TY - JOUR
T1 - Paediatric burns in Kuwait
T2 - Incidence, causes and mortality
AU - Sharma, Prem
AU - Bang, Rameshwar L.
AU - Al-Fadhli, Ahmad N.
AU - Sharma, Promila
AU - Bang, Sarla
AU - Ghoneim, Ibrahim E.
PY - 2006/2/1
Y1 - 2006/2/1
N2 - 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.
AB - 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.
KW - Clinical features
KW - Mortality
KW - Paediatric burns
KW - Predicting factors
KW - Sustainable interventions
UR - http://www.scopus.com/inward/record.url?scp=30544436301&partnerID=8YFLogxK
U2 - 10.1016/j.burns.2005.08.006
DO - 10.1016/j.burns.2005.08.006
M3 - Article
C2 - 16406370
AN - SCOPUS:30544436301
VL - 32
SP - 104
EP - 111
JO - Burns
JF - Burns
SN - 0305-4179
IS - 1
ER -