Epidemiology of Children’s Burn Trauma in South Moravia A comparative study after 15 years
Authors:
B. Lipový; I. Suchánek; H. Řihová; Y. Kaloudová; R. Mager; H. Krupicová
Authors place of work:
Klinika popálenin a rekonstrukční chirurgie FN Brno
přednosta prof. MUDr. P. Brychta, CSc.
Published in the journal:
Čes-slov Pediat 2010; 65 (1): 3-9.
Category:
Original Papers
Summary
Objective:
The objective of the study was to determine the difference in incidence of burn trauma and other epidemiological indicators in paediatric patients received into our clinic in 1991–1993 and in 2006–2008.
Type:
Retrospective, mono-centric.
Office:
Clinic of Burns and Reconstructive Surgery, Teaching Hospital, Brno.
Material and methodology:
A total of 835 children diagnosed with a burn injury were received into our clinic during the monitored periods. Basic epidemiological indicators were then assessed in this group (incidence, mortality, sex, age, length of hospitalisation, etiologic agent, burn injury severity, etc.) and compared with each other.
Results:
The study compared two homogenous age groups (0–14 years).
Group 1 was formed by children hospitalised at our clinic in 1991–1993. The total number of children was 394. The catchment area of our clinic registered 414 832 children aged 0–14 years. The average size of burned areas was 9.3% TBSA (total body surface area). The average injury incidence in the specified period was 31.1 per 100 000. The group mostly at risk of burn injuries was children aged 1–3. The average length of hospitalisation in the first period was 15.8 days (2–165 days). Burns exceeding 30% TBSA were represented by 26 cases (i.e. 6.6% of the total number of hospitalised children).
Group 2 was formed by children hospitalised at our clinic in 2006–2008. Number of hospitalised children: 441. Our catchment area registered only 333 053 children aged 0–14 years in the second period. The average size of burned area was 6.9% TBSA. The average incidence reached 44.9 per 100 000. As in group 1, the most affected group were children aged 1–3. The average length of hospitalisation dropped to 8.5 days (2–73 days) in group 2 as well as the number of children with burns exceeding 30% TBSA, which dropped to 12 cases (i.e. 2.7% of the total number of hospitalised children).
Discussion:
During the last 15 years, the Czech Republic has experienced geographical and administrative changes (transformation of number of regions) as well as demographic changes (decrease in natality – fewer children in the CR). In addition to these, burn traumas were centralised, which provided for an increase in the quality of medical and nursing care for this type of injury. The shared campaign run by the Ministry of Health and the Czech Railways in 2007–2008 appears to have been successful, resulting in a decrease in the number of electrical traumas on the railways, especially in adolescent boys. The above data indicates that prevention should focus on children aged 1–3 years (incl. their parents) and on the household environment. The decrease in the length of hospitalisation is the consequence of better covering materials, which frequently make it possible to complete the healing process by means of outpatient treatment.
Conclusion:
We managed to collect basic epidemiological data from the two above groups of children and to demonstrate the success of prevention and therapy in children’s burn trauma by comparing these data.
Key words:
burns, children, epidemiology, prevention
Zdroje
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Štítky
Neonatology Paediatrics General practitioner for children and adolescentsČlánok vyšiel v časopise
Czech-Slovak Pediatrics
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