Epidemiology and outcomes of pediatric burns over 35 years at Parkland Hospital

Saeman, Melody R.; Hodgman, Erica I.; Burris, Agnes; Wolf, Steven E.; Arnoldo, Brett D.; Kowalske, Karen; Phelan, Herbert

doi:10.1016/j.burns.2015.10.011

Cited by 70 publications

(57 citation statements)

References 13 publications

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“…According to these LOS/%TBSA was 1.4–2.0 days at the beginning and declined to 0.5–1.4 days during the study periods [20,27,38,46]. …”

Section: Resultsmentioning

confidence: 96%

“…However, 15 studies from 10 countries (Australia, Austria, Bulgaria, Chile, China, Germany, Israel, the Netherlands, Taiwan and the United States) reported a decrease of injury severity [9,13,15,16,19,20,24,27,30,32,33,38,46,51,52]. In 2 studies, one from Canada [29] and one from China [31], no trends of burn severity have been observed.…”

Section: Resultsmentioning

confidence: 99%

“…A decline of LOS was seen in 16 studies from 11 countries (Australia, Austria, Bulgaria, China, Germany, Israel, the Netherlands, the Oman, Sweden, the United Kingdom, and the United States [15,19–23,25,27,32,33,38,44,46,47,52,53]). Six studies from 4 countries (Canada, China, Israel and Singapore) described no temporal trends in LOS [9,16,28,31,39,48].…”

Section: Resultsmentioning

confidence: 99%

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Recent trends in burn epidemiology worldwide: A systematic review

Smolle

Cambiaso‐Daniel

Forbes

et al. 2017

Burns

432

194

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Burn injuries have been more prevalent among low socioeconomic populations and in less developed regions. Incredible advances in burn care and social development over the recent decades, however, should have placed the incidence and severity of burns in a downwards trend. The aim of this review was to give an overview on current trends in burn epidemiology across the world. Also the socioeconomic development in countries that have published epidemiological data used in this study has been taken into account when comparing the results. There was a worldwide downwards trend of burn incidence, burn severity, length of hospital stay, and mortality rate. These findings were particularly pronounced in very highly developed countries. Data from highly and medium developed countries were more heterogeneous. No studies could be obtained from low developed countries. Comparisons between the different studies were compromised by the fact that studies emerged from specialized facilities on one hand and general hospitals on the other. Analyzed studies were also frequently focusing on limited patient populations such as “children” or “elderly”. Our findings indicate the need for an international burn database with a minimal data-set in order to obtain objective and comparable results in respect of burn epidemiology.

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“…According to these LOS/%TBSA was 1.4–2.0 days at the beginning and declined to 0.5–1.4 days during the study periods [20,27,38,46]. …”

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Recent trends in burn epidemiology worldwide: A systematic review

Smolle

Cambiaso‐Daniel

Forbes

et al. 2017

Burns

432

194

View full text Add to dashboard Cite

show abstract

“…(4) Most epidemiological studies have focussed on burns admissions, which by their nature capture larger severe burns, predominantly scalds, and often with data from Burn Centres and units. (5)(6)(7)(8)(9)(10) This misrepresents the true scale of the challenge in burns prevention. Although 90% of childhood burns are managed in the ED, many of these ED studies have been short, retrospective, single centre studies, which either combine scalds and non-scald burns (11,12) or observe scalds alone.…”

Section: Introductionmentioning

confidence: 99%

Agents, mechanisms and clinical features of non-scald burns in children: A prospective UK study

Johnson

Maguire

Hollén³

et al. 2017

Burns

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms Methods: A prospective cross-sectional study was conducted across Cardiff, Bristol and Manchester, including six emergency departments, three minor injury units and one burns unit between 13/01/2013-01/10/2015. Data collected for children aged <16 years with any burn (scald, contact, flame, radiation, chemical, electrical, friction) included: demographics, circumstances of injury and clinical features. Scalds and burns due to maltreatment were excluded from current analysis.Results: Of 564 non-scald cases, 60.8% were male, 51.1% were <3 years old, 90.1% of burns affected one anatomical site; Contact burns accounted for 86.7%, 34.8% of which were from objects placed at >0.6meters and 76.5% affected the hands. Hairstyling devices were the most common agent of contact burns (20.5%), 34.1% of hairstyling devices were on the floor. 63.7% of children aged 10-15 years sustained contact burns of which 23.2% were preparing food, and in burns from hairstyling devices, 73.3% were using them at the time of injury. Conclusions:Parents of toddlers must learn safe storage of hazardous items. Older children should be taught skills in safe cooking and hairstyling device use.

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“…Mortality was significantly correlated with inhalation injury, size of burn, and history of abuse. Over 35 years in North Texas, the median burn size and incidence of pediatric burn admissions decreased and the, length of stay and mortality have also decreased (17).…”

Section: Epidemiology Of Traumamentioning

confidence: 99%

Biomarkers, Trauma, and Sepsis in Pediatrics: A Review

Frieri¹,

Kumar²,

Boutin³

2016

J Pediatr Rev

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Context: There is a logical connection with biomarkers, trauma, and sepsis. This review paper provides new information and clinical practice implications. Biomarkers are very important especially in pediatrics. Procalcitonin and other biomarkers are helpful in identifying neonatal sepsis, defense mechanisms of the immune system. Pediatric trauma and sepsis is very important both in infants and in children. Stress management both in trauma is based upon the notion that stress causes an immune imbalance in susceptible individuals. Evidence Acquisition: Data sources included studies indexed in PubMed, a meta-analysis, predictive values, research strategies, and quality assessments. A recent paper by one of the authors stated marked increase in serum procalcitonin during the course of a septic process often indicates an exacerbation of the illness, and a decreasing level is a sign of improvement. A review of epidemiologic studies on pediatric soccer patients was also addressed. Keywords for searching included biomarkers, immunity, trauma, and sepsis. Results: Of 50 reviewed articles, 34 eligible articles were selected including biomarkers, predictive values for procalcitonin, identifying children at risk for intra-abdominal injuries, blunt trauma, and epidemiology, a meta-analysis. Of neonatal associated sepsis, the NF-kappa B pathway by inflammatory stimuli in human neutrophils, predictive value of gelsolin for the outcomes of preterm neonates, a metaanalysis interleukin-8 for neonatal sepsis diagnosis. Conclusions: Biomarkers are very important especially in pediatrics. Procalcitonin and other biomarkers are helpful in identifying neonatal sepsis, defense mechanisms, and physiological functions of the immune system. Pediatric trauma and sepsis is very important both in infants and in children. Various topics were covered such as biomarkers, trauma, sepsis, inflammation, innate immunity, role of neutrophils and IL-8, reactive oxygen species, neonatal hypoxia, NF-kappa B related to inflammation. These topics are clearly linked and are very important for pediatricians, pulmonologists, and immunologists in academic centers and in practice.

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Epidemiology and outcomes of pediatric burns over 35 years at Parkland Hospital

Abstract: Over 35 years in North Texas, the median burn size and incidence of pediatric burn admissions has decreased. Concomitantly, length of stay and mortality have also decreased.

Cited by 70 publications

References 13 publications

Recent trends in burn epidemiology worldwide: A systematic review

Recent trends in burn epidemiology worldwide: A systematic review

Agents, mechanisms and clinical features of non-scald burns in children: A prospective UK study

Biomarkers, Trauma, and Sepsis in Pediatrics: A Review

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