Patterns of Injury in Hospitalised One-Year-Old Children: Analysis by Trimester of Age Using Coded Data and Textual Description

Scott, Debbie; Siskind, Victor

doi:10.3390/ijerph13070674

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…Previous studies on child injury have indicated that child injuries are often the interplay between family, environment, and individual factors [ 23 , 24 ]. Child neglect or supervisory neglect has been associated with child maltreatment and injury [ 13 ]. Large families with history of domestic violence or parents who have poor mental health and substance abuse issues are more likely to be associated with poor supervision or lack of awareness of risks for their children.…”

Section: Discussionmentioning

confidence: 99%

“…Burns are the 11th leading cause of death in children aged 1–9 years and are also the 5th most common cause of non-fatal childhood injuries, and increased child hospitalization [ 2 ]. While the majority of the risk could be associated with improper adult supervision, some child related burns result from child maltreatment [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Child Supervision and Burn Outcome among Admitted Patients at Major Trauma Hospitals in the Gambia

Sanyang

Peek‐Asa

Young

et al. 2017

IJERPH

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Burn-related injuries are a significant burden in children, particularly in low- and middle-income countries (LMICs), where more than 90% of burn-related pediatric deaths occur. Lack of adult supervision of children is a major risk for pediatric burn injuries. The goal of this paper was to examine the general characteristics of burns and identify burn injury outcomes among adult-supervised children compared to those who were not supervised. The study examined burn injury and clinical characteristics among all burn patients admitted to two trauma hospitals in The Gambia, West Africa. At intake in the emergency room, the treating physician or nurse determined the need for admission based on body surface area burned (BSAB), depth of burn, and other clinical considerations such as co-occurring injuries and co-morbidities. During the study period of 1 April 2014 through 31 October 2016, 105 burn patients were admitted and data were collected by the treating physician for all of them. Information about supervision was only asked for children aged five years or less. More than half (51%) of the burn patients were children under 18 years, and 22% were under 5 years. Among children under five, most (86.4%) were supervised by an adult at the time of burn event. Of the 19 supervised children, 16 (84.2%) had body area surface burned (BSAB) of less than 20%. Two of the three children without adult supervision at the time of burn event had BSAB ≥ 20%. Overall, 59% of the patients had 20% + BSAB. Females (aOR = 1.25; 95% CI = 0.43–3.62), those burned in rural towns and villages (aOR = 2.29; 95% CI = 0.69–7.57), or burned by fire or flames (aOR = 1.47; 95% CI = 0.51–4.23) had increased odds of having a BSAB ≥ 20%, although these differences were not statistically significant. Children 0–5 years or 5–18 years (aOR = 0.04, 95% CI = 0.01–0.17; aOR = 0.07, 95% CI = 0.02–0.23, respectively) were less likely to have BSAB ≥ 20% than adults. Those burned in a rural location (aOR = 9.23, 95% CI = 2.30–37.12) or by fire or flames (aOR = 6.09, 95% CI = 1.55–23.97) were more likely to die. Children 0–5 years or 5–18 years (aOR = 0.2, 95% CI = 0.03–1.18; aOR = 0.38; 95% CI = 0.11–1.570, respectively) were less likely to die. Children constitute a significant proportion of admitted burn patients, and most of them were supervised at the time of the burn event. Supervised children (compared to unsupervised children) had less severe burns. Programs that focus on burn prevention at all levels including child supervision could increase awareness and reduce burns or their severity. Programs need to be designed and evaluated with focus on the child development stage and the leading causes of burns by age group.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Child Supervision and Burn Outcome among Admitted Patients at Major Trauma Hospitals in the Gambia

Sanyang

Peek‐Asa

Young

et al. 2017

IJERPH

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“…The morbidity, mortality, and costs associated with MVIs declined after implementation of motorcycle helmet laws, seat belt laws, and measures to disallow driving under the influence [ 12 , 13 , 14 ]. Recognizing the epidemiological characteristics of pediatric injuries assists in the development of effective, preventive measures [ 15 ]. The distribution of the type of injury may change relative to different settings, areas, or times [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Economic Conditions May Contribute to Increased Violence toward Children: A Nationwide Population-Based Analysis of Pediatric Injuries in Taiwanese Emergency Departments

Liu

Hsu

et al. 2018

IJERPH

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Childhood injuries are unfortunately common. Analysis procedures may assist professionals who work with children with developing preventive measures for protecting children’s wellness. This study explores the causes of pediatric injuries presenting to an emergency department in Taiwan. This nationwide, population-based study was conducted using data from the National Health Insurance Research Database of Taiwan (NHIRD). Patients aged <18 years were identified from approximately one million individuals listed in the NHIRD. We followed up with these patients for nine years and analyzed the causes of injuries requiring presentation to an emergency department. Variables of interest were age, sex, injury mechanisms, and temporal trends. A total of 274,028 children were identified in our study. Between 2001 and 2009, the leading causes of pediatric injuries treated in emergency departments were motor vehicle injuries, falls, and homicide. The overall incidence of injuries declined over the course of the study because of reductions in motor vehicle accidents and falls. The incidence of homicide increased during the study period, particularly between 2007 and 2009. A moderately inverse correlation between homicide rate and economic growth was observed (correlation coefficient: −0.613, p = 0.041). There was a general decline in pediatric injuries between 2001 and 2009. Public policy changes, including motorcycle helmet laws and increases in alcohol taxes, may have contributed to this decline. Unfortunately, the incidence of homicide increased over the course of the study. Ongoing financial crises may have contributed to this increase. Multidisciplinary efforts are required to reduce homicide and reinforce the importance of measures that protect children against violence.

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Effectiveness of prevention programmes on the rate of burn injuries in children: a systematic review

van Balen,

Simon,

Botman

et al. 2023

Inj Prev

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IntroductionBurns are a frequent injury in children and can cause great physical and psychological impairment. Studies have identified positive effects of prevention measures based on increase in knowledge or reduction in hazards. The main goal of burn prevention campaigns, however, is to prevent burns. Therefore, this review is focused on the effectiveness of prevention programmes on the rates of burns in children.MethodsA literature search was performed on PubMed, Embase, CINAHL, Web of Science, Google Scholar and Scopus, including a reference-check. Included were studies which evaluated burn prevention programmes in terms of burn injury rate in children up to 19 years old. Studies specifically focused on non-accidental burns were excluded as well as studies with only outcomes such as safety knowledge or number of hazards.ResultsThe search led to 1783 articles that were screened on title and abstract. 85 articles were screened in full text, which led to 14 relevant studies. Nine of them reported a significant reduction in burn injury rate. Five others showed no effect on the number of burn injuries. In particular, studies that focused on high-risk populations and combined active with passive preventive strategies were successful.ConclusionSome prevention programmes appear to be an effective manner to reduce the number of burn injuries in children. However, it is essential to interpret the results of the included studies cautiously, as several forms of biases may have influenced the observed outcomes. The research and evidence on this subject is still very limited. Therefore, it is of great importance that future studies will be evaluated on a decrease in burns and bias will be prevented. Especially in low-income countries, where most of the burns in children occur and the need for effective prevention campaigns is vital.

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Patterns of Injury in Hospitalised One-Year-Old Children: Analysis by Trimester of Age Using Coded Data and Textual Description

Cited by 3 publications

References 22 publications

Child Supervision and Burn Outcome among Admitted Patients at Major Trauma Hospitals in the Gambia

Child Supervision and Burn Outcome among Admitted Patients at Major Trauma Hospitals in the Gambia

Economic Conditions May Contribute to Increased Violence toward Children: A Nationwide Population-Based Analysis of Pediatric Injuries in Taiwanese Emergency Departments

Effectiveness of prevention programmes on the rate of burn injuries in children: a systematic review

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