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Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India

BACKGROUND: Pediatric burns have a long-term social impact. This is more apparent in a developing country such as India, where their incidence and morbidity are high. The aim of this study was to provide recent prospective epidemiological data on pediatric burns in India and to suggest future preven...

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Autores principales: Dhopte, Amol, Tiwari, V. K., Patel, Pankaj, Bamal, Rahul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5286678/
https://www.ncbi.nlm.nih.gov/pubmed/28164140
http://dx.doi.org/10.1186/s41038-016-0067-3
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author Dhopte, Amol
Tiwari, V. K.
Patel, Pankaj
Bamal, Rahul
author_facet Dhopte, Amol
Tiwari, V. K.
Patel, Pankaj
Bamal, Rahul
author_sort Dhopte, Amol
collection PubMed
description BACKGROUND: Pediatric burns have a long-term social impact. This is more apparent in a developing country such as India, where their incidence and morbidity are high. The aim of this study was to provide recent prospective epidemiological data on pediatric burns in India and to suggest future preventive strategies. METHODS: Children up to 18 years old admitted to the Department of Burns, Plastic & Maxillofacial Surgery, VMMC & Safdarjung Hospital, New Delhi, between January and December 2014 were included in the study. Data regarding age, sex, etiology, total body surface area (TBSA), circumstances of injury, and clinical assessment were collected. The Mann-Whitney test or Kruskal-Wallis test or ANOVA was used to compare involved TBSA among various cohort groups accordingly. Univariate and multivariate linear regression analyses were used to determine the predictors of TBSA. RESULTS: There were a total of 475 patients involved in the study, including seven suicidal burns, all of whom were females with a mean age greater than the cohort average. Age, type of burns, mode of injury, presence or absence of inhalation injury, gender, and time of year (quarter) for admission were found to independently affect the TBSA involved. Electrical burns also formed an important number of presenting burn patients, mainly involving teenagers. Several societal issues have come forth, e.g., child marriage, child labor, and likely psychological problems among female children as suggested by a high incidence of suicidal burns. CONCLUSIONS: This study also highlights several issues such as overcrowding, lack of awareness, dangerous cooking practices, and improper use of kerosene oil. There is an emergent need to recognize the problems, formulate strategies, spread awareness, and ban or replace hazardous substances responsible for most burn accidents.
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spelling pubmed-52866782017-02-03 Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India Dhopte, Amol Tiwari, V. K. Patel, Pankaj Bamal, Rahul Burns Trauma Research Article BACKGROUND: Pediatric burns have a long-term social impact. This is more apparent in a developing country such as India, where their incidence and morbidity are high. The aim of this study was to provide recent prospective epidemiological data on pediatric burns in India and to suggest future preventive strategies. METHODS: Children up to 18 years old admitted to the Department of Burns, Plastic & Maxillofacial Surgery, VMMC & Safdarjung Hospital, New Delhi, between January and December 2014 were included in the study. Data regarding age, sex, etiology, total body surface area (TBSA), circumstances of injury, and clinical assessment were collected. The Mann-Whitney test or Kruskal-Wallis test or ANOVA was used to compare involved TBSA among various cohort groups accordingly. Univariate and multivariate linear regression analyses were used to determine the predictors of TBSA. RESULTS: There were a total of 475 patients involved in the study, including seven suicidal burns, all of whom were females with a mean age greater than the cohort average. Age, type of burns, mode of injury, presence or absence of inhalation injury, gender, and time of year (quarter) for admission were found to independently affect the TBSA involved. Electrical burns also formed an important number of presenting burn patients, mainly involving teenagers. Several societal issues have come forth, e.g., child marriage, child labor, and likely psychological problems among female children as suggested by a high incidence of suicidal burns. CONCLUSIONS: This study also highlights several issues such as overcrowding, lack of awareness, dangerous cooking practices, and improper use of kerosene oil. There is an emergent need to recognize the problems, formulate strategies, spread awareness, and ban or replace hazardous substances responsible for most burn accidents. BioMed Central 2017-02-01 /pmc/articles/PMC5286678/ /pubmed/28164140 http://dx.doi.org/10.1186/s41038-016-0067-3 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Dhopte, Amol
Tiwari, V. K.
Patel, Pankaj
Bamal, Rahul
Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India
title Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India
title_full Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India
title_fullStr Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India
title_full_unstemmed Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India
title_short Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India
title_sort epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in north india
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5286678/
https://www.ncbi.nlm.nih.gov/pubmed/28164140
http://dx.doi.org/10.1186/s41038-016-0067-3
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