Childhood burns in Sulaimaniyah province, Iraqi Kurdistan: A prospective study of admissions and outpatients
2015 (English)In: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 41, no 2, 394-400 p.Article in journal (Refereed) Published
Background: While it is globally observed that young children are at a higher risk of burn injuries, little is known about childhood burns in Iraqi Kurdistan. This study was undertaken to describe the epidemiology of burns amongst pre-school children in this region. Methods: A prospective study was undertaken from November 2007 to November 2008 involving all children aged 0-5 years attending the burns centre in Sulaimaniyah province for a new burn injury whether treated as an outpatient or admitted to hospital. Results: 1,122 children attended the bums centre of whom 944 (84%) were interviewed (male 53%, female 47%). Mean age was 1.9 years with children aged 1 year comprising 32% and those aged 2 years comprising 21% of the sample. The incidence of bums was 1044/100,000 person-years (1030 in females and 1057 in males). Mechanisms of injury included scalds (80%), contact burns (12%) flames (6%) and other mechanisms (2%). Almost 97% of burns occurred at home including 43% in the kitchen. Winter was the commonest season (36%) followed by autumn (24%). There were 3 peak times of injury during the day corresponding to meal times. The majority of bums were caused by hot water (44%) and tea (20%) and the most common equipment/products responsible were tea utensils (41%). There were 237 admissions with an admission rate of 95 per 100,000 person-years. Scald injuries accounted for most admissions (84%). Median total body surface area affected by the burn or scald (TBSA) was 11% and median hospital stay was 7 days. In-hospital mortality was 8%. Mortality rate was 4% when TBSA was less than= 25%, and 100% when TBSA was over 50%. Conclusion: Burn incidence is high in young children especially those aged 1-2 years. Preventive interventions targeted at families with young children and focusing on home safety measures could be effective in reducing childhood burns.
Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2015. Vol. 41, no 2, 394-400 p.
Burns; Scalds; Children; Iraqi Kurdistan; Epidemiology
IdentifiersURN: urn:nbn:se:liu:diva-116819DOI: 10.1016/j.burns.2014.07.008ISI: 000350089800027PubMedID: 25440849OAI: oai:DiVA.org:liu-116819DiVA: diva2:800756