayıtlarından ve hastaneye yatırılan çocukların ebeveynleri ile yüz yüze yapılan görüşmelerden elde edildi.
Bulgular: Çalışma grubunun yaş ortalaması 2,40±1,3 yıl idi. Yanık etiyolojisi olarak en sık haşlanma (%87,8) ardından alev (%10,6) ve elektrik (%1,6) yanıkları görüldü. Hastaların 81'i (%65,9) kentsel, 32'si (%26) kırsal alanda ve 10'u (%8,1) çadır veya mülteci kamplarında yaşıyordu. Hane halkı nüfusu 5,53±2,3 olarak bulundu. Yanık sırasında çocuklar çoğunlukla yalnız değildi (%84,6) ve %54,5 vakada yaralanma yeri mutfaktı.
Sonuç: Hastaların çevresinde aşırı kalabalık koşullar belirgindi. Yaralanma anında yakınlarda bir yetişkin olmasına rağmen bakan kişinin çocuğun gözetiminde eksikliği vardı. Yanıkların çoğunun emniyetsiz yemek pişirme ve yerde yemek yemenin gerçekleştiği mutfakta meydana gelmesi muhtemeldir. Bu nedenle, çocuklar mutfaktan uzak tutulamıyorsa, güvenli yemek pişirmek için gerekli önlemler alınmalı, sıcak sıvı içeren kaplar kapalı tutulmalı ve çocuğun erişiminden uzakta bulundurulmalıdır.

Project Number

-

References

  • World Health Organization. Burns fact sheet. Geneva: World Health Organization; updated 2018. http://www.who.int/news-room/fact-sheets/detail/burns
  • Al-Hajj S, Pike I, Oneissi A, Zheng A, Abu-Sittah G. Pediatric Burns Among Refugee Communities in Lebanon: Evidence to Inform Policies and Programs. J Burn Care Res. 2019;40(6):769-75.
  • Forjuoh SN. Burns in low- and middle-income countries: A review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns 2006;32:529-37.
  • Battle CE, Evans V, James K, et al. Epidemiology of burns and scalds in children presenting to the emergency department of a regional burns unit: a 7-year retrospective study Burns Trauma 2016;4:19.
  • Ferguson DM, Parker TD, Marino VE, Garcia EI, Arshad SA, Kamat PS, Anding CM, Tsao K, Girardet RG, Austin MT. Risk factors for nonaccidental burns in children. Surg Open Sci. 2020 Jun 5;2(3):117-21.
  • Othman N, Kendrick D. Epidemiology of burn injuries in the East Mediterranean Region: a systematic review. BMC Public Health 2010;10:83.
  • Alemayehu S, Afera B, Kidanu K, Belete T. Management Outcome of Burn Injury and Associated Factors among Hospitalized Children at Ayder Referral Hospital, Tigray, Ethiopia. Int J Pediatr. 2020;2020:9136256.
  • Amador EV, Solano MAH. Risk factors of burns in children from low-income families and without medical insurance. Salud Uninorte. Barranquilla 2018;34(2):263-75.
  • Delgado J, Ramírez-Cardich ME, Gilman RH, Lavarello R, Dahodwala N, Bazán A, Rodríguez V, Cama RI, Tovar M, Lescano A. Risk factors for burns in children: crowding, poverty, and poor maternal education. Inj Prev. 2002;8(1):38-41.
  • Kawalec A. Environmental risk factors of burns in children – review. Medycyna Środowiskowa - Environmental Medicine 2015;18(3):40-6.
  • Dhopte A, Tiwari VK, Patel P, Bamal R. Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India. Burns & Trauma 2017;5:1.
  • Zou K, Wynn P, Miller P, et al. Preventing childhood scalds within the home: Overview of systematic reviews and a systematic review of primary studies. Burns 2015;41:907-24.
  • Yastı AÇ, Koç O, Şenel E, et al. Hot milk burns in children: a crucial issue among 764 scaldings. Ulusal Travma ve Acil Cerrahi Dergisi 2011;17:419-22.
  • Bayramoglu A, Sener MT, Cakir Z, et al. Characteristics of patients who admitted to the emergency department because of burns due to dens liquids such as hot milk/oil. Eurasian J Med 2016;48:20-23.
  • Wang, S., Li, D., Shen, C., Chai, J., Zhu, H., Lin, Y., & Liu, C. Epidemiology of burns in pediatric patients of Beijing City. BMC Pediatrics 2016;16:166.
  • Tegtmeyer LC, Herrnstadt GR, Maier SL, Thamm OC, Klinke M, Reinshagen K, et al. Retrospective analysis on thermal injuries in children. Demographic, etiological and clinical data of German and Austrian pediatric hospitals 2006-2015-Approaching the new German burn registry. Burns. 2018;44(1):150-7.
  • Mock C, Peck M, Peden M, Krug E, eds. World Health Organization. (‎2008)‎. A WHO plan for burn prevention and care. World Health Organization. https://apps.who.int/iris/handle/10665/97852
  • Trop M, Herzog SA, Pfurtscheller K, Hoebenreich AM, Schintler MV, Stockenhuber A, et al. The past 25 years of pediatric burn treatment in Graz and important lessons been learned. An overview. Burns. 2015;41(4):714-20.
  • Smolle C, Cambiaso-Daniel J, Forbes AA, Wurzer P, Hundeshagen G, Branski LK, et al. Recent trends in burn epidemiology worldwide: a systematic review. Burns 2017;43:249-57. .
  • Sozen I, Guldogan CE, Yastı AC. Etiology of childhood burns and parental awareness in Turkey. Ulusal Cerrahi Dergisi 2015;32:168-72.
  • Mohammed M, Mekonen Y, Berhe H. Clinical Profile of Pediatric Burn Patients in Burn Care Unit of Halibet Hospital in 2018: Asmara, Eritrea. Pediatric Health Med Ther. 2021;12:13-21.
  • Kazanasmaz O, Dinc N. Clinical Evaluation of Pediatric Age Group Patients Followed in Burn Unit. Journal of Harran University Medical Faculty 2019;16(3):535-9.
  • (Eurostat) People in the EU - statistics on household and family structures. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Archive:People_in_the_EU_-_statistics_on_household_and_family_structures.
  • Kawalec A, Pawlas K. Home environment and burns in children. Burns Open 2020;4:167-75.
  • Lee CJ, Mahendraraj K, Houng A, Marano M, Petrone S, Lee R, et al. Pediatric burns: a single institution retrospective review of incidence, etiology, and outcomes in 2273 burn patients (1995-2013) J Burn Care Res. 2016;37:e579–e585.
  • Atiyeh BS, Gunn SWA. Refugee camps, fire disasters and burn injuries. Ann Burns Fire Disasters 2017;30:214-7.
  • Kazerooni Y, Gyedu A, Burnham G, Nwomeh B, Charles A, Mishra B, et al. Fires in refugee and displaced persons settlements: The current situation and opportunities to improve fire prevention and control. Burns 2016;4:1036-46.
  • Oseni OG, Olamoyegun KD, Olaitan PB. Paediatric burn epidemiology as a basis for developing a burn prevention program. Ann Burns Fire Disasters 2017;30(4):247-9.
There are 28 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Article
Authors

Abdulkadir Başaran 0000-0001-8788-4467

Özer Özlü 0000-0003-4057-7747

Project Number -
Publication Date April 29, 2022
Submission Date September 29, 2021
Published in Issue Year 2022 Volume: 32 Issue: 2

Cite

Vancouver Başaran A, Özlü Ö. Pediatric burns and the leading factors of burn injury. Genel Tıp Derg. 2022;32(2):215-9.

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