Characteristics of paediatric burns in Sichuan province: Epidemiology and prevention

ObjectiveThis study analysed the epidemiology of paediatric burns in Sichuan province, China, for the formulation of prevention programmes for this population.MethodsA retrospective review was performed of paediatric patients admitted to the Burn Centre of West China Hospital during 2003–2009, including patient demographics, burn aetiology, time and place of burn, rural or urban population, and education level and burn knowledge of the patients’ guardians.ResultsA total of 1387 paediatric burn patients, mean age 3.21 years (range 0–14 years) were admitted. The majority (72.1%) were 0–3 years old, and the male/female ratio was 2.39:1. Most common aetiologies were scalds (81.3%), flames (17.1%), and electricity (1.3%), while chemical burns were rare. The ratio of indoor versus outdoor location was 4.93:1, and the rural/urban ratio was 4.03:1. Burns were classified as: total burn surface area (TBSA) ranging from 0% to 5%, (23.9% of patients); TBSA between 5% and 15% (33.2%); TBSA between 15% and 25% (29.8%); TBSA greater than 25% (13.1%). There was a higher prevalence from April to September, and the peak times were mealtime and bathtime. The education level was lower in the rural group. Both urban and rural groups had little knowledge of first aid for burns.ConclusionsBurn prevention programmes should promote improved living conditions, with prevention education addressed directly to the guardians of children.