Childhood burns in Sulaimaniyah province, Iraqi Kurdistan: A prospective study of admissions and outpatients
| Autor: | Ahmad Al-Windi, Nasih Othman, Denise Kendrick |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Burn injury Burn Units Poison control Critical Care and Intensive Care Medicine Age Distribution Injury Severity Score Risk Factors Injury prevention Epidemiology medicine Humans Hospital Mortality Prospective Studies Sex Distribution Prospective cohort study business.industry Incidence Mortality rate Incidence (epidemiology) Infant General Medicine Length of Stay Hospitalization Child Preschool Iraq Emergency Medicine Female Surgery Burns business Total body surface area |
| Zdroj: | Burns. 41:394-400 |
| ISSN: | 0305-4179 |
| DOI: | 10.1016/j.burns.2014.07.008 |
| Popis: | Background While it is globally observed that young children are at a higher risk of burn injuries, little is known about childhood burns in Iraqi Kurdistan. This study was undertaken to describe the epidemiology of burns amongst pre-school children in this region. Methods A prospective study was undertaken from November 2007 to November 2008 involving all children aged 0–5 years attending the burns centre in Sulaimaniyah province for a new burn injury whether treated as an outpatient or admitted to hospital. Results 1,122 children attended the burns centre of whom 944 (84%) were interviewed (male 53%, female 47%). Mean age was 1.9 years with children aged 1 year comprising 32% and those aged 2 years comprising 21% of the sample. The incidence of burns was 1044/100,000 person-years (1030 in females and 1057 in males). Mechanisms of injury included scalds (80%), contact burns (12%) flames (6%) and other mechanisms (2%). Almost 97% of burns occurred at home including 43% in the kitchen. Winter was the commonest season (36%) followed by autumn (24%). There were 3 peak times of injury during the day corresponding to meal times. The majority of burns were caused by hot water (44%) and tea (20%) and the most common equipment/products responsible were tea utensils (41%). There were 237 admissions with an admission rate of 95 per 100,000 person-years. Scald injuries accounted for most admissions (84%). Median total body surface area affected by the burn or scald (TBSA) was 11% and median hospital stay was 7 days. In-hospital mortality was 8%. Mortality rate was 4% when TBSA was ≤25%, and 100% when TBSA was over 50%. Conclusion Burn incidence is high in young children especially those aged 1–2 years. Preventive interventions targeted at families with young children & focusing on home safety measures could be effective in reducing childhood burns. |
| Databáze: | OpenAIRE |
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