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Multicenter Study Observational Study
Retrospective analysis on thermal injuries in children-Demographic, etiological and clinical data of German and Austrian pediatric hospitals 2006-2015-Approaching the new German burn registry.
- Laura C Tegtmeyer, Georg R Herrnstadt, Sarah L Maier, Oliver C Thamm, Michaela Klinke, Konrad Reinshagen, and Ingo Koenigs.
- Department of Pediatric Surgery, Burn Unit, Plastic and Reconstructive Surgery, Altonaer Children's Hospital, Bleickenallee 38, 22763 Hamburg, Germany; Department of Pediatric Surgery, University Medical Center Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
- Burns. 2018 Feb 1; 44 (1): 150-157.
ObjectiveThe purpose of this observational, multi-center study was to reveal epidemiologic, etiological and clinical aspects of hospitalized children with thermal injuries in Germany and Austria and the workup of a renewed web-based pediatric burn registry.MethodsFrom 2006 to 2015, comprehensive patient data of thermally injured children in Germany and Austria were collected prospectively. Retrospective analysis of age, gender, mechanism of injury, total body surface area burned, way of admission and length of stay was performed, followed by the comparative analysis between designated burn centers and other pediatric hospitals.Results32 hospitals participated in the study including data of 13,460 thermally injured hospitalized children. The majority was 12-<36 months of age with a share of 48%. 56.5% were boys. The most frequent cause of injury was scalding representing 74.4%. Designated pediatric burn centers treated 82.2% of all patients. In relation to non-centers, no significant differences were seen concerning the affected total body surface area and the amount of patients <1 year of age in contrast to a significant difference regarding the amount of fire injuries, all being parameters indicating the severity of thermal injuries. Overall mortality was 0.1%.ConclusionThis study extends our knowledge about population characterization of thermally injured children, highlights risk factors and serves as a basis for the renewed pediatric burn registry from 2016 on.Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.
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