Epidemiologic characteristics, knowledge and risk factors of unintentional burns in rural children in Zunyi, Southwest China

Shi, Shangpeng; Yang, Huajun; Hui, Ya; Zhou, Xiang; Wang, Tao; Luo, Yuejun; Xiang, Hao; Shi, Xiuquan

doi:10.1038/srep35445

Cited by 22 publications

(21 citation statements)

References 28 publications

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“…Those in the last three groups were defined as left-behind children. 13 Lag time was defined as the interval between the date of first noticing the symptom by the parents and the date of enucleation. We divided the overall lag time into three mutually exclusive components: lag 1 referred to the time from the recognition of symptoms to the initial consultation with a physician (delay in the initial visit), lag 2 referred to the time from the initial consultation to the diagnosis of retinoblastoma (delay in diagnosis), and lag 3 referred to the time from diagnosis to enucleation (delay in treatment; illustrated in Figure S1).…”

Section: Data Collectionmentioning

confidence: 99%

Associations among Socioeconomic Factors, Lag Time, and High-Risk Histopathologic Features in Eyes Primarily Enucleated for Retinoblastoma

Xiao

Zeng

et al. 2019

Current Eye Research

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Purpose/Aim: To determine the associations among socioeconomic factors, delay in management, and high-risk histopathologic features in eyes primarily enucleated for retinoblastoma. Materials and Methods: A single-Eyes primarily enucleated for unilateral retinoblastoma were reviewed for the presence of high-risk histopathologic features. Information on clinical characteristics, socioeconomic factors, and lag time were collected during hospitalization. Results: Of the 138 children analyzed, 60 (43.5%) carried high-risk histopathologic features. Compared to children with a standard risk, those with a high risk had a longer median lag time before treatment (21.5 vs 15.0 days, P = .007), but their overall lag time (54.0 vs 50.0 days, P = .062) and delay in the initial visit (7.0 vs 10.0 days, P = .782) were comparable. Logistic regression analysis showed that children with a lag time ≥ 30 days were at a significantly higher risk of extraocular invasion (odds ratio [OR] = 2.38 and 95% confidence interval [CI] = 1.08-5.37 for treatment delay; OR = 2.12 and 95% CI = 1.01-4.62 for overall delay). Neither high-risk histopathologic features nor lag time was associated with any demographic or major socioeconomic factors, including sex, age at diagnosis or enucleation, ethnicity, household income, parents' education level, medical insurance coverage, and left-behind status. Conclusions: For children with advanced unilateral retinoblastoma, there is no statistical difference in overall lag time between standard and high-risk groups. Major socioeconomic parameters have little impact on the delay and histopathologic outcomes, thus implying that children with varied socioeconomic status may be at a similar risk of advanced tumor invasion. ARTICLE HISTORY

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Section: Data Collectionmentioning

confidence: 99%

Associations among Socioeconomic Factors, Lag Time, and High-Risk Histopathologic Features in Eyes Primarily Enucleated for Retinoblastoma

Xiao

Zeng

et al. 2019

Current Eye Research

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“…Vendrusculo et al noticed that the majority of victims of burn accidents in the domestic environment had family income lower than two times the minimum wage [20]. Also, in the study of epidemiologic characteristics, knowledge, and risk factors of unintentional burns in rural children in Zunyi (Southwest China), children living in high-income families were less likely to sustain burns when compared with middle-class families [21]. In contrast to that, in our study 75% of the caregivers assessed the economic situation as very good or good.…”

Section: Characteristics Of Burns In Children -Results Of a Polish Mumentioning

confidence: 99%

Characteristics of burns in children – results of a Polish multicentre study

Kawalec¹

2020

polp

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Aim of the study: To characterise burns in Polish children according to sex, age group, and depth of burn. Material and methods: The anonymous survey included 200 children under 18 years old hospitalised due to burns in five Polish hospitals. The location of burn was characterised in detail and also in agreement with ICD-10 classification. The surface of burned skin (% TBSA) was counted with use of Lund-Bowder chart for children under 16 years old and with the rule of nines for children over 16 years old. Depth of burn was assessed clinically. The study was accepted by the Bioethical Committee of Wroclaw Medical University. Statistical analysis of the obtained data was performed using Excel and Statistica v. 12. Results: 60% of the burned children were boys (120) and in 40% were girls (80). Children under one year old comprised 50.5% of all participants of the study. Among participants of the study thermal burns comprised 93.0%, chemical burns-4.5%, and electrical burns-2.5% of all cases. Boys underwent chemical (5.0% vs. 3.8%) and electrical (3.3% vs. 1.3%) burns more than girls (p > 0.05). There were statistically significant differences in the type of burn in different age groups. In 84.5% the thermal burns were caused by hot liquid, in 3.7% by a hot object, and in 4.3% by flame. Most commonly burns affected the trunk (57%) and upper extremity (50%). The average burn surface area was 8.26 ±7.87% TBSA. Most burns did not extend to the full depth of the skin (I degree-3%, II degree-61.5%). Conclusions: Prevention programs should be aimed at minimising the risk of burns in the group at highest risk-children under one year old.

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“…Therefore, supervisors should not take the risk of leaving their little children at home alone for a long time. Unfortunately, there are many left-behind children in China [9,10], especially in rural areas.…”

Section: Discussionmentioning

confidence: 99%

Poor Supervision Leading to Carbon Monoxide Intoxication in a Burned Child

Nie¹,

Wang²,

Zeng³

et al. 2017

JCR

Self Cite

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Background: We report this case to arouse public attention on burned children with carbon monoxide, (CO) intoxication, especially children under poor supervision and from coal high-consumption areas. Case Report: A eight-year old girl presented with CO intoxication and burned knee by a coal-burning stove. After hyperbaric oxygen to rectify CO intoxication and three surgeries therapy, the girl survived. Conclusion: Burns with CO intoxication are particularly dangerous for un-supervised children. Government and guardians should take some effective preventive measures and closer supervision to prevent childhood burns and other injuries.

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Epidemiologic characteristics, knowledge and risk factors of unintentional burns in rural children in Zunyi, Southwest China

Cited by 22 publications

References 28 publications

Associations among Socioeconomic Factors, Lag Time, and High-Risk Histopathologic Features in Eyes Primarily Enucleated for Retinoblastoma

Associations among Socioeconomic Factors, Lag Time, and High-Risk Histopathologic Features in Eyes Primarily Enucleated for Retinoblastoma

Characteristics of burns in children – results of a Polish multicentre study

Poor Supervision Leading to Carbon Monoxide Intoxication in a Burned Child

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