Management of pediatric burn injuries in a tertiary center in North-East Slovenia

Tanja Dukić Vuković, Minja Gregorič
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Abstract

Purpose: Burns are serious injuries that cause permanent functional, aesthetic, and psychosocial consequences. This study aimed to examine the incidence of pediatric burns requiring hospitalization, and different treatment modalities and outcomes. Methods: In this retrospective observational study, 28 children with burns (19 boys and nine girls) were admitted between 2014 and 2018 for treatment. We monitored the incidence of burns and analyzed different treatment modalities and treatment outcomes. Children in this study were treated at the Pediatric Intensive Care Unit and the Department of Plastic and Reconstructive Surgery of the University Medical Centre Maribor. Results: Scalds were found to be the most common type of burns in children (68%). Children younger than 5 years of age were the most affected (75%). The average burned total body surface area was 9%. Furthermore, 89% of children needed surgical treatment. The hospitalization lasted for an average of 14.6 days, with complete healing occurring in 72% of children within 4 weeks.  Conclusions: This study showed that the most vulnerable age group of children with severe burns who required hospitalization was between 1 and 2 years and that the most common type of burn was scalding. We suggested educating parents about burns and burn injuries and how such serious incidence could be prevented, especially among the youngest children.
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在斯洛文尼亚东北部的一个三级中心的儿科烧伤管理
目的:烧伤是导致永久性功能、审美和社会心理后果的严重伤害。本研究旨在探讨儿童烧伤需要住院治疗的发生率、不同的治疗方式和结果。方法:在这项回顾性观察研究中,2014年至2018年期间,28名烧伤儿童(男孩19名,女孩9名)入院治疗。我们监测了烧伤的发生率,并分析了不同的治疗方式和治疗结果。本研究中的儿童在马里博尔大学医学中心的儿科重症监护室和整形与重建外科接受治疗。结果:烫伤是儿童烧伤最常见的类型(68%)。5岁以下儿童受影响最大(75%)。烧伤的平均体表面积为9%。此外,89%的儿童需要手术治疗。平均住院14.6天,72%患儿在4周内完全愈合。结论:本研究显示,1 - 2岁的严重烧伤患儿需要住院治疗的最脆弱年龄组,最常见的烧伤类型为烫伤。我们建议教育家长关于烧伤和烧伤的知识,以及如何预防这种严重的事件,特别是在最小的孩子中。
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