Burn size estimation in children: Still a problem

Chan, Queenie; Barzi, Federica; Cheney, Lukas; Harvey, John G.; Holland, A.J.A.

doi:10.1111/j.1742-6723.2011.01511.x

Cited by 54 publications

(23 citation statements)

References 20 publications

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“…The current study revealed that, nurses had incompetent practice about infection control, This result was in harmony with Abdel Kawy (2011), (19) who studied "early management of burn in pediatric age group Cairo University" and reported that, the majority of nurses had unsatisfactory practice about infection control in burn management. This finding may be due to absence of supervision as well as lack of training program which was documented by the fact that, the high percentage of the studied nurses did not receive training about burn management.…”

Section: Abd El-lateef (2011)supporting

confidence: 74%

Current Nursing Practices for Managing Children with Burn Injuries

Ibrahim

Abusaad

Elbilgahy

2018

IJND

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Background: Burns are one of the most common forms of trauma in children. Providing adequate care for burnt children properly is the most important contribution to the successful management. Aim: This study aimed to describe the current nursing practice provided for managing children with burn injuries and to identify the most common causes of burn injuries among children. Method: A descriptive exploratory research design was utilized in the study. The study was carried out in burn unit at Plastic, Reconstructive and Burn Surgery Center and Mansoura International Hospital at Mansoura city on a convenient sample of 56 nurses and 100 pediatric patients. Tools: Data were collected by using three tools. Current nursing practices for managing children with burn injury structure questionnaire sheet, Burn care observation checklist and clinical data sheet for children with burn injury. Results: The most common cause of burn was boiling water, more than three quarter of studied nurses had poor knowledge about burn and its management, two fifth of them had competent practice about wound dressing, more than two third of studied nurses had competent practice about pain and there was statistical significance difference between severities of burn and children death . Conclusion: The present study indicated that, the nurses' knowledge regarding burn was poor and were incompetent in the care practice regarding burn injuries. Recommendations: There is a need for burn training program that should be provided to nurses in order to improve their knowledge and practices regarding burn management.

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Section: Abd El-lateef (2011)supporting

confidence: 74%

Current Nursing Practices for Managing Children with Burn Injuries

Ibrahim

Abusaad

Elbilgahy

2018

IJND

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“…Inaccuracies in the coding of external cause are possible, as well as in the coding of %TBSA in hospital data 23 . ‐ 25 It has been reported that %TBSA is likely to be overestimated by referring hospitals when compared with assessments in specialist burn units 23 , 24 . We may have underestimated the burden of burn injury hospitalisation in our cohort, as some repeat admissions might have been missed because of differences in external or primary diagnosis coding, and because we restricted our analysis to the first burn injury.…”

Section: Discussionmentioning

confidence: 99%

Indigenous and non‐Indigenous Australian children hospitalised for burn injuries: a population data linkage study

Möller

Harvey

Falster

et al. 2017

Medical Journal of Australia

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Objective: To investigate differences in the characteristics of burn injuries leading to hospitalisation of Indigenous Australian and non‐Indigenous children in New South Wales. Design, setting: Population‐based cohort analysis of linked hospital and mortality data for 2000–2014. Participants: 35 749 Indigenous and 1 088 938 non‐Indigenous children aged 0–13 years. Main outcome measures: The external cause of the injury, its anatomic location, total body surface area affected (%TBSA), burn depth, length of hospital stay (LOS). Results: 4246 non‐Indigenous and 323 Indigenous children were hospitalised for a first burn injury during 2000–2014. A higher proportion of Indigenous than non‐Indigenous children were admitted with burns affecting more than 10% TBSA (17% v 12%) and a lower proportion of Indigenous children than of non‐Indigenous children were treated at a hospital with a paediatric tertiary referral burn unit (40% v 50%; P < 0.001). The mean LOS during the index admission was almost 3 days longer for Indigenous children than for non‐Indigenous children (6.1 days [95% CI, 4.8–7.4 days] v 3.4 days [95% CI, 3.2–3.7 days]; P < 0.001); the difference in LOS was still statistically significant after adjusting for characteristics of the burn and residential location. Conclusion: The proportion of Indigenous children with burns who presented with burn injuries affecting more than 10% TBSA was greater than for non‐Indigenous children. Their mean LOS was also longer; the difference remained statistically significant after adjusting for characteristics of the burn and of residential location.

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“…Однако в литературе появля-ется все больше указаний, что ручные методы оцен-ки обожженной поверхности тела содержат ошибки [13][14][15][16]. В ряде публикаций представлены данные, что программы показывают значительно более низ-кие значения, при том что завышение глубины/ размера ожога по расчетам врачей составляло от 50 до 62% [2,4,16,17].…”

Section: дискуссияunclassified

“…Высокое стандартное отклонение наблюдается у пациентов с малыми, разбросанными по телу площадями ожогов; низкое стандартное от-клонение -при несколько больших площадях. Пере-оценка зависит от расположения и степени областей поверхностных ожогов [15,16]. Для ожога средней степени в оценках врачей был выявлен особенно большой разброс отклонений -от 3,5 до 15,3% [16].…”

Section: дискуссияunclassified

A Graphic Tool for Estimation of the Area of Burns in Children

Акименков¹,

Будкевич²,

Долотова³

et al. 2018

Ross. vestn. perinatol. pediatr.

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The severity of burns depends both on their size and depth of affected tissues. The existing simple methods for estimation of the injured skin area are not precise, especially in children. During last decades, attempts were made to employ information technologies for more precise estimation of the skin area affected by the burn. Usually, a special template («skitsa») is used to represent a human body in a schematic way, allowing automatic calculation of affected area with high accuracy. It is especially important in children, since proportions of their bodies vary greatly at different ages.A computer graphic tool for estimation of area of burns was designed for the Department of Pediatric Burns. It uses an algorithm that allows to adjust burn data displayed on a two-dimensional template, taking into account the three-dimensional nature of the human body. Such correction increases burn area estimation accuracy. Additionally, this system allows using digital photographs of burn area for dynamic assessment of skin condition during treatment. A special algorithm is used to compensate for possible color distortions of the photographs in series, enabling better possibility of patient’s skin condition comparison at different times.

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Burn size estimation in children: Still a problem

Cited by 54 publications

References 20 publications

Current Nursing Practices for Managing Children with Burn Injuries

Current Nursing Practices for Managing Children with Burn Injuries

Indigenous and non‐Indigenous Australian children hospitalised for burn injuries: a population data linkage study

A Graphic Tool for Estimation of the Area of Burns in Children

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