Characteristics of paediatric burns seen at a tertiary centre in a low income country: A five year (2004–2008) study

Abstract Background Children are the most risk prone in cases of burns. The previous epidemiologic study of paediatric burns in Lagos-Nigeria was carried four decades ago. A new study becomes necessary in view of the increasing incidences of petroleum related fire disasters in Nigeria. Patients and...

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Published in:Burns Vol. 37; no. 3; pp. 528 - 534
Main Authors: Fadeyibi, I.O, Mustapha, I.A, Ibrahim, N.A, Faduyile, F.I, Faboya, M.O, Jewo, P.I, Ademiluyi, S.A
Format: Journal Article
Language:English
Published: Kidlington Elsevier Ltd 01-05-2011
Elsevier
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Summary:Abstract Background Children are the most risk prone in cases of burns. The previous epidemiologic study of paediatric burns in Lagos-Nigeria was carried four decades ago. A new study becomes necessary in view of the increasing incidences of petroleum related fire disasters in Nigeria. Patients and methods : Children up to the age of 14 years admitted for major burns at the Lagos State University Teaching Hospital (LASUTH), Ikeja-Lagos, Nigeria between January 1, 2004 and December 31, 2008 were studied. Information about the demographics, mechanism/circumstances of burns, associated injuries, surface extent (TBSA) and depth, modes of management and outcome, length of admission, and post mortem findings in cases of death were collected. Results : A total of 298 children with major burns were seen; 198 were males and 100 females. The ages ranged from 1 day to 14 years with mean of 4.56 ± 3.95 years. Forty percent of the cases occurred among the toddlers and 25.5% in the 2–5 years age group. Fire was the leading cause of burns, occurring in 198 (66.4%) cases. The TBSA ranged from 1% to 100% with mean of 29.67 ± 21.98. The mortality rate was 29.9%. Autopsy showed asphyxia as the primary cause of death in 14 (48.27%) cases, multiple organ dysfunctions in 27.59% and septicaemia in 13.79%. Conclusion This study identifies the main causes of paediatric burns and the major factors responsible for morbidity and mortality at the present time in a low income country. The level of awareness about burns prevention among the populace and health care facilities should be improved.
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ISSN:0305-4179
1879-1409
DOI:10.1016/j.burns.2010.09.015