Burn Abuse: A Four-Year Study

Showers, Jacy; Garrison, Katherine M.

doi:10.1097/00005373-198811000-00011

Cited by 66 publications

(25 citation statements)

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“…Fracture is an important finding which is found in 1/3 of physical abuse cases (17 Table 5. Gender distribution of the children according to abuse types found in 10-20% of physical abuse cases and 35% of the children hospitalized in burn units have been reported to be diagnosed as abuse (18,19). At this point, it can be thought that awareness of child abuse among all physicians is not at a sufficient level.…”

Section: Discussionmentioning

confidence: 99%

Çocuk istismarı ve ihmali olgularımızın demografik ve klinik özellikleri: Ege Üniversitesi Çocuk Koruma Birimi’nin bir yıllık deneyimi

...

2012

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Original Article Sum maryAim: Cases of child abuse and neglect (CAN) should be ideally managed by a multidisciplinary team. In the present study, our aim was to review the demographic and clinical features of cases of child abuse and neglect followed-up by the Child Protection Team of Ege University, İzmir, Turkey. Material and Method:The data of the cases of CAN referred to the multidisciplinary team of Ege University between August 2009 and 2010 were retrospectively reviewed. The demographic and clinical characteristics of the cases were summarized. Results: There were a total of 89 CAN cases evaluated by the team in our hospital during the last 12 months. The age of the subjects ranged from 1 to 17 years, and 43 (48.3%) of them were male, while 46 (51.7%) were female The sexual, physical and emotional abuse rates were 49%, 25% and 11% respectively, while 14% of them were diagnosed as pure neglect cases. The fathers were offenders in 67% of the cases of physical abuse and in 9% of the cases of sexual abuse. However, an extra-familial person was the perpetrator in 59% of the cases of sexual abuse. Conclusions: Recently, the number of reported CAN cases in our country has increased after the increase in the awareness of the public about this subject and multidisciplinary child protection teams have been established within many Education and University hospitals. However, there is a long way to go, although remarkable improvements have been observed in the last decade. (Turk Arch Ped 2012; 47: 121-5)

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Section: Discussionmentioning

confidence: 99%

Çocuk istismarı ve ihmali olgularımızın demografik ve klinik özellikleri: Ege Üniversitesi Çocuk Koruma Birimi’nin bir yıllık deneyimi

...

2012

Tpa

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“…No trabalho de Showers & Garrison 16 , a queimadura intencional constitui 12,0% de todos os casos de abuso físico e 10,0% das admissões na unidade de queimados. Segundo Hobbs 17 , a queimadura deliberada é encontrada em 10,0% das crianças submetidas ao abuso físico, em 5,0% dos que se sofrem abuso sexual e em 1 a 16,0% de todas a crianças que recorrem ao hospital com queimaduras.…”

Section: Discussionunclassified

A descriptive study of burn injuries in children and adolescents

Costa

Abrantes²,

Lamounier³

et al. 1999

J Pediatr (Rio J)

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Objective: To investigate the frequency of different kinds of burns, associated factors, major complications and their relations to other variables.Methods: Descriptive study performed at Hospital João XXIII from January to December of 1992 with five hundred and thirtyseven children and adolescents.Results: The age distribution was as follows: 408 patients were children (76%) and 129 were teenagers (24%). Most of the accidents, 398 cases (74%) happened at home, 235 of which (59%) in the kitchen. 80 patients were interned. They had the highest relative frequency of accidents outside home (p<0.05). Of these interned patients, 7 (9.0%) developed septicemia. The flame was the predominant agent within the group of inpatients (p<0.01) and was responsible for the highest extension of burning (p<0.05). Teenagers had the largest body burned surface compared to children (p<0.01). Local treatment with pomade or home made medicine was observed in 290 cases (54%); local wash with water only in 32 (6.0%). Dehydration was the most frequent complication and occurred in 28 (5,0%) patients. The average amount of internment was 30±33 days.Conclusions: Most of burning were consequence of domestic accidents, especially in youngers than 7 years old; hot liquids are the most frequent agents and kitchen the most frequent place. Flame, which determined the largest and deepest lesions, was the first cause of burns in teenagers and the second in children. Dehydration is the most frequent complication in the earlier phases and septicemia in the others. ResumoObjetivo: Investigar a freqüência das queimaduras, os fatores associados, as principais complicações e a relação com diversas variáveis.Métodos: Estudo descritivo, conduzido no Hospital João XXIII (jan-dez/92), cuja amostra constituiu-se de 537 crianças e adolescentes.Resultados: 408 pacientes (76%) eram crianças (<10 anos) e 129 (24%) eram adolescentes (10-19 anos). 398 acidentes (74%) ocorreram dentro de casa, e destes 235 (59%) na cozinha. 80 pacientes (15,0%) foram internados. Constatou-se maior percentual de acidentes de ocorrência extra-domicilar entre os pacientes admitidos (mais graves) em comparação com aqueles do grupo tratado em ambulatório (p<0,05). Entre os pacientes admitidos, ocorreram sete casos de septicemia (9,0%), a chama foi o agente predominante (p<0,01) e causou queimaduras mais extensas (p<0,05). Os adolescentes apresentaram maior extensão de superfície corporal queimada que as crianças (p<0,01). Em 290 casos (54%) os familiares fizeram tratamento local com pomadas ou produtos caseiros e em 32 (6,0%), banho local com água. A desidratação foi a complicação mais freqüente ocorrendo em 28 pacientes (5,0%). A permanência hospitalar média constatada no estudo foi de 30±33 dias.Conclusões: A maioria das queimaduras constitui acidente doméstico, especialmente em menores de 7 anos; os líquidos quentes são os agentes mais comuns e a cozinha, a sede mais freqüente. A chama ocupa o 1 o lugar em freqüência no adolescente e o 2º na criança, determinando lesões mais e...

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“…Yanıklar, ciddi çocuk istismarı vakalarının %10-%20'sinde görülmektedir (19). Yanık ünitesine yatan çocukların %35'inin istismar tanısı aldığı bildirilmiştir (20).…”

Section: Yanıklarunclassified