Læknablaðið - 15.11.2010, Síða 25

FRÆÐIGREINAR
RANNSÓKNIR
2. Burd A, Yuen C. A global study of hospitalized paediatric
burn patients. Burns 2005; 31:432-8.
3. Wasiak K, Spinks A, Ashby K, Clapperton A, Cleland
H, Gabbe B. The epidemiology of bum injuries in an
Australian setting 2000-2006. Bums 2009; 35:1124-32.
4. Drago DA. Kitchen scalds and thermal bums in children
five years and yoimger. Pediatrics 2005; 115:10-6.
5. Carlsson A, Uden G, Hakansson A, Karlsson ED. Burn
injuries in small children, a population-based study in
Sweden. J Clin Nursing 2006; 15:129-34.
6. Nguyen DQA, Tobin S, Dickson WA, Potocar T. Infants
under 1 year of age have a significant risk of burn injury.
Burns 2008; 34: 863-7.
7. Papp A, Rytkönen T, Koljonen V, Vuola J. Paediatric ICU
burns in Finland 1994-2004. Burns 2008; 34: 339-44.
8. Collin T, Jeffery S, Reid C. Bath-water scalds in children
and thermostatic mixer valves. Bums 2006; 32: 909-12.
9. Liber JM, List D, Van Loey NE, Kef S. Internalizing
problem behavior and family environment of children
with burns: a Dutch pilot study. Bums 2006; 32:165-71.
10. Stoddard FJ, Ronfeldt H, Kagan J, et al. Young burned
children: the course of acute stress and physiological and
behavioural responses. Am J Psychiatry 2006; 163: 1084-
90.
11. Bjömsson S. Brunasjúklingar á bamadeild Landspítalans.
Læknablaðið 1970; 56:95-106.
12. Þorgrímsson S, Bjömsson Á. Brunasjúklingar á
Landspítalanum á árunum 1964-1973. Fyrri grein.
Læknablaðið 1982; 68/Fylgirit 13:66-70.
13. Elísdóttir R, Lúðvíksson P, Einarsson Ó, Þorgrímsson
S, Haraldsson Á. Brunaslys bama á íslandi: Innlagnir á
árunum 1982-1995. Læknablaðið 1997; 83: 303-8.
14. Elísdóttir R, Lúdvígsson P, Einarsson Ó, Thorgrímsson
S, Haraldsson Á. Paediatric bums in Iceland. Hospital
admissions 1982-1995, a population based study. Bums
1999; 25:149-51.
15. Ytterstad B, Smith GS, Coggan CA. Harstad injury
prevention study: prevention of burns in young children
by community based intervention. Inj Prev 1998; 4: 176-
80.
16. Reglugerð um hollustuhætti, 941/2002,14.gr. www.
heilbrigdisraduneyti.is/log-og-reglugerdir/maí 2010.
17. Orkuveita Reykjavíkur: www.stillumhitann.is/ágúst
2010
18. Hagstofa íslands: www.hagstofan.is/ágúst 2010.
19. Guðmundsson GS, Þorgrímsson S, Einarsson Ó.
Faraldsfræði alvarlegra bmnaáverka á íslandi 1988-1992.
Læknablaðið 1997; 83: 503-9.
20. Celko AM, Grivna M, Danová J, Barss P. Severe childhood
bums in the Czech republic: risk factors and prevention.
Bull World Health Organ 2009; 87:347-81.
21. Onarheim H, Jensen SA, Rosenberg ABG.The
epidemiology of patients with burn injuries admitted to
Norwegian hospitals in 2007. Bums 2009; 35:1142-6.
22. Rimmer RB, Weigand S, Foster KN, et al. Scald burns in
young children-a review of Arizona bum center pediatric
patients and a proposal for prevention in the Hispanic
community. J Burn Care Res 2008; 29: 595-605.
23. Cuttle L, Kravchuk O, Wallis B, Kimble RM. An audit of
first-aid treatment of pediatric bums patients and their
clinical outcome. J Bum Care Res 2009; 30:1028-34.
24. Rawlins JM, Khan AA, Shenton AF, Sharpe DT.
Epidemiology and outcome analysis of 208 children
with burns attending an emergency department. Pediatr
Emerg Care 2007; 23: 289-93.
25. American Academy of Pediatrics, committee on injury
and poison prevention. Fireworks-related injuries to
children. Pediatrics 2001; 108:190-1.
26. Ansari Z, Brown K, Carson N. Association of epilepsy and
burns - a case control study. Aust Fam Physician 2008; 37:
584-9.
27. Badger K, Anderson L, Kagan RJ. Attention deficit-
hyperactivity disorder in children with burn injuries. J
Burn Care Res 2008; 29: 724-9.
28. Thomb, BD. Patient and injury characteristics, mortality
risk, and length of stay related to child abjuse by buming:
Evidence from a national sample of 15,802 pediatric
admissions. Ann Surg 2008; 247:3,519-23.
29. American Academy of Pediatrics. Joint policy statement
- Guidelines for care of children in the emergency
department. Pediatrics 2009; 124:1233-43.
30. Klein MB, Hollingworth W, Rivara FP, et al. Hospital costs
associated with pediatric burn injury. J Bum Care Res
2008; 29:632-7.
Burn injuries in children: Admissions at Landspitali
University Hospital in lceland 2000-2008
Background: Causes of burn injuries in children are
universally associated with social and environmental
factors. Epidemiological studies are therefore important
in identifying risk factors and for planning preventive
interventions.
Methods: Children younger than 18 years with skin burns
who were treated as inpatients at Landspitali University
Hospital over a 9-year period, 2000 and 2008, were
included in this retrospective descriptive study. Data was
collected from medical records.
Results: Of 149 children included in the study 41.6% were
four years old or younger. The average annual incidence
of hospital admissions was 21/100 000. Cold water as first
aid was applied in 78% of cases. Half of the accidents
occurred in the home where a close family member was
the caretaker. Risk factors were identified in 11.4% of the
accidents and abuse or neglect was suspected in 3.4%
of cases. Scalds were the most common type of burn
injury (50.3%) followed by burns caused by fire (20.4%)
including gas or petrol (14.9%) and fireworks (17.6%). The
most common source of scalds was exposure to hot water
from hot water mains (12,9%) and heated water (12,9%).
The mean time from emergency room admission to the
paediatric ward was two hours and 22 minutes. The mean
length of stay was 13 days; median 9 days (range 1-97).
Conclusion: Incidence of hospital admissions for
burn injury has decreased when compared with earlier
lcelandic studies. Children four years and younger and
boys between 13-16 years old are most at risk for burn
injuries. Stronger preventive measures as well as better
documentation of burn accidents are imperative.
Baldursdotíir L, Thorsteinsson LS, Auðolfsson G, Baldursdottir ME, Sigurvinsdottir BO, Gisladottir V, Sigurðardottir AO, Rosmundsson Þ.
Burn injuries in children: Admissions at Landspitali University Hospital in lceland 2000-2008 lcel Med J 2010; 96: 683-9.
Key words: burns, children, scalds, prevention, epidemiology
Correspondence: Lovisa Baldursdottir lovisaba@landspitali.is
>
Œ
<
2
5
D
W
X
(0
_l
o
z
LU
Barst: 18. júní 2010, - samþykkt til birtingar: 4. október 2010
Hagsmunatengsl: Engin
LÆKNAblaðið 2010/96 689