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Influence of agents and mechanisms of injury on anatomical burn locations in children <5 years old with a scald
- Source :
- Javaid, A A, Johnson, E, Hollén, L & Kemp, A M 2021, ' Influence of agents and mechanisms of injury on anatomical burn locations in children <5 years old with a scald ', Archives of Disease in Childhood, vol. 106, no. 11, 320710, pp. 1111-1117 . https://doi.org/10.1136/archdischild-2020-320710
- Publication Year :
- 2021
- Publisher :
- BMJ, 2021.
-
Abstract
- ObjectiveTo demonstrate how the mechanism and agent of injury can influence the anatomical location of a scald.DesignProspective multicentre cross-sectional study.Setting20 hospital sites across England and Wales including emergency departments, minor injury units and regional burns units.PatientsChildren aged 5 years and younger who attended hospital with a scald.Main outcome measuresPrimary outcome: a descriptive analysis of the mechanism, agent and anatomical location of accidental scalds. Secondary outcome: a comparison of these factors between children with and without child protection (CP) referral.ResultsOf 1041 cases of accidental scalds, the most common narrative leading to this injury was a cup or mug of hot beverage being pulled down and scalding the head or trunk (132/1041; 32.9% of cases). Accidental scalds in baths/showers were rare (1.4% of cases). Accidental immersion injuries were mainly distributed on hands and feet (76.7%). There were differences in the presentation between children with accidental scalds and the 103 who were referred for CP assessment; children with scalds caused by hot water in baths/showers were more likely to get referred for CP assessment (pConclusionsAn understanding of the distributions of scalds and its relationship to different mechanisms of injury and causative agents will help clinicians assess scalds in young children, particularly those new to the emergency department who may be unfamiliar with expected scald patterns or with the importance of using appropriate terminology when describing scalds.
- Subjects :
- Male
Child abuse
medicine.medical_specialty
Hot Temperature
Minor injury
Referral
Body Surface Area
Burn Units
Beverages
03 medical and health sciences
0302 clinical medicine
Primary outcome
030225 pediatrics
Outcome Assessment, Health Care
Epidemiology
Scalding
Humans
Medicine
Prospective Studies
Accidental Injuries
Wales
business.industry
Child Protective Services
Baths
030208 emergency & critical care medicine
Emergency department
medicine.disease
Cross-Sectional Studies
England
Accidents, Home
Child, Preschool
Accidental
Pediatrics, Perinatology and Child Health
Emergency medicine
Female
Burns
Emergency Service, Hospital
business
Subjects
Details
- ISSN :
- 14682044 and 00039888
- Volume :
- 106
- Database :
- OpenAIRE
- Journal :
- Archives of Disease in Childhood
- Accession number :
- edsair.doi.dedup.....fa53918d89102582ae2128360497bf9d