- Epidemiology of children’s burns in Kyiv
Epidemiology of children’s burns in Kyiv
PAEDIATRIC SURGERY.UKRAINE.2018.2(59):21-24; DOI 10.15574/PS.2018.59.21
Kovalenko O. M., Kozynets G. P., Sochienkova L. S., Kovalenko A. О., Staskevich S. V., Markin E. L., Covgan D. M.
Bogomolets National Medical University, Kyiv, Ukraine
Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
Centre of Thermal Injuries and Plastic Surgery, Kyiv City Clinical Hospital No. 2, Ukraine
SI «Institute of Haematology and Transfusiology of NAMS of Ukraine», Kyiv
Objective – to conduct clinical and statistical analysis of burns in children over a 3-years period, to identify key epidemiological factors that form the structure of children's burn injuries in Kyiv.
Material and methods. The analysis of clinical care and treatment outcomes in 2437 children aged from the first months to 18 years with thermal injuries in Kyiv City Clinical Hospital No.2 for 2015-2017 was carried out. The objects of the study were the accounting forms of medical documentation: a statistical card of discharged patient and clinical charts.
Results. In recent years, there has been a persistently high level of child burn injury rate, which is due to the demographic situation in Kyiv – the increase in the birth rate and the geographic population shift from other regions of Ukraine. The burn injury rate is influenced by the children's age – the majority of injured children (87%) were aged from 0 to 3 years. Most common type of burns in children is scald burns (78.5%); the 2nd place (16%) is occupied by contact burns. Burns from flame made up 3.2%, electrical burns – 1.3%, and chemical burns – 1%. The number of severe burns among the child population of Kyiv has been fallen by half over the past 10 years. The mortality rate has been reduced to 0.16.
Conclusions. The conducted clinical and statistical analysis of the treatment of burns in children over a 3-year period allowed establishing that the most desirable years of burns in children are from 1 month to 3 years. The influence of social factors (parent’s care) was found on the formation of children’s burn injury rate in Kyiv. The leading aetiologic factor in the structure of children’s burn injuries is boiling water. Every fifth child with burns is hospitalized for treatment in the intensive care unit. Analysis of these factors provides a basis for continuing the work of the current targeted programs on prevention and treatment of burn injuries in children.
Key words: children, burns, epidemiology, child burn injury rate.
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