Incidence And Characteristics Of Non-Accidental Burns In Children : A Systematic Review
Morressier, 2017
Online
unknown
Introduction: The estimated incidence of non-accidental burns varies between 1 u2013 25% in children. Distinguishing non-accidental burns from burns with an unintentional cause can be very complicated but is utmost importance for secondary prevention and to secure the safety of the child and his or her siblings. Aim: To conduct a systematic review to identify the incidence and characteristics for non-accidental burns due to intentional causes and neglect. Methods: The protocol of this systematic review was registered at PROSPERO. We searched literature in electronic databases published until July 2018, without language limitations. Two researchers screened, selected and graded the included articles, using standard methodology. We included primary studies of non-accidental burns in children with confirmed child abuse cases. We excluded literature reviews, case-reports and unpublished data. We extracted data regarding demographics, burn characteristics, CPS referral information and parent/household characteristics. Results: 825 studies were screened, 17 were included. The incidence of non-accidental burns was pooled out of 10 studies and is 9,7%. Indicators with a very high suspicion for non-accidental burns are deep partial thickness and full thickness burns, burns to the posterior trunk and hot tap water burns. Indicators with a high to moderate suspicion for abuse are burns to buttocks, genital and legs, a younger age of the child, additional injuries such as cutaneous injuries/bruises and fractures. More common caused by accidents are burns to head, neck, anterior trunk, upper extremities and feet. Little data is available regarding burns as a result of neglect. Quality of studies was often low to moderate and this review is mainly based on retrospective studies. Conclusion: The incidence of non-accidental burns in children is 9,7%. Indicators with a very high suspicion for non-accidental burns are located at the posterior trunk, are deep partial thickness and full thickness burns and burns caused by hot tap water.
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Incidence And Characteristics Of Non-Accidental Burns In Children : A Systematic Review
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Autor/in / Beteiligte Person: | Loos, Marie-Louise |
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Veröffentlichung: | Morressier, 2017 |
Medientyp: | unknown |
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