Summary:
The authors have analyzed the data files of 580 child patients up to 15 years of age who were hospitalized at the
Burn Center of the FNsP Hospital in Ostrava in the years 1999 – 2003. The authors focused on mechanisms of
burn injury in relation to the age of a child as well as extent, depth, localization, and local treatment of the injury.
The data file was divided to four age groups: up to two years of age, 2 – 5 years of age, 5 – 10 years of age, and
10 – 15 years of age. As regards the mechanisms of injury, the authors have analyzed scalding by hot liquids, burns
due to contact with a hot object, burns due to electric current, explosion, and injury caused by burning clothing.
Injury by scalding prevails to a very significant degree in the youngest children. In the second age group the incidence
of burn following contact with hot objects increases, as does the percentage of children injured by burning
of clothing in children aged 5 – 10. The older children have increased prevalence of injuries caused by explosions.
The greatest average extent of an injury is from burning of clothing. Most of the areas are burned deeply, localized
in more areas of the body, and almost half of the cases required surgical intervention. Scalding comes second in
terms of average extent of an injury. More than half of the injured areas are superficial, and areas of injury are different
in the individual age groups.We addressed about a fifth of the cases surgically. The explosion of combustible
materials caused a smaller extent of injury, on average, taking third place. The injuries were predominantly superficial,
most commonly involving the head, trunk, and upper extremities. In none of the cases it was necessary for
us to operate. Burn injuries caused by contact with hot objects are of a smaller extent. More than half of the burned
areas are deep, localized most commonly in the upper extremities. Surgical intervention was necessary in more
than half the cases. In terms of average extent of an injury, the smallest burn injuries are caused by electric current.
However, these injuries are deep, and surgical intervention was necessary in all cases.
Key words:
mechanisms of injury, extent of injury, depth of burn, localization of burn, local treatment
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