Influence of agents and mechanisms of injury on anatomical burn locations in children <5 years old with a scald
| Autor: | Linda I. Hollén, Emma Louise Johnson, Assim Ali Javaid, Alison Mary Kemp |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Child abuse medicine.medical_specialty Hot Temperature Minor injury Referral Body Surface Area Burn Units Beverages 03 medical and health sciences 0302 clinical medicine Primary outcome 030225 pediatrics Outcome Assessment Health Care Epidemiology Scalding Humans Medicine Prospective Studies Accidental Injuries Wales business.industry Child Protective Services Baths 030208 emergency & critical care medicine Emergency department medicine.disease Cross-Sectional Studies England Accidents Home Child Preschool Accidental Pediatrics Perinatology and Child Health Emergency medicine Female Burns Emergency Service Hospital business |
| Zdroj: | Javaid, A A, Johnson, E, Hollén, L & Kemp, A M 2021, ' Influence of agents and mechanisms of injury on anatomical burn locations in children <5 years old with a scald ', Archives of Disease in Childhood, vol. 106, no. 11, 320710, pp. 1111-1117 . https://doi.org/10.1136/archdischild-2020-320710 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/archdischild-2020-320710 |
| Popis: | ObjectiveTo demonstrate how the mechanism and agent of injury can influence the anatomical location of a scald.DesignProspective multicentre cross-sectional study.Setting20 hospital sites across England and Wales including emergency departments, minor injury units and regional burns units.PatientsChildren aged 5 years and younger who attended hospital with a scald.Main outcome measuresPrimary outcome: a descriptive analysis of the mechanism, agent and anatomical location of accidental scalds. Secondary outcome: a comparison of these factors between children with and without child protection (CP) referral.ResultsOf 1041 cases of accidental scalds, the most common narrative leading to this injury was a cup or mug of hot beverage being pulled down and scalding the head or trunk (132/1041; 32.9% of cases). Accidental scalds in baths/showers were rare (1.4% of cases). Accidental immersion injuries were mainly distributed on hands and feet (76.7%). There were differences in the presentation between children with accidental scalds and the 103 who were referred for CP assessment; children with scalds caused by hot water in baths/showers were more likely to get referred for CP assessment (pConclusionsAn understanding of the distributions of scalds and its relationship to different mechanisms of injury and causative agents will help clinicians assess scalds in young children, particularly those new to the emergency department who may be unfamiliar with expected scald patterns or with the importance of using appropriate terminology when describing scalds. |
| Databáze: | OpenAIRE |
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