Læknablaðið - 15.11.2010, Blaðsíða 25

FRÆÐIGREINAR
RANNSÓKNIR
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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
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Barst: 18. júní 2010, - samþykkt til birtingar: 4. október 2010
Hagsmunatengsl: Engin
LÆKNAblaðið 2010/96 689