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Revista chilena de pediatría

Print version ISSN 0370-4106

Abstract

ROJAS GOLDSACK, María de los Ángeles; SAAVEDRA OPAZO, Rolando; VICENCIO PEZO, Paulina  and  SOLIS FLORES, Fresia. Epidemiological changes in burned children. A 10-year follow-up. Rev. chil. pediatr. [online]. 2016, vol.87, n.3, pp.186-192. ISSN 0370-4106.  http://dx.doi.org/10.1016/j.rchipe.2015.10.014.

Introduction The aim of the study was to compare the incidence and epidemiological characteristics of burns suffered by children in a district of Santiago of Chile over a period of ten years. Patients and method An analytical study was conducted by checking through the medical files of children under 15 years of age from Pudahuel district who were admitted with burns to the Santiago Aid to Burned Children Corporation (COANIQUEM) during 2011. A comparison was made with the results obtained in a similar study performed in the same district in 2001. Results In 2011, 440 children were admitted, with an incidence rate of 700/100,000 < 15 years old (95% CI: 635-765), a decrease of 25% compared to 2001(Incidence rate of 933/100,000; 95% CI: 856-1010). There were 52% males, 64.5% under 5 years old of age, 88% burned at home, or at other houses where they are been taking care of. There was a significant change in the causative agent, and included, increasing by their relative importance; hot objects (27.1%). The mechanism that mostly increased in occurrence were contact with stoves or heaters, and also emerge that caused by hair iron, and motorcycle exhaust. The most common location was the hand, increasing by 30.8%, and 66.4% showed an extension of the burn of < 1% total body surface area (2001, 61%). A significant decline of 54% of deep burns was observed, and 23.2% were admitted to rehabilitation, a similar proportion to 2001. The rate of hospitalization and/or skin graft decreased from 104/100,000 to 62/100,000 < 15 years old (95% CI: 43-82). Conclusions Burns incidence has decreased. Hot objects are now the main causal agent. The decrease in the rate of hospitalization and/or graft indicates a lower severity of burns.

Keywords : Burns; Children; Incidence; Epidemiology.

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