ARE BURN COMMON IN CHILDREN? A SCRUTINY OF BURN ADMISSIONS IN PAEDIATRIC SURGERY UNIT OF A TEACHING HOSPITAL

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Fayaz Ur Rahman
Muhammad Uzair
Waheed Akhtar
Inayat Ur Rahman

Abstract

Objective: To scrutinize broadly the pattern of burn injuries in the paediatric population and factors affecting the mortality.
Material & Method: This retrospective observational study was carried out from January 2017 to January 2018 in
paediatric surgery unit of the Khyber teaching hospital Peshawar,Pakistan. This study includes patient up to 16 years
of age who were admitted for burn management in paediatric surgery unit. Original files of all patients retrieved and
factors analysed include demographic, total body surface area (TBSA) burns, mechanism of injury, monthly incidence,
outcome and mortality analysis.
Results: A total of 233 burn patients admitted in paediatric surgery unit during the study period, which is 7.6% of the
total admission. Mean age of burn patient was 4.15±2.88 years. Gender distribution shows 54% male and 46% female.
Scald burns were most common, accounting for 55% of patients, flame burn 33% and electric burn 7.2% of total burn
admission. Burn injuries are common in winter season with 60% patient admitted in 5 months from December to April.
47% patient presented with 20 to 50% TBSA burn. Mortality recorded in 12.5% of burn patients. Mortality data verified
female gender, >30% TBSA burn and old burn admission as a risk factor.
Conclusion: Paediatric burn injuries are commonly seen in below 5 years of age, as children are curious in this age
and try to explore. Winter season is a risk factor for paediatric burns and Scald burns is the leading mechanism of
burn injuries in the pediatric population. Mortality is high for burn injuries and sepsis is the leading cause of mortality

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