Perfil de crianças e adolescentes internados em Unidade de Tratamento de Queimados do interior do estado de São Paulo (original) (raw)
Related papers
Paediatric burns and associated risk factors in Rio de Janeiro, Brazil
Burns, 1997
This is a case-control study conducted at two major public units for paediatric burn injuries in Rio de Janeiro, Brazil. Cases (n = 94) were 0–11-year-old Brazilian children admitted to one of these two burn units. Controls (n = 148) were 0–11-year-old children admitted to the paediatric clinics of the two hospitals where the cases were chosen and from another hospital placed at the same geographic region. Odds ratios (OR) based on logistic regression and 95 percent confidence intervals (95%-CI) were estimated for a number of putative risk factors. The risk of burns was higher for children who lived in crowded households (OR = 2.2; 95%-CI = 1.1–4.7), were not the first-born (OR = 2.5; 95%-CI = 1.2–5.2), had a pregnant mother (OR = 5.0; 95%-CI = 1.2–21.8), had a mother recently dismissed from a job (OR = 7.0; 95%-CI = 1.5–33.9) and had recently moved residence (OR = 4.9; 95%-CI = 1.7–14.3). A history of previous accident had a significant protective effect among males who lived in good environmental conditions (OR = 0.3; 95%-CI = 0.1–0.7), whereas no significant effect was detected in any other strata of gender and living conditions. Proper regulation of design and production of industrial products such as alcohol and domestic stoves, coupled with adequate social support and health education programmes could contribute to lower the incidence of severe burn injuries.
EPIDEMIOLOGY OF SEVERE BURNS ADMITTED IN PEDIATRIC INTENSIVE CARE UNITS.
International Journal of Advanced Research (IJAR), 2019
Introduction:Burn injuries are one of the top 10 causes of unintentional deaths in children younger than 14 years old. Most pediatric burns are minor, but children with severe burns have higher mortality than nonelderly adults with similar burns. Aims and objectives:To study the epidemiological particularities and the prognostic factors in order to prevent these accidents and to improve the future of the patients. Materials and methods:This study is retrospective and descriptive. It covers all the children burned and hospitalized in the pediatric intensive care unit of the Mohammed VI University Hospital of Marrakech during the period from January 2009 to December 2017. The criteria for inclusion are any burns covering more than 15% of a skin surface, any burns in a deep surface exceeding 5%, when a burn is cervico-facial, or when the burn is responsible for circular lesions. Findings and discussion:401 cases were collected during this period mentioned above. The incidence of severe burns in children was 5.6%. The most affected age group is between 0 and 4 years old with a male predominance (63%). Children from rural regions were more dominant (61%). 40% of the patients were admitted between 3 and 12 hours after the incident. 89% of the incidents occurred at home. Scalding was the most common mechanism (70%). Inpatient admission was done in 59% of cases via pediatric emergencies. The average area of skin burned was 18.8%. The most common location was limb involvement (35%) with superficial to intermediate second degree burns predominating (51%). Therapeutically, apart from patients admitted late (22%), all the others benefited from rehydration according to the Carvajal scheme. All the patients also benefited from multimodal analgesia (Morphine - Paracetamol - Ibuprofen) care performed by the plastic surgery team, and a mostly enteral diet (91%) introduced within an average of 1.7 days. In addition, we noted the occurrence of various ionic and metabolic disorders in 75% of cases, anemia in 67% of patients. The infection reached 43% of children burned. The mortality rate was 6.38%, and the average duration of hospitalization was 5.8 days. In our context, some elements such as the age of the patient being less than 4 years old, flame burn, the burned skin area exceeding 30%, defective initial management, delayed admission and infection occurrence, can be factors of poor prognosis. Conclusion:Our data demonstrates the importance of developing a program for the prevention of pediatric scalds by educating family members and raising their awareness of the danger. With present studies, the knowledge about the occurrence of injuries in scald accidents in children has become deeper. This knowledge may contribute to more individual adept child accident prevention program that could be used in the children health care.
African Journal of Emergency Medicine, 2013
Introduction: Injury from burns represents 2% of emergency admissions in university hospitals in Morocco. Burn injuries can lead to substantial morbidity in the paediatric population including an impact on later life. Methods: A retrospective study of 394 paediatric burn patients was performed. Subjects were identified by review of the emergency centre logs and data were extracted from patient records. Data included demographic information, mechanism of burn, treatment prior to arrival at the hospital, hospital management and follow up condition. Results: The majority (65.7%, n = 259) of patients were between 1 and 4 years old with an average age of 4.26 years and male predominance (male:female = 2:1). Scalding was the main mechanism of injury (83.5%, N = 329). The trunk and upper limbs were the most commonly affected areas of the body (59% and 50%, respectively) with the face affected in 9.6% of cases. The total body surface area burned ranged from 1% to 10% in 86% of patients. Seventy-five patients (19%) required hospitalisation, 57 patients (14%) required skin grafting and 27 (6.9%) had major sequelae.
Background: Burn wounds constitute one of the most serious types of trauma and are a major cause of unintentional death in children. The aim of this study was to determine the epidemiological profile of children experiencing burn wounds. Methods: We conducted a retrospective study of burn patients admitted to the Burn Care Unit of the Hospital de Urgência de Sergipe from January 2004 to December 2006. Results: Among the children admitted, there was a predominance for males (57.8%); most of the children (57.6%) were aged between 1 and 3 years. Heated liquid was the most common agent responsible for burns (71.6%), and second-degree burns were predominant (59.3%). The chest was the most commonly affected area (28.9%). Conclusions: The majority of pediatric burn injuries result from domestic accidents. Children, particularly those younger than 4 years, are the main victims, and heated liquids are the most common agents.
Profile of burn cases among children treated at a tertiary care hospital
International Journal of Health Research and Medico Legal Practice, 2019
Introduction: Epidemiological data on burns in children can give valuable information to policy makers for developing prevention strategies in reducing the incidence of childhood burns. Objectives: To study the Profile, manner and outcome of burns cases among children treated at a tertiary care hospital. Materials and methods: A Retrospective observational study was conducted based on medical records of children below the age of 12 years with the diagnosis of acute burns admitted to Jubilee Mission Medical College Hospital during 01-07-2016 to 30-06-2017. Results: A total of 169 burn cases were treated during the study period, of which 61 were children below 12 years. Maximum numbers of affected children were from the age group of less than 4 years and 60 cases were of accidental in nature. Scalding was the predominant cause of injuries and often related to cooking practices. No cases were reported with more than 30% burns and there was no mortality. Conclusion: Burn injuries can be reduced by bringing about regulations to develop safer cooking practises and educating the community especially the women on safe practises at home and also on first aid measures.
Burn injuries among children aged up to seven years
The Turkish journal of pediatrics
We investigated characteristics of burns in children aged up to seven years and hospitalized at our Burn Unit between 1 January 2000 and 31 December 2007 in order to detect risk factors and prepare a program for prevention of burn injuries in children. There were 119 boys and 81 girls (ratio 1:0.67) and the mean total body surface area burned was 16.6 +/- 12.5%. Sixty-nine percent (n = 138) of the burn-injured children were under three years old. Scalds accounted for more than 60% of the pediatric burns occurring in all age groups. The anterior trunk was the most frequently affected body part (51.5%). The overall mortality rate was 4% (8 deaths). The children included in this study were younger than seven years and they were supposed to be under the care of their parents. Parental neglect might have played a role in burn injuries in these children. In developing countries like Turkey, parents should be offered education about prevention of burn injuries in childhood.
Morbidity and mortality of paediatric burns patients at Maputo Central Hospital, Mozambique
East and Central African Journal of Surgery, 2018
Background: The incidence of paediatric burn injuries is increasing in Africa. Paediatric burn injuries are among the leading causes of preventable morbidity and mortality in sub-Saharan Africa. Research on the morbidity and mortality in this setting is much needed. Methods: We conducted a prospective questionnaire-based analysis of paediatric burn patients presenting to the Maputo Central Hospital during a five-month period. Interviews were conducted with the children's caretakers by 2 paediatric surgery residents and 1 paediatrician at the Eduardo Mondlane Medical School in Maputo, with the aid of nursing staff. Results: Questionnaires were completed for 66 patients. Most burns occurred from scald injuries (n = 46), particularly from cooking (n = 27) and bathwater (n = 19), followed by fire injuries (n = 16). Burns occurred more frequently in the afternoon (n = 26) and morning (n = 23). Many patients reported no adult caretaker present at the time of the burn injury (n = 24). ...
Investigating the Six-Month Incidence Rate of Burn Disease in Children in Greece
Cureus, 2020
Introduction Burns in children are painful, can be fatal, and involve a significant risk of complications, along with physical and psychological consequences. This study aimed to investigate the incidence of burns in children, for six months, and the most common causative factors, along with the existing correlations between demographic data and the characteristics of burn injuries. Methods The study was descriptive and prospective, and the sample consisted of minors up to 14 years old with burns in any areas of the body. The research was carried out in the Attica pediatric hospitals' selected departments for six months (from July to December 2018). Sources for completing the created database were the patients, their guardians, and their medical-nursing documentation and records. Results The cumulative six-month incidence rate of childhood burn disease was 4.9%. The most affected age group appeared to be younger than two years (60%), while liquid heat appeared to be the primary form of the burn factor (76%). The average duration of hospitalization for children with a deep partial-thickness to a total-thickness burn degree was 16.5 days. The correlations that emerged related to the extent of the burn were directly related to the accident's site, and patients with an increased likelihood of future additional surgeries had an increased mean total body surface area that was burned. Conclusion Continuous surveillance and removal of hazardous materials from the home environment is of utmost need. Early education/understanding of correct behaviors and proper attention to outdoor activities or excursions can significantly reduce burns. Training courses on burn prevention for parents are needed, as the best form of treatment is prevention.
Characteristics of Burn Injury in Paediatric Age Group
National Journal of Medical Research, 2021
Introduction: Burn injury in paediatric age group up to 15 years of age are generally caused by accidents and constitute a major health problem and are leading cause at childhood morbidity and mortality worldwide. This study aimed to describe the characteristics of the bury injury in paediatric age group that help to explore priority areas to target preventive programs. Aim and Objective: The study designed to find out the common causes & site of burn injury and to find out the common presentation and associated complications of burn injury in paediatric age group. The study analyses the Total Body Surface Area (TBSA) percentage wise cases of burn injury in paediatric age group. Method: In this study, patients were studied retrospectively with regard to their age, sex, cause of burns, type of burns, site of burns, burned body surface area, medical history, site of injury. Results: 40 female and 43 male subjects were examined. Majority of subjects were in the age group less than or equal to 2 years with 11-20 percent total body surface area involvement. Patient less than 2 year has superficial burns. Most common site of burns was anterior trunk. Majority burns are accidental, most injuries occurring at home Conclusion: Preschool stages and male children were at risk for burn injury. The scald burn injury is most common. It reflects lack of awareness of dangerous substances in this age group and lack of domestic safety with poor supervision in families. Raising awareness among patients or parents about the fire safety is important for prevention of such injuries.
PubMed, 2017
We first aimed to investigate the epidemiological characteristics and clinical pattern of hospitalized paediatric burn patients in Sarajevo Canton. Second, we aimed to determine the targets for the paediatric burn prevention program. This descriptive retrospective study was carried out to analyse the demographic, etiologic and clinical data of 73 hospitalized paediatric burn patients in Sarajevo Canton over a 5-year period from January 1, 2012 to December 31, 2016. The differences between various groups were evaluated using the chisquare test. During the course of the study, 73 paediatric burns (37 boys and 36 girls; ratio 1:0.97) were hospitalized. The overall mean age was 3.0 ± 2.9 years (range: 3 months to 12.5 years). The mean total body surface area burned was 8.4 ± 8.3%. The most common causes of burns in children were scald injuries (84.9%) followed by contact with a hot object (9.6%). No children were found to have burns caused by chemicals or electricity. A total of 97.3% of paediatric burn injuries occurred at home (p<0.001), and almost all were preventable. Although the most burns were recorded in the spring months (35.6%), there was no significant seasonal variation in burns (p = 0.199). Average length of hospital stay (LOS) was 16.32 ± 12 days (range: 1 to 65 days). The findings of the current study revealed that the main cause of paediatric burns was scald occurring at home. These data can contribute to the development of a prevention program to protect the paediatric population from burns.