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Inhalation injury, suicidal burn injury, and percentage of TBSA burned were correlated with a higher maternal and fetal mortality.

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BACKGROUNDBurns are one of the most important health problems in communities. Traumatic injuries, especially Traumatic Brain Injury (TBI) associated with burns, may increase disability and mortality. In addition to preventing burns, any action for a better treatment approach and early detection of concomitant traumatic injuries can reduce complications, disability, and treatment costs. We aimed to investigate the outcome of children with burn injury with and without TBI. METHODSIn this cross-sectional study, 392 children with burn injuries treated at Motahari Hospital in Tehran, Iran from 2018-2019 were enrolled. Patient demographics, burn injury information and TBI-related information including head trauma and fracture were recorded in a checklist. Patients were divided into two groups of death (24 people) or discharge (368 people) in terms of outcome and the underlying variables were compared in the two groups. RESULTSThere was no significant difference between the mean age of patients and gender in the two groups. The difference in the length of hospital stay, inhalation injury and skull fracture in the two groups was not statistically significant. The mean burn severity based on Total Body Surface Area (TBSA) and the frequency of TBI in the deceased group was significantly higher (P=0.001). CONCLUSIONThe severity of burns based on TBSA and TBI is associated with increased mortality among children with burn injuries. The results suggest the need to examine children with burn injuries for TBI using clinical examination or imaging.

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Pediatric burns have long-term physical, psychological, economic, and social consequences for the patient and family. This study was designed to investigate the epidemiology, causes, and mechanism of pediatric burns in Iran, considering the impact the cultural and environmental differences of countries have on burn incidence. This study is a survey study that was performed from 2016 to 2017 on patients referred to Shahid Motahari hospital. Patients in the study included hospitalized children aged 0-18 years who themselves or their parents were able to answer questions. Questions were answered in the categories of the demographic characteristics of the child and parents, epidemiological characteristics of the burn, information on socio-economic and education status, and the underlying causes of the accident. Most burns occurred in the age group less than two years of age and in boys. The most common cause of burns was hot liquids. Collision with containers containing hot liquids inside the kitchen, collision with containers containing hot liquids outside the kitchen space, and overturning containers containing hot liquids were the most common mechanisms of burns. Flame burns were the most common cause of burns in school-age children. Half of the parents had an elementary level or lower education. Economic, social, and cultural conditions of families, parents' education, and access to preventive education are related to the extent and mechanism of burns. Paying attention to epidemiology and recognizing the main causes of child burns plays an important role in designing and planning preventive measures.

Purpose: With the recent advances in medicine, the survival rate of clients with severe burns has improved. This has resulted in greater demand for rehabilitation services. One of the major goals for rehabilitation programmes is to restore these clients to their pre-trauma activity levels. However, there is not much research on the subject.Methods: Based on their availability, 30 clients with severe burns were selected, who had been discharged from the hospital for periods ranging from 1 month to 1 year.  Interviews were conducted and the participants’ perceptions were recorded regarding changes in their self-care, household chores, professional work, hobbies and recreational activities. Based on the results, 2 independent assessors categorised the activity levels as none, minor, intermediate and severe, in terms of negative effect.Results: In the self-care category, 8 participants reported no negative effect, 12 reported minor, 4 reported intermediate and 6 reported severe effects. In the household chores category, only 2 clients reported no effect and 13 indicated severe effects on their activities. Of the 21 participants who were working, only 2 reported no change in pre-trauma activities while 11 reported severe changes in their working activity levels. While 5 participants indicated no change in their recreational and leisure activity levels, 6 reported severe changes.Conclusion: Severe burns reduce clients’ levels of activity in some of the categories. However, they often regain their ability to perform activities at a lower level, depending on the site of burn, burning agent, and having received early rehabilitation pre- and post-discharge. Psycho-social factors, pre- and post- trauma, are also important.

pre-and post-discharge. Psycho-social factors, pre-and post-trauma, are also important.