Retrospective Epidemiological Study of Burn Injuries in 1717 Pediatric Patients: 10 Years Analysis of Hospital Data in Iran

  • Jafar KAZEMZADEH Dept. of Reconstructive and Burn Surgery, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
  • Reza VAGHARDOOST Burn Research Center & Dept. of Plastic and Reconstructive Surgery, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
  • Mostafa DAHMARDEHEI Burn Research Center & Dept. of Plastic and Reconstructive Surgery, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
  • Soheila RABIEPOOR Reproductive Health Research Center & Midwifery Dept., Faculty of Nursing & Midwifery, Urmia University of Medical Sciences, Urmia, Iran
  • Ramyar FARZAN Dept. of Reconstructive and Burn Surgery, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  • Ali ASGHAR KHEIRI Dept. of Reconstructive and Burn Surgery, Faculty of Medicine, Tabriz University of Medical Science, Tabriz, Iran
  • Rahman KHOSRAVY Dept. of Pediatric Surgery, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Keywords: Burn, Injury, Epidemiology, Pediatric

Abstract

Background: Burn injuries are considered an important preventable cause of injuries in children, and it still produces significant death in Iran. This study investigated the causes and severity of burns in patients.Methods: This study was retrospective descriptive study of children-burn injury in a referral Burn Care Center in Tehran, Iran during a ten-year period since 2005 to 2014. Data collection have been facilitated by using a specially designed checklist. The subjects included 1717 consecutive patients with various causes of burn injury. Data were analyzed applying descriptive statistics, one-way ANOVA, Chi-square. P-values less than 0.05 were considered significant.Results: The patients’ mean age was 4.11 ± 3.42 yr. The mean hospitalization period was 11.15 ± 8.37 d. The grade of burn was 2 in 1292 (75.2%) patients. Among the children-burn patients, 59.9% suffered from <20% of total body surface area burn. Most affected part of the body was trunk 762 (44.4%). Overall, 1256 patients (73.2%) suffered from hot liquid burns. Burns mortality rate for this study was identified 8.1% (N=3).Conclusion: The majority of the patients were male with a male to female ratio of 1.7:1. Most patients were in the 2-4 yr age group, with most of the injuries occurring in boys under the age of 5 yr old. It is the child's natural curiosity and inability to understand that special things are dangerous to them, which leads to burning injury. Most affected part of the body was trunk and 1256 patients (73.2%) suffered from hot liquid burns.  

References

Organization WH (2011). Violence and injury prevention and disability. World Health Organization.

Caroline NL, Elling B, Smith M (2011). Nancy Caroline's emergency care in the streets. ed. Jones & Bartlett Publishers, Massachusetts.

Olaitan PB, Jiburum BC (2008). Chemical injuries from assaults: An increasing trend in a developing country. Indian J Plast Surg,41(1):20-3.

Organization WH (2009). Global health risks: mortality and burden of disease attributable to selected major risks. ed. World Health Organization.

Peck MD (2012). Epidemiology of burns throughout the World. Part II: Intentional burns in adults. Burns, 38:630-637.

Peden M, Oyegbite K, Ozanne-Smith J, Hyder A, Branche C, Rahman A (2012). World report on child injury prevention. World Health Organization, Geneva, Switzerland.

Dissanaike S, Rahimi M (2009). Epidemiology of burn injuries: highlighting cultural and socio-demographic aspects. Int Rev Psychiatry, 21:505-511.

Organization WH (2008). Deaths estimates for 2008 by cause for WHO Member States. World Health Organization, Geneva, Switzerland.

Alaghehbandan R, Sikdar KC, Gladney N, MacDonald D, Collins KD (2012). Epidemiology of severe burn among children in Newfoundland and Labrador, Canada. Burns, 38:136-140.

Rafii MH, Saberi HR, Hosseinpour M, Fakharian E, Mohammadzadeh M (2012). Epidemiology of pediatric burn injuries in Isfahan, Iran. Arch Trauma Res, 1:27-30.

Karimi H, Montevalian A, Motabar A, Safari R, Parvas M, Vasigh M (2012). Epidemiology of paediatric burns in Iran. Ann Burns Fire Disasters, 25:115-120.

Atiyeh BS, Costagliola M, Hayek SN (2009). Burn prevention mechanisms and outcomes: pitfalls, failures and successes. Burns, 35:181-193.

Rani A, Behera C, Dikshit P (2012). Patterns of fatal scald burns in Central Delhi A retrospective study. J Indian Acad Forensic Med, 34:295-298.

Al B, Yildirim C, Çoban S, Aldemir M, Guloglu C (2009). Mortality factors in flame and scalds burns: our experience in 816 patients. Ulus Travma Acil Cerrahi Derg, 15:599-606[In Turkish].

Kemp AM, Jones S, Lawson Z, Maguire S (2014). Patterns of burns and scalds in children. Arch Dis Child, 99:316-321.

Wesson HK, Bachani AM, Mtambeka P et al (2013). Pediatric burn injuries in South Africa: a 15-year analysis of hospital data. Injury, 44:1477-1482.

Aghakhani K, Mehrpisheh S, Memarian A, Taheri I (2013). Demographic Characteristics of Pediatric Burn in Shahid Motahhari Hospital from 2007-2011. Int J Med Toxicol Forensic Med, 3:28-33.

Labib JR, Shalaby SF (2014). Epidemiology and outcomes of pediatric burn injuries in Cairo University Hospital-Egypt. Brit J Med Med Res, 4:1056-1068.

Berber G, Arslan MM, Özdeş T (2009). Childhood Deaths Resulted from Burn Injuries in Diyarbakır. Eur J General Med, 6( 1): 25-27

Lasi S, Rafique G, Peermohamed H (2010). Childhood injuries in Pakistan: results from two communities. J Health Popul Nutr, 28(4): 392–398.

Othman N, Kendrick D (2010). Epidemiology of burn injuries in the East Mediterranean Region: a systematic review. BMC Public Health, 10:83.

Gokdemir MT, Aldemir M, Sogut O, Guloglu C, Sayhan MB, Orak M, Ustundag M (2012). Clinical outcome of patients with severe burns presenting to the emergency department. J Current Surg, 2:17-23.

Åkerlund E, Huss FR, Sjöberg F (2007). Burns in Sweden: an analysis of 24538 cases during the period 1987–2004. Burns, 33:31-36.

Jeschke MG, Pinto R, Kraft R et al (2015). Morbidity and Survival Probability in Burn Patients in Modern Burn Care. Crit Care Med, 43:808-815.

Agbenorku P, Agbenorku M, Fiifi-Yankson PK (2013). Pediatric burns mortality risk factors in a developing country’s tertiary burns intensive care unit. Int J Burns Trauma, 3:151.

Al-Zacko S, Zubeer H, Mohammad A (2014). Pediatric burns in Mosul: an epidemiological study. Ann Burns Fire Disasters, 27:70.

Samimi R, Fatemi M, Soltani M (2010). Epidemiology of pediatric burn injuries in hospitalized patients in Shahid Motahari burn hospital in 2009. Ira J Surg, 19:24-9.

Kurane SB, Ugane S (2014). A retrospective study of pediatrics burns at general hospital in rural India. Int J Med Sci Public Health, 3(10): 1235-1237.

Published
2018-04-23
How to Cite
1.
KAZEMZADEH J, VAGHARDOOST R, DAHMARDEHEI M, RABIEPOOR S, FARZAN R, ASGHAR KHEIRI A, KHOSRAVY R. Retrospective Epidemiological Study of Burn Injuries in 1717 Pediatric Patients: 10 Years Analysis of Hospital Data in Iran. Iran J Public Health. 47(4):584-590.
Section
Original Article(s)