Social Complexity and Risk for Pediatric Burn Injury: A Systematic Review

Padalko, A.A.; Cristall, Nora; Gawaziuk, Justin P.; Logsetty, Sarvesh

doi:10.1093/jbcr/irz059

Cited by 27 publications

(19 citation statements)

References 41 publications

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“…In a study conducted in Denmark, the risk of burns was almost twice as high in the group with the lowest income compared to the group with the highest income [29]. Padalko et al also confirms a relationship between risk of burn injury in children and family income [51]. In London, a geographical analysis of socioeconomic factors showed a higher incidence of burns in families with a poor financial standing [36].…”

Section: Discussionmentioning

confidence: 90%

Socioeconomic characteristic of burned children families

Kawalec¹,

Pawlas²

2022

Ann Agric Environ Med.

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Objective. The aim of the study was to determine the relationship between the socioeconomic factors and chosen parameters of burns in children. Materials and method. An anonymous survey was conducted among caregivers of 200 children hospitalized due to burns in 5 Polish hospitals. The socioeconomic factors and location of the burn, surface of the burn, depth of the injury, type of treatment, and length of hospitalization were analyzed. Statistical analysis was performed using Statistica v.12. Results. Single parenthood was related with longer hospitalisation of the child, higher degree of burn wound, and more frequent operative treatment (p < 0.05). Children from families with several children (≥3) more often had severe burns than the only children (p = 0.018). A statistically significant relationship was observed between fathers' age and the surface of burn wound, burn depth, burn severity, type of required treatment, and duration of hospitalization (p < 0.05). In the group of children with minor burns, the percentage of mothers with secondary education was lower than in mothers with primary education (p = 0.004) and with higher education (p = 0.006). In the group with average burns, the proportion of mothers with secondary education was higher than with primary education (p = 0.019). In the group of children with severe burns, the percentage of fathers with primary education was higher than the percentage of fathers with secondary (p = 0.005) and higher education (p = 0.018). The surface of burn was higher in children those fathers had lower education (p < 0.05). Fathers' unemployment was related to higher surface of burn in children (p < 0.05). Conclusions. The relationship between socioeconomic factors and analyzed parameters of burns is important to identify the groups for which preventive actions should be designed.

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Section: Discussionmentioning

confidence: 90%

Socioeconomic characteristic of burned children families

Kawalec¹,

Pawlas²

2022

Ann Agric Environ Med.

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“…18 Any reduction in the number of days spent in the ICU would be economically impactful, particularly for low-income families in rural areas are at higher risk of incidence of burn injury. 19…”

Section: Discussionmentioning

confidence: 99%

The effects of short bouts of ergometric exercise for severely burned children in intensive care: A randomized controlled trial

et al. 2022

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Objective To determine the effects of short bouts of ergometric exercises on the number of days in the burn intensive care unit (ICU), body mass, and functional ambulation. Design Multi-center, randomized controlled trial. Setting Burn intensive care unit. Participants Children ages 7–17 with severe burns covering over 30% total body surface area (TBSA). Intervention All patients received standard of care (Control) with the experimental group receiving additional exercise with a cycle ergometer (Exercise). Main measures The number of days in the ICU, total weight, lean body mass (LBM), and functional ambulation were taken shortly after randomization and again within one week of the scheduled hospital discharge. Results of outcomes are expressed as median ± interquartile range (IQR), unless otherwise noted (e.g. demographics). Results Fifty-four severely burned children (n = 18 Control, n = 36 Exercise) were included. The average ± standard deviation for age was 12 ± 3 years and TBSA was 48 ± 16%. The median ± IQR ICU days for Control was 46 ± 51 days vs 31 ± 29 days for Exercise. The median total weight loss for Control was 2.2 ± 1.2 kg vs 1.8 ± 1.4 kg in Exercise. Control lost 0.75 ± 0.8 kg of LBM vs 0.46 ± 0.43 kg in Exercise. Both groups showed significant improvement in functional ambulation ( p < 0.01). However, exercise did not add additional benefits. Conclusion Short bouts of ergometric exercises are feasible for severely burned patients while receiving care in the ICU but did not add additional benefits.

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“…Regardless, numerous studies have been published trying to understand "social factors", "social complexities", or "socioeconomic differences" in relation to burn risks or outcomes. In a comprehensive systematic review, Padalko et al reviewed 47 studies and found that "social complexity factors" in a child's environment, such as belonging to a lower income family, having a behavioral disorder, having a parent with fewer years of education, and residing in a rural setting, are associated with an increased risk for burn injuries in children [47]. Based on the results of this review, they conducted a case-control study at a Canadian regional burn center to identify exactly which SDOH influenced burn injuries.…”

Section: Overall Literature Regarding Social Determinants Of Health A...mentioning

confidence: 99%

What Fuels the Fire: A Narrative Review of the Role Social Determinants of Health Play in Burn Injuries

Khoo

Ross

Yoon

et al. 2022

EBJ

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Social determinants of health (SDOH) are the conditions where people live, learn, work, and play that affect their health and quality of life. There has been an increasing focus on the SDOH in the field of medicine to both explain and address health outcomes. Both the risk of burn injuries and outcomes after burns have been found to be associated with multiple aspects of the SDOH. This narrative review seeks to explore the main domains of the social determinants of health, reiterate their importance to the general and burn injury population, examine each’s association with risks of burn injuries and burn-related outcomes, and provide an overview of the current burn research landscape that describes the social determinants of health.

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Social Complexity and Risk for Pediatric Burn Injury: A Systematic Review

Cited by 27 publications

References 41 publications

Socioeconomic characteristic of burned children families

Socioeconomic characteristic of burned children families

The effects of short bouts of ergometric exercise for severely burned children in intensive care: A randomized controlled trial

What Fuels the Fire: A Narrative Review of the Role Social Determinants of Health Play in Burn Injuries

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