Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Clinical and Statistical Analysis with Age in Cases of Pediatric Burn Patients

소아 화상 환자 2,795례에 대한 연령별 임상 통계학적 분석

  • Cho, Ki-Hyun (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Jang, Young-Chul (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Lee, Jong-Wook (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Koh, Jang-Hyu (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Seo, Dong-Kook (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Choi, Jai-Ku (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University)
  • 조기현 (한림대학교 의과대학 성형외과학교실) ;
  • 장영철 (한림대학교 의과대학 성형외과학교실) ;
  • 이종욱 (한림대학교 의과대학 성형외과학교실) ;
  • 고장휴 (한림대학교 의과대학 성형외과학교실) ;
  • 서동국 (한림대학교 의과대학 성형외과학교실) ;
  • 최재구 (한림대학교 의과대학 성형외과학교실)
  • Received : 2011.04.14
  • Accepted : 2011.06.14
  • Published : 2011.07.10
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Abstract

Purpose: The objective of this study is to analyze the epidemiological characteristics of pediatric burn patients and to determine the targets for a pediatric burn prevention program. Methods: A retrospective review of all medical records of acute pediatric burn patients (age < 15 years old) admitted to our hospital between January 2005 and December 2009 was performed. Results: 1472 males and 1323 females were investigated, with a male to female ratio of 1.11 : 1. The greatest number of burn patients were those with an age of 1~2 years (1,463, 52.3%). Scalding burn was the most common cause of injury, which accounted for 2183 (78.1%) patients, followed by contact burns (10.5%), flame burn (4.9%), steam burn (3.6%). Especially steam burn was the second cause of injury in the age under 1 year, while flame burn was the second cause of injury in the age over 7 years. During recent 5 years, incidence of flame burn, steam burn, electrical burn gradually decreased. Variation of seasonal incidence is minimal and most of the patients (2,716 cases, 97.2%) had burns less than 20% TBSA (Total body surface area). The median hospital stay was 18.79 days, and the rate of operation was 28.6% with a high rate in electrical burn (76.2%), flame burn (50.0%), steam burn (46.1%). 6 patients died in this series, which yielded a mortality rate of 0.2%. Conclusion: Prevention efforts should reflect recent study results. Focused prevention program and campaign to make people aware of risk factors and their avoidance is required to reduce the number of burn accidents in children.

Keywords

References

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