Risk Factors for Inpatient Hospital Admission in Pediatric Burn Patients

To, Alvin; Puckett, Yana

doi:10.7759/cureus.602

Cited by 6 publications

(6 citation statements)

References 24 publications

(29 reference statements)

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“…Finally, our multivariable logistic regression model is limited by the variables recorded and available for analysis. Despite its weaknesses, the HCUP-KID database is widely accepted in the literature in the review of a number of other conditions [28][29][30][31][32][33][34][35][36][37][38][39][40] and provides useful data when examining trends in paediatric fracture treatment. In conclusion, review of the HCUP-KID database showed that the rate of operative treatment of paediatric forearm fractures captured in this inpatient sample increased over time between 2000 and 2012.…”

Section: Limitationsmentioning

confidence: 99%

Increasing rates of surgical treatment for paediatric diaphyseal forearm fractures: A National Database Study from 2000 to 2012

Kleiner

et al. 2017

Journal of Children's Orthopaedics

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ForearmPurpose fractures are one of the most commonly sustained injuries in children and are often treated non-operatively. The purpose of this study was to estimate the rate of inpatient surgical treatment of paediatric forearm fractures over time using a large, publicly available, national database.MethodsThe Healthcare Cost and Utilization Project (HCUP) Kids’ Inpatient Database (KID) was evaluated between 2000 and 2012. Forearm fractures and surgeries were identified using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9 CM) diagnosis and procedure codes. Univariable and multivariable logistic regression were used to determine variables associated with greater proportion of surgical treatment. All statistical analyses were performed using SAS statistical software v.9.4 (SAS Institute Inc., Cary, NC, USA). Statistical significance was set at p < 0.05.ResultsThe database identified 30 936 forearm fracture admissions. Overall, 19 837 of these patients were treated surgically (64.12%). The percentage of patients treated with surgery increased from 59.3% in 2000 to 70.0% in 2012 (p < 0.001). Multivariable regression analysis found increased age (p < 0.001), more recent year (p < 0.001), male gender (p = 0.003) and admission to a children’s hospital (p < 0.001) were associated with an increased proportion of patients receiving surgical treatment. Medicaid payer status was associated with a lower proportion of surgical treatment (p < 0.001).ConclusionsThe rate of operative treatment for paediatric forearm fractures admitted to the hospital increased over time. Increased surgical rates were associated with older age, male gender, treatment at a children’s hospital and non-Medicaid insurance status.

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Section: Limitationsmentioning

confidence: 99%

Increasing rates of surgical treatment for paediatric diaphyseal forearm fractures: A National Database Study from 2000 to 2012

Kleiner

et al. 2017

Journal of Children's Orthopaedics

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“…All the burn injuries during the lockdown period occurred at home or in the immediate neighborhood. This hypothesis is especially plausible because the main cause of burn injury was scalding, as is typically the case in domestic accidents experienced by children [1] , [2] , [3] , [5] , [12] , [13] , [14] , [15] . The higher number of burns at home could be explained by a lack of watching over their child by their teleworking parents.…”

Section: Discussionmentioning

confidence: 99%

“…The prevention measures initiated in France over the period 2009–2014 reduced the incidence of burn injuries [1] . Although the seasonality and/or time of day of burn injuries has been extensively studied, a clear consensus on seasonal, monthly or daily patterns has not emerged [2] , [3] , [4] . In England and Wales, child burn injuries are most frequent between 4 pm and 7pm and are more frequent at the weekend than during the school/work week, i.e.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological analysis of burn injuries in children during the first COVID-19 lockdown, and a comparison with the previous five years

Charvillat

Plancq

Haraux

et al. 2021

Annales de Chirurgie Plastique Esthétique

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Background Child burns rank among the most frequent domestic accidents in France. COVID-19 lockdown between March 16th and May 11th of 2020 increased time spent at home by children. Material This retrospective, observational study described the epidemiological impact of COVID-19 lockdown on child burns in a pediatric surgery department compared with previous five years. Child burns in the previous five years constituted the “before COVID-19 group” as the reference group. Child burns during the first lockdown formed the “COVID-19 group”. Demographics characteristics, the delay before first attendance at the surgery department, burns characteristics, the place of the incident, need of skin graft, and child reactions to trauma or isolation were recorded for these two groups. Results A total of thirty-seven children were included, 16 of them in the COVID-19 group. In the COVID-19 group, burned children were mainly boys, with a median age of 18 months. The median time before first attendance was four days. Main burns characteristics were to be deep partial thickness burns, involved lower limbs, caused by scalding. All burns occurred at home. Half parents reported child reactions to trauma or isolation among their children before burn injury. Conclusion The incidence of child burn injuries in the COVID-19 group was higher compared to the before COVID-19 group, but no increased delay to attendance recorded. Time spent at home and psychosocial impact of lockdown might partially explain this high incidence rate of child burns. Level of evidence IV.

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“…Despite its weaknesses the HCUP-KID database also has many strengths and is widely accepted and validated in the literature in the review of a number of conditions. [22][23][24][25][26][27][28][29][30][31][32][33][34] The large sample size allows for a degree of error in missing values that does not significantly affect the results of the study. The database proves useful for examining trends in pediatric fracture management which can help surgeons when counseling patients as well as serve as a way to review ones own practices compared to national trends.…”

Section: Discussionmentioning

confidence: 99%