Presenter Status
Fellow
Abstract Type
Research
Primary Mentor
Jenna Miller, MD
Start Date
9-5-2023 12:45 PM
End Date
9-5-2023 1:00 PM
Presentation Type
Oral Presentation
Description
Background: It is generally accepted that of children with the same total body surface area of burns, those with flame burns seem to have longer lengths of stay and more complications than those with scald burns. Anecdotally we have seen the opposite to be true. Among a consortium of five US pediatric burn centers participating in the Pediatric Injury Quality Improvement Collaborative (PIQIC), young children with scald burns seem to experience disproportionately more frequent and severe complications compared to their older counterparts and compared to patients of a similar age with flame burns.
Objectives/Goal: In this multi-institutional study, we compared complications and mortality of pediatric patients with scald and flame burns across multiple age groups.
Methods/Design: This multicenter, retrospective cohort study included 164 pediatric patients consisting of 96 patients with scald burns and 68 patients flame burns admitted from 1/1/2010 to 12/31/2020 to four pediatric hospitals participating in PIQIC. Patients were excluded if the involved total body surface area (TBSA) was
Results: Of 164 patients, most patients in the 0–3-year-old (toddler) age group were scalds (N=73, 58%) while most burns in the 3-10 year age group were from flames (N=52, 67%). Only 28% of scald patients had any full-thickness burns, where 67% of flame patients had full-thickness burns. The toddler group with scald burns experienced significantly higher PICU LOS and mechanical ventilator (MV) days than the 3-10 year-old scald group (13 vs. 5 MV days, p
Conclusions: Given the differences in hospital and PICU LOS, mechanical ventilator days, and complication rates, this study confirms prior anecdotal evidence that not all burns carry the same risks across age groups and mechanisms, even with similar TBSA. Despite lower rates of full thickness burns, younger patients with scalds may have a longer PICU course, longer time on the ventilator, and increased risk of sepsis, nosocomial infection, and abdominal catastrophe than similarly aged patients with flame burns or older patients with scalds. Burn mechanism and age of the patient should be considered when caring for a critically ill patient.
Included in
Critical Care Commons, Higher Education and Teaching Commons, Medical Education Commons, Pediatrics Commons, Science and Mathematics Education Commons, Trauma Commons
A comparison of large TBSA scald versus flame burns in young children
Background: It is generally accepted that of children with the same total body surface area of burns, those with flame burns seem to have longer lengths of stay and more complications than those with scald burns. Anecdotally we have seen the opposite to be true. Among a consortium of five US pediatric burn centers participating in the Pediatric Injury Quality Improvement Collaborative (PIQIC), young children with scald burns seem to experience disproportionately more frequent and severe complications compared to their older counterparts and compared to patients of a similar age with flame burns.
Objectives/Goal: In this multi-institutional study, we compared complications and mortality of pediatric patients with scald and flame burns across multiple age groups.
Methods/Design: This multicenter, retrospective cohort study included 164 pediatric patients consisting of 96 patients with scald burns and 68 patients flame burns admitted from 1/1/2010 to 12/31/2020 to four pediatric hospitals participating in PIQIC. Patients were excluded if the involved total body surface area (TBSA) was
Results: Of 164 patients, most patients in the 0–3-year-old (toddler) age group were scalds (N=73, 58%) while most burns in the 3-10 year age group were from flames (N=52, 67%). Only 28% of scald patients had any full-thickness burns, where 67% of flame patients had full-thickness burns. The toddler group with scald burns experienced significantly higher PICU LOS and mechanical ventilator (MV) days than the 3-10 year-old scald group (13 vs. 5 MV days, p
Conclusions: Given the differences in hospital and PICU LOS, mechanical ventilator days, and complication rates, this study confirms prior anecdotal evidence that not all burns carry the same risks across age groups and mechanisms, even with similar TBSA. Despite lower rates of full thickness burns, younger patients with scalds may have a longer PICU course, longer time on the ventilator, and increased risk of sepsis, nosocomial infection, and abdominal catastrophe than similarly aged patients with flame burns or older patients with scalds. Burn mechanism and age of the patient should be considered when caring for a critically ill patient.
