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Burn injuries in children PowerPoint Presentation

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Published on : Mar 14, 2014
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Aims of research on burn epidemiology To determine most common factors involved in childhood burn injuries Age group Mechanism of injury Season Social circumstances Thus to develop effective prevention strategies © 2008 Marietta Neumann / Children of Fire 2

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Research at Johannesburg Academic Hospital – Overview Paediatric patients age 0 to 16 years Patients admitted for fresh burns as well as old burns (reconstructive surgery) Records obtained from casualty department , surgical and orthopaedic wards Divided into two groups according to available data: Jan – Aug 2002 and Jan – Dec 2003 © 2008 Marietta Neumann / Children of Fire 3

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Age, sex and body surface area Mean age: 3 years 9 months Male patients: 59% Female patients: 41% Mean percentage of body surface area burned: 9.96% © 2008 Marietta Neumann / Children of Fire 5 Ratio 1.4 : 1

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Age groups Group 1 (0-11 months): 15 (23.4%) 10 scalds, 2 flame, 1 electric, 1 contact, 0 blasts Group 2 (1 – 3 years): 30 (46.9%) 25 scalds, 2 flame, 1 electric, 1 contact, 0 blasts Group 3 (4 – 6 years): 5 (7.8%) 1 scald, 3 flame, 0 electric, 0 contact, 0 blasts © 2008 Marietta Neumann / Children of Fire 7

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Age groups Group 4 (7 – 9 years): 7 (10.9%) 2 scalds, 1 flame, 1 electric, 0 contact, 1 blast Group 5 (10 – 12 years): 4 (6.5%) 0 scalds, 1 flame, 1 electric, 0 contact, 2 blasts Group 6 (13 – 16 years): 3 (4.7%) 0 scalds, 1 flame, 1 electric, 0 contact, 1 blast © 2008 Marietta Neumann / Children of Fire 9

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Type of burn and anatomical location Most scalds (59 %) affected one or both forearms Most flame burns (66 %) affected the legs Most electric burns, contact burns and blast injuries affected the hands © 2008 Marietta Neumann / Children of Fire 12

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Record keeping Difficulties encountered: Missing books/files Inconsistent or wrong information Lack of detail necessary to draw conclusions E.g. “Injury middle finger” referred to an electrical burn to the right hand middle finger Incomplete entries Illegible hand-written entries © 2008 Marietta Neumann / Children of Fire 16

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Examples of lack of detail Out of 193 diagnoses: 110 stated only “burns”, “burns dressing”, “burns revision” or “septic burns” 50 stated the anatomical location of the burn, and 13 of those also gave the depth, mechanism or body surface area 12 stated the type of burn, and only 3 of those also stated the body surface area © 2008 Marietta Neumann / Children of Fire 18

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Examples of incomplete entries Out of 193 entries the following information was omitted: Address (26 times) Sex (11 times) Age (6 times) Hospital registration number (twice) Name (once) © 2008 Marietta Neumann / Children of Fire 19

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Recommendations Tick-list / questionnaire for burn patients Simple drawing to indicate location of burn Records kept in hard copy and electronically Conscientious record-keeping enforced by middle and senior management Detailed records are important, not only for research © 2008 Marietta Neumann / Children of Fire 20

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Future Hospital Information System Rolled out across Gauteng Province Electronic records Details of every visit to hospital/clinic stored Accessible from all clinics and hospitals of the province Fully implemented across province over next three years © 2008 Marietta Neumann / Children of Fire 21

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