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Comparative Analysis of Burn Injuries in Toddler and Preschool Children: Implications for Triage and Outcome Assessment

Published online by Cambridge University Press:  24 October 2024

Mehmet Ozel Open the ORCID record for Mehmet Ozel [Opens in a new window] ,
Sarper Yilmaz Open the ORCID record for Sarper Yilmaz [Opens in a new window] ,
Ali Cankut Tatliparmak Open the ORCID record for Ali Cankut Tatliparmak [Opens in a new window]  and
Rohat Ak Open the ORCID record for Rohat Ak [Opens in a new window]
Mehmet Ozel
Affiliation:
University of Health Sciences, Department of Emergency Medicine, Diyarbakır Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey
Sarper Yilmaz*
Affiliation:
University of Health Sciences, Department of Emergency Medicine, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
Ali Cankut Tatliparmak
Affiliation:
Uskudar University Faculty of Medicine, Department of Emergency Medicine, Istanbul, Turkey
Rohat Ak
Affiliation:
University of Health Sciences, Department of Emergency Medicine, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
*
Corresponding author: Sarper Yilmaz; Email: [email protected]
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Abstract

Objective

This study aims to compare the demographic, clinical characteristics, and outcomes of burn injuries in toddler and preschool children, and to validate the American Burn Association (ABA) Burn Triage Decision Matrix in the Turkish pediatric population.

Methods

A retrospective analysis was conducted on 684 pediatric burn patients (494 toddlers, 190 preschoolers) admitted to our burn center over a 5-year period. Variables including gender, burn etiology, burn area, depth, treatment modalities, complications, length of hospital stay, and mortality were analyzed. The performance of the ABA Burn Triage Decision Matrix was evaluated in both groups.

Results

Scalding was the predominant cause of burns in both groups, with a significant difference in the involvement of anterior trunk (p = 0.027). The mean Total Body Surface Area (TBSA) was comparable between the groups (p = 0.286). There was no significant difference in mortality rates (p = 0.385), treatment modalities, and complications. The ABA Burn Triage Decision Matrix demonstrated consistency in triaging the severity of burn injuries, with a notable discrepancy observed in the moderate risk category of toddler group.

Conclusions

This study highlights the distinct characteristics and outcomes of burn injuries in different pediatric age groups. The ABA Burn Triage Decision Matrix’s validation suggests its utility in enhancing triage accuracy and resource allocation in pediatric populations, especially in disaster-prone regions.

Keywords

burn injurymass casualty incidenttriage decision matrixpediatric populationtoddler childrenpreschool children
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e143
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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