Paediatric burns in Kuwait: Incidence, causes and mortality

Prem Sharma, Rameshwar L. Bang, Ahmad N. Al-Fadhli, Promila Sharma, Sarla Bang, Ibrahim E. Ghoneim

Research output: Contribution to journalArticlepeer-review

53 Citations (Scopus)

Abstract

From a prospective study on burn patients admitted at the Burn Center in Kuwait during 1993-2001, 826 paediatric burn cases, in 0-14 years age group, were retrieved to study incidence, causes, and mortality among children. The demographic characteristics, clinical features, and outcome constituted our data file in Statistical Software, SPSS. Overall incidence rate was 17.5/100,000 children aged 0-14 years, being almost twice (34/100,000) among those between 0 and 4 years, constituting 70.8% of all paediatric burns. Scald was the main cause of burn (67%), followed by flame (23%). Mean age (6.4 years) of children with flame burns, was significantly higher (p < 0.001) than those with scalds, or other causes. A positive significant correlation existed between duration of hospital stay and TBSA% (r = 0.56, p < 0.001). Overall mortality rate was 0.23/100,000 children, maximum (0.52/100,000) being in children below 5 years. Among 11 (1.3%) non-survivors, flame burns caused nine fatalities. Multiple logistic regression mooring predicted children aged <5 years, flame burns and TBSA ≥ 70%, (OR = 29.2, p < 0.001), as main contributing factors to fatal outcome among children. Gender and nationality had no influence on incidence or mortality. These findings will hopefully stimulate development of targeted and sustainable interventions for reducing burns occurrence among identified paediatric high-risk groups.

Original languageEnglish
Pages (from-to)104-111
Number of pages8
JournalBurns
Volume32
Issue number1
DOIs
Publication statusPublished - 1 Feb 2006

Keywords

  • Clinical features
  • Mortality
  • Paediatric burns
  • Predicting factors
  • Sustainable interventions

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