Children Younger Than 18 Years Treated for Nonfatal Burns in US Emergency Departments

Meghan Mitchell, Sandhya Kistamgari, Thitphalak Chounthirath, Lara B. McKenzie, Gary A. Smith*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

This study investigated children <18 years old treated for burns in United States (US) emergency departments from 1990 to 2014 using data from the National Electronic Injury Surveillance System. There were 2 548 971 children treated for burns during the study period, averaging 101 959 annually. The number and rate of burns decreased by 30.0% and 38.9%, respectively, (both P <.001) during the study. Most patients (58.4%) were boys, 64.0% were <6 years old, and 7.4% were admitted to the hospital. Thermal burns accounted for 60.2% of injuries. The hand/fingers were most commonly injured (37.1%), followed by head/neck (19.6%). The most common specified mechanism of injury was grabbing/touching (18.4%), followed by spilling/splashing (16.4%). Although the number of children treated for burns has decreased, it remains an important source of pediatric injury, demonstrating the need to increase prevention efforts, especially among young children. This is the first study to use a nationally representative sample to investigate burn mechanisms.

Original languageEnglish (US)
Pages (from-to)34-44
Number of pages11
JournalClinical pediatrics
Volume59
Issue number1
DOIs
StatePublished - Jan 1 2020

Funding

Mitchell Meghan MD 1 2 Kistamgari Sandhya MPH 1 Chounthirath Thitphalak MS 1 McKenzie Lara B. PhD, MA 1 3 https://orcid.org/0000-0001-5838-8982 Smith Gary A. MD, DrPH 1 3 4 1 The Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA 2 University of Michigan, Ann Arbor, MI, USA 3 The Ohio State University, Columbus, OH, USA 4 Child Injury Prevention Alliance, Columbus, OH, USA Gary A. Smith, Center for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA. Email: [email protected] 10 2019 0009922819884568 © The Author(s) 2019 2019 SAGE Publications This study investigated children <18 years old treated for burns in United States (US) emergency departments from 1990 to 2014 using data from the National Electronic Injury Surveillance System. There were 2 548 971 children treated for burns during the study period, averaging 101 959 annually. The number and rate of burns decreased by 30.0% and 38.9%, respectively, (both P < .001) during the study. Most patients (58.4%) were boys, 64.0% were <6 years old, and 7.4% were admitted to the hospital. Thermal burns accounted for 60.2% of injuries. The hand/fingers were most commonly injured (37.1%), followed by head/neck (19.6%). The most common specified mechanism of injury was grabbing/touching (18.4%), followed by spilling/splashing (16.4%). Although the number of children treated for burns has decreased, it remains an important source of pediatric injury, demonstrating the need to increase prevention efforts, especially among young children. This is the first study to use a nationally representative sample to investigate burn mechanisms. pediatric child injury trauma burn scald National Center for Injury Prevention and Control https://doi.org/10.13039/100005217 1R49CE002106 Child Injury Prevention Alliance N/A edited-state corrected-proof Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Author Meghan Mitchell received a research stipend from the National Student Injury Research Training Program at Nationwide Children’s Hospital, funded by the Centers for Disease Control and Prevention (grant number 1R49CE002106), and the Child Injury Prevention Alliance, while she worked on this study. The interpretations and conclusions in this article do not necessarily represent those of the funding organizations. ORCID iD Gary A. Smith https://orcid.org/0000-0001-5838-8982

Keywords

  • burn
  • child
  • injury
  • pediatric
  • scald
  • trauma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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