Genital burns in the United States: Disproportionate prevalence in the pediatric population
•Genital burns affect the pediatric population at a disproportionate rate.•Scalds and hot water were the most common mechanism and causative agent of injury.•Multi-surface, thermal and scalding burns were predictors of hospitalization.•Males were three times as likely to suffer from genital burns. T...
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| Veröffentlicht in: | Burns 2018-08, Vol.44 (5), p.1366-1371 |
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| creator | Tresh, Anas Baradaran, Nima Gaither, Thomas W. Fergus, Kirkpatrick B Liaw, Aron Balakrishnan, Ashwin Hampson, Lindsay A. Breyer, Benjamin N. |
| description | •Genital burns affect the pediatric population at a disproportionate rate.•Scalds and hot water were the most common mechanism and causative agent of injury.•Multi-surface, thermal and scalding burns were predictors of hospitalization.•Males were three times as likely to suffer from genital burns.
To describe the epidemiology of genital burns in the U.S. and investigate the underlying etiology.
The National Electronic Injury Surveillance System database was queried for individuals who sustained genital burns from 2000 to 2016. We collected data on age, gender, injury diagnosis, disposition, and causative agents. Multivariate analysis was performed to determine predictors of hospitalization.
We estimate 17,026 (95% CI 16,649–17,404) cases of genital burns presented to emergency departments nationally. Genital burns occurred more in males than females (12,295 vs 4,731). Scalding (57.9%) was the most common mechanism of injury and hot water (35.7%) the most common causative agent. Significant predictors of hospitalization on multivariate analysis were multi-surface (OR 4.4), scalding (OR 11.5) and thermal burns (OR 27.9).
Children ages 0–2 had the highest prevalence of genital burns, and children ages 0–12 comprised 37.1% of the study. For children |
| doi_str_mv | 10.1016/j.burns.2018.02.023 |
| format | Article |
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To describe the epidemiology of genital burns in the U.S. and investigate the underlying etiology.
The National Electronic Injury Surveillance System database was queried for individuals who sustained genital burns from 2000 to 2016. We collected data on age, gender, injury diagnosis, disposition, and causative agents. Multivariate analysis was performed to determine predictors of hospitalization.
We estimate 17,026 (95% CI 16,649–17,404) cases of genital burns presented to emergency departments nationally. Genital burns occurred more in males than females (12,295 vs 4,731). Scalding (57.9%) was the most common mechanism of injury and hot water (35.7%) the most common causative agent. Significant predictors of hospitalization on multivariate analysis were multi-surface (OR 4.4), scalding (OR 11.5) and thermal burns (OR 27.9).
Children ages 0–2 had the highest prevalence of genital burns, and children ages 0–12 comprised 37.1% of the study. For children <5years of age, majority of the burns were caused by hot water in the bathroom. In age group 6–12, the most common causes of genital burns were cooking-related scalds due to hot foods and water.
Children sustain genital burns at a higher rate than adults and many appear to have a preventable mechanism. Improved product design for safety and educating caregivers about potential hazardous situations are needed.</description><identifier>ISSN: 0305-4179</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/j.burns.2018.02.023</identifier><identifier>PMID: 29576344</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Burn ; Burns - epidemiology ; Child ; Child, Preschool ; Epidemiology ; Female ; Genital ; Genitalia - injuries ; Hospitalization - statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Pediatric ; Prevalence ; Sex Distribution ; United States - epidemiology ; Urology ; Young Adult</subject><ispartof>Burns, 2018-08, Vol.44 (5), p.1366-1371</ispartof><rights>2018 Elsevier Ltd and ISBI</rights><rights>Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-c0cb8aa92023f09526b4f813a09f3f00fa46c222ec55de092a8fd5a444b9019d3</citedby><cites>FETCH-LOGICAL-c459t-c0cb8aa92023f09526b4f813a09f3f00fa46c222ec55de092a8fd5a444b9019d3</cites><orcidid>0000-0002-0740-7984</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.burns.2018.02.023$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29576344$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tresh, Anas</creatorcontrib><creatorcontrib>Baradaran, Nima</creatorcontrib><creatorcontrib>Gaither, Thomas W.</creatorcontrib><creatorcontrib>Fergus, Kirkpatrick B</creatorcontrib><creatorcontrib>Liaw, Aron</creatorcontrib><creatorcontrib>Balakrishnan, Ashwin</creatorcontrib><creatorcontrib>Hampson, Lindsay A.</creatorcontrib><creatorcontrib>Breyer, Benjamin N.</creatorcontrib><title>Genital burns in the United States: Disproportionate prevalence in the pediatric population</title><title>Burns</title><addtitle>Burns</addtitle><description>•Genital burns affect the pediatric population at a disproportionate rate.•Scalds and hot water were the most common mechanism and causative agent of injury.•Multi-surface, thermal and scalding burns were predictors of hospitalization.•Males were three times as likely to suffer from genital burns.
To describe the epidemiology of genital burns in the U.S. and investigate the underlying etiology.
The National Electronic Injury Surveillance System database was queried for individuals who sustained genital burns from 2000 to 2016. We collected data on age, gender, injury diagnosis, disposition, and causative agents. Multivariate analysis was performed to determine predictors of hospitalization.
We estimate 17,026 (95% CI 16,649–17,404) cases of genital burns presented to emergency departments nationally. Genital burns occurred more in males than females (12,295 vs 4,731). Scalding (57.9%) was the most common mechanism of injury and hot water (35.7%) the most common causative agent. Significant predictors of hospitalization on multivariate analysis were multi-surface (OR 4.4), scalding (OR 11.5) and thermal burns (OR 27.9).
Children ages 0–2 had the highest prevalence of genital burns, and children ages 0–12 comprised 37.1% of the study. For children <5years of age, majority of the burns were caused by hot water in the bathroom. In age group 6–12, the most common causes of genital burns were cooking-related scalds due to hot foods and water.
Children sustain genital burns at a higher rate than adults and many appear to have a preventable mechanism. Improved product design for safety and educating caregivers about potential hazardous situations are needed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Burn</subject><subject>Burns - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Genital</subject><subject>Genitalia - injuries</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Pediatric</subject><subject>Prevalence</subject><subject>Sex Distribution</subject><subject>United States - epidemiology</subject><subject>Urology</subject><subject>Young Adult</subject><issn>0305-4179</issn><issn>1879-1409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UV1LHDEUDaVSV9tfUCjz2JdZbz7mIwUFsfUDBB-sT30ImcydmmV2MiaZBf-9mV0VfTFcCJycc-7NuYR8p7CkQMuj1bKZ_BCWDGi9BJaKfyILWlcypwLkZ7IADkUuaCX3yUEIK0inqOEL2WeyqEouxIL8u8DBRt1nW6_MDlm8x-wuYdhmt1FHDL-y3zaM3o3OR-uGBGWjx43ucTD4ohixtTp6a7LRjVOvZ-ZXstfpPuC35_uQ3J3_-Xt2mV_fXFydnV7nRhQy5gZMU2stWfpAB7JgZSO6mnINsksAdFqUhjGGpihaBMl03bWFFkI0Eqhs-SE52fmOU7PG1uAQve7V6O1a-0fltFXvXwZ7r_67jSp5VVMQyeDns4F3DxOGqNY2GOx7PaCbgpoTLkvJK56ofEc13oXgsXttQ0HNa1ErtY1yK1LAUs2qH28nfNW87CERjncETDltLHoVjJ3zba1HE1Xr7IcNngAVtqH3</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>Tresh, Anas</creator><creator>Baradaran, Nima</creator><creator>Gaither, Thomas W.</creator><creator>Fergus, Kirkpatrick B</creator><creator>Liaw, Aron</creator><creator>Balakrishnan, Ashwin</creator><creator>Hampson, Lindsay A.</creator><creator>Breyer, Benjamin N.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0740-7984</orcidid></search><sort><creationdate>20180801</creationdate><title>Genital burns in the United States: Disproportionate prevalence in the pediatric population</title><author>Tresh, Anas ; Baradaran, Nima ; Gaither, Thomas W. ; Fergus, Kirkpatrick B ; Liaw, Aron ; Balakrishnan, Ashwin ; Hampson, Lindsay A. ; Breyer, Benjamin N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-c0cb8aa92023f09526b4f813a09f3f00fa46c222ec55de092a8fd5a444b9019d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Burn</topic><topic>Burns - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Genital</topic><topic>Genitalia - injuries</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Pediatric</topic><topic>Prevalence</topic><topic>Sex Distribution</topic><topic>United States - epidemiology</topic><topic>Urology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tresh, Anas</creatorcontrib><creatorcontrib>Baradaran, Nima</creatorcontrib><creatorcontrib>Gaither, Thomas W.</creatorcontrib><creatorcontrib>Fergus, Kirkpatrick B</creatorcontrib><creatorcontrib>Liaw, Aron</creatorcontrib><creatorcontrib>Balakrishnan, Ashwin</creatorcontrib><creatorcontrib>Hampson, Lindsay A.</creatorcontrib><creatorcontrib>Breyer, Benjamin N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tresh, Anas</au><au>Baradaran, Nima</au><au>Gaither, Thomas W.</au><au>Fergus, Kirkpatrick B</au><au>Liaw, Aron</au><au>Balakrishnan, Ashwin</au><au>Hampson, Lindsay A.</au><au>Breyer, Benjamin N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Genital burns in the United States: Disproportionate prevalence in the pediatric population</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>44</volume><issue>5</issue><spage>1366</spage><epage>1371</epage><pages>1366-1371</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><abstract>•Genital burns affect the pediatric population at a disproportionate rate.•Scalds and hot water were the most common mechanism and causative agent of injury.•Multi-surface, thermal and scalding burns were predictors of hospitalization.•Males were three times as likely to suffer from genital burns.
To describe the epidemiology of genital burns in the U.S. and investigate the underlying etiology.
The National Electronic Injury Surveillance System database was queried for individuals who sustained genital burns from 2000 to 2016. We collected data on age, gender, injury diagnosis, disposition, and causative agents. Multivariate analysis was performed to determine predictors of hospitalization.
We estimate 17,026 (95% CI 16,649–17,404) cases of genital burns presented to emergency departments nationally. Genital burns occurred more in males than females (12,295 vs 4,731). Scalding (57.9%) was the most common mechanism of injury and hot water (35.7%) the most common causative agent. Significant predictors of hospitalization on multivariate analysis were multi-surface (OR 4.4), scalding (OR 11.5) and thermal burns (OR 27.9).
Children ages 0–2 had the highest prevalence of genital burns, and children ages 0–12 comprised 37.1% of the study. For children <5years of age, majority of the burns were caused by hot water in the bathroom. In age group 6–12, the most common causes of genital burns were cooking-related scalds due to hot foods and water.
Children sustain genital burns at a higher rate than adults and many appear to have a preventable mechanism. Improved product design for safety and educating caregivers about potential hazardous situations are needed.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>29576344</pmid><doi>10.1016/j.burns.2018.02.023</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0740-7984</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Adult Age Distribution Aged Aged, 80 and over Burn Burns - epidemiology Child Child, Preschool Epidemiology Female Genital Genitalia - injuries Hospitalization - statistics & numerical data Humans Infant Infant, Newborn Logistic Models Male Middle Aged Multivariate Analysis Pediatric Prevalence Sex Distribution United States - epidemiology Urology Young Adult |
| title | Genital burns in the United States: Disproportionate prevalence in the pediatric population |
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