Burn injuries in primary care in the Netherlands: Risk factors and trends

Zoonen, Eva E. van; Baar, Margriet E. van; Schie, Carine H.M. van; Koppes, L.L.J.; Verheij, Robert

doi:10.1016/j.burns.2021.04.030

Cited by 8 publications

(3 citation statements)

References 28 publications

(44 reference statements)

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“…In developed countries where paediatric burn mortality is low and primary care resources are more easily accessed, the management of paediatric burn injuries through specialist outpatient clinics or general practitioners is becoming more common 12 23. Burn injuries presenting to an ED are classified in NSW Australia as either requiring (1) immediate retrieval, (2) referral to a tertiary burns service or (3) a minor burn.…”

Section: Discussionmentioning

confidence: 99%

Do they stay, or do they go? Children presenting to five emergency departments across New South Wales, Australia with acute burn injuries: a retrospective review

Phillips,

Southern,

Cattell

et al. 2024

BMJ Open

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ObjectiveThe overall objective of the study was to describe the disposition status of children presenting with a burn injury to five emergency departments (ED) across New South Wales (NSW), Australia.DesignA retrospective study design was used to review routinely collected ED data.SettingStudy sites included five acute hospitals across NSW, Australia.ParticipantsDuring the 5-year study period between 1 January 2015 to 31 December 2020, there were 5213 paediatric burn injury presentations.ResultsThe mean age of burn injury presentations was 24 months (Inter-Quartile-Range (IQR) 12–84), of which 57% (2951/5213) were males. The most common presentation time was between 16:00 and 23:59 hours (63%, 3297/5213), and the median time spent in the ED was 3 hours (IQR 1–4). The majority (80%, 4196/5213) of the burn injuries presentations did not require hospital admission. The most common principal diagnoses were ‘Burn body region unspecified’ (n=1916) and ‘Burn of wrist and hand’ (n=1060).ConclusionMost children who presented to the hospital with a burn injury were not admitted. Often the details of these burns were poorly recorded and a complete picture of the true burden of burn injury in children, especially the ongoing care given outside the acute hospital setting, is missing. This information is crucial, as it would inform future models of care as the paradigm shifts rapidly towards primary, ambulatory and outpatient models of care.

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Section: Discussionmentioning

confidence: 99%

Do they stay, or do they go? Children presenting to five emergency departments across New South Wales, Australia with acute burn injuries: a retrospective review

Phillips,

Southern,

Cattell

et al. 2024

BMJ Open

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“…The proportion of children <4 years (57/90, 63.33%) in this study was similar to that in other studies. The prevalence of burns increased significantly in children aged 0–4 years when compared to other age groups ( 13 ). This may be because younger children tend to be more impulsive, curious, and lack self-awareness, putting them at greater risk of accidental burns exposure ( 13 , 14 ).…”

Section: Discussionmentioning

confidence: 99%

Logistic regression analysis of risk factors for pediatric burns: a case–control study in underdeveloped minority areas in China

Lin,

Iyappan,

Huang

et al. 2024

Front. Pediatr.

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BackgroundPediatric burns are common, especially in underdeveloped countries, and these can physically affect the children involved and have an impact on their mental health. The aim of the present study was to assess the effect of pediatric burns in underdeveloped minority areas of China.MethodsCase information from 192 children was collected from outpatient and inpatient clinics using a survey questionnaire. These included 90 pediatric burn cases and 102 controls who were children without burns. A stepwise logistic regression analysis was used to determine the risk factors for pediatric burns in order to establish a model. The goodness-of-fit for the model was assessed using the Hosmer and Lemeshow test as well as receiver operating characteristic and internal calibration curves. A nomogram was then used to analyze the contribution of each influencing factor to the pediatric burns model.ResultsSeven variables, including gender, age, ethnic minority, the household register, mother’s employment status, mother’s education and number of children, were analyzed for both groups of children. Of these, age, ethnic minority, mother’s employment status and number of children in a household were found to be related to the occurrence of pediatric burns using univariate logistic regression analysis (p < 0.05). After a collinearity diagnosis, a multivariate logistic regression analysis of variables with tolerances of >0.2 and variance inflation factor <5 showed that age was a protective factor for pediatric burns [odds ratio (OR) = 0.725; 95% confidence interval (CI): 0.665–0.801]. Compared with single-child parents, those with two children were at greater risk of pediatric burns (OR = 0.389; 95% CI: 0.158–0.959). The ethnic minority of the child and the mother’s employment status were also risk factors (OR = 6.793; 95% CI: 2.203–20.946 and OR = 2.266; 95% CI: 1.025–5.012, respectively). Evaluation of the model used was found to be stable. A nomogram showed that the contribution in the children burns model was age > mother’s employment status > number of children > ethnic minority.ConclusionsThis study showed that there are several risk factors strongly correlated to pediatric burns, including age, ethnic minority, the number of children in a household and mother’s employment status. Government officials should direct their preventive approach to tackling the problem of pediatric burns by promoting awareness of these findings.

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“…In the Netherlands alone, almost three hundred children are admitted to one of three specialized burn centers every year [2,3]. Early childhood, from birth until four years old, is associated with an increased risk of burns [2,4]. Early childhood is characterized by the development of perceptual, motor, cognitive, language, socio-emotional, and self-regulation abilities that form the foundation for future health, well-being, education, and productivity [5].…”

Section: Introductionmentioning

confidence: 99%

The Early Childhood Development of Pediatric Burn Patients

Cuijpers,

Akkerman,

Baartmans

et al. 2024

EBJ

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Our study aimed to provide a description of the early childhood development of pediatric burn patients relative to Dutch reference values, using both pre- and post-burn data from the Dutch Development Instrument and the D-score. Data from the Dutch Development Instrument were used to calculate the D-score and age-standardized D-score. Similar to a growth chart, the D-score was used to plot pediatric burn patients’ development relative to Dutch reference values for their age. Pediatric burn patients’ (n = 38) median age at the time of injury was 1.0 (1.0–2.0) years old. Burn size ranged from 1.0% to 36.0% of the total body surface area. Ninety-five percent (± 6.0%) of pediatric burn patients passed each of the age-appropriate developmental milestones at the target age. The mean age-standardized D-score was just above the Dutch average (+0.49 SD [0.18, 0.80]) and did not vary depending on sex (p = 0.06) or burn size (p = 0.41). In conclusion, among pediatric patients aged up to two-and-a-half years old, with non-full thickness burns, development was on track relative to the Dutch reference values. Our findings offer valuable first insights into the early childhood development of pediatric burn patients and may alleviate some parental concerns.

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Burn injuries in primary care in the Netherlands: Risk factors and trends

Cited by 8 publications

References 28 publications

Do they stay, or do they go? Children presenting to five emergency departments across New South Wales, Australia with acute burn injuries: a retrospective review

Do they stay, or do they go? Children presenting to five emergency departments across New South Wales, Australia with acute burn injuries: a retrospective review

Logistic regression analysis of risk factors for pediatric burns: a case–control study in underdeveloped minority areas in China

The Early Childhood Development of Pediatric Burn Patients

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