Hospitalisations with burns in children younger than five years in Portugal, 2011–2015

João Vasco Santos, João Viana, Andreia Oliveira, André Ramalho, Joana Sousa-Teixeira, Janine Duke, José Amarante, Alberto Freitas

Research output: Contribution to journalArticle

Abstract

Introduction: Paediatric population still represents a high burden of hospitalisations among burns inpatients. Children under five years old have a distinct aetiology distribution comparing to other age groups, representing in Portugal a fifth of all hospitalisations with burns. We aimed to describe the demographic and clinical burden of burns requiring hospitalization, as well as hospitalization charges, among this age group in Portugal. Methods: We performed a retrospective study including inpatients younger than five years-old and discharged between 2011 and 2015 in a public Portuguese hospital with a main or secondary diagnosis of burns (ICD-9-CM: 940.xx-949.xx). Clinical and demographics characteristics were assessed, as well as hospital reimbursement charges. Results: A total of 1217 hospitalisations with burns were found, with a hospitalization rate of 54.6 hospitalisations/100,000 inhabitants/year, higher among boys. Ninety percent of them were due to hot liquid or objects. There were three in-hospital deaths. There was a median length of stay of 9 days and a mean hospitalization reimbursed charge of 3073 Euros (4918 I$). Non-rural: rural hospitalization rate ratio was of 0.42:1. Évora and Bragança were the districts with higher hospitalization rate with 116 and 107, respectively. Discussion: This Portuguese nation-wide study on hospitalisations with burns highlights that 90% of all burns were due to hot liquid or object and a major impact of patients younger than 2 years old in this age group. Urban vs rural difference in hospitalization rate should also be considered for further health inequalities’ studies. As conclusion, ongoing attention needs to be dedicated to paediatric burn prevention and safety cost-effective strategies, particularly in relation to scalds, to further reduce the incidence of burn hospitalisations in children and the associated hospital costs.

Original languageEnglish
Pages (from-to)1223-1230
Number of pages8
JournalBurns
Volume45
Issue number5
DOIs
Publication statusPublished - 1 Aug 2019

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Portugal
Burns
Hospitalization
Age Groups
Inpatients
Demography
Pediatrics
Hospital Charges
Hospital Costs
Public Hospitals
International Classification of Diseases
Length of Stay
Retrospective Studies

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Santos, J. V., Viana, J., Oliveira, A., Ramalho, A., Sousa-Teixeira, J., Duke, J., ... Freitas, A. (2019). Hospitalisations with burns in children younger than five years in Portugal, 2011–2015. Burns, 45(5), 1223-1230. https://doi.org/10.1016/j.burns.2019.01.003
Santos, João Vasco ; Viana, João ; Oliveira, Andreia ; Ramalho, André ; Sousa-Teixeira, Joana ; Duke, Janine ; Amarante, José ; Freitas, Alberto. / Hospitalisations with burns in children younger than five years in Portugal, 2011–2015. In: Burns. 2019 ; Vol. 45, No. 5. pp. 1223-1230.
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abstract = "Introduction: Paediatric population still represents a high burden of hospitalisations among burns inpatients. Children under five years old have a distinct aetiology distribution comparing to other age groups, representing in Portugal a fifth of all hospitalisations with burns. We aimed to describe the demographic and clinical burden of burns requiring hospitalization, as well as hospitalization charges, among this age group in Portugal. Methods: We performed a retrospective study including inpatients younger than five years-old and discharged between 2011 and 2015 in a public Portuguese hospital with a main or secondary diagnosis of burns (ICD-9-CM: 940.xx-949.xx). Clinical and demographics characteristics were assessed, as well as hospital reimbursement charges. Results: A total of 1217 hospitalisations with burns were found, with a hospitalization rate of 54.6 hospitalisations/100,000 inhabitants/year, higher among boys. Ninety percent of them were due to hot liquid or objects. There were three in-hospital deaths. There was a median length of stay of 9 days and a mean hospitalization reimbursed charge of 3073 Euros (4918 I$). Non-rural: rural hospitalization rate ratio was of 0.42:1. {\'E}vora and Bragan{\cc}a were the districts with higher hospitalization rate with 116 and 107, respectively. Discussion: This Portuguese nation-wide study on hospitalisations with burns highlights that 90{\%} of all burns were due to hot liquid or object and a major impact of patients younger than 2 years old in this age group. Urban vs rural difference in hospitalization rate should also be considered for further health inequalities’ studies. As conclusion, ongoing attention needs to be dedicated to paediatric burn prevention and safety cost-effective strategies, particularly in relation to scalds, to further reduce the incidence of burn hospitalisations in children and the associated hospital costs.",
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Santos, JV, Viana, J, Oliveira, A, Ramalho, A, Sousa-Teixeira, J, Duke, J, Amarante, J & Freitas, A 2019, 'Hospitalisations with burns in children younger than five years in Portugal, 2011–2015' Burns, vol. 45, no. 5, pp. 1223-1230. https://doi.org/10.1016/j.burns.2019.01.003

Hospitalisations with burns in children younger than five years in Portugal, 2011–2015. / Santos, João Vasco; Viana, João; Oliveira, Andreia; Ramalho, André; Sousa-Teixeira, Joana; Duke, Janine; Amarante, José; Freitas, Alberto.

In: Burns, Vol. 45, No. 5, 01.08.2019, p. 1223-1230.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Hospitalisations with burns in children younger than five years in Portugal, 2011–2015

AU - Santos, João Vasco

AU - Viana, João

AU - Oliveira, Andreia

AU - Ramalho, André

AU - Sousa-Teixeira, Joana

AU - Duke, Janine

AU - Amarante, José

AU - Freitas, Alberto

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Introduction: Paediatric population still represents a high burden of hospitalisations among burns inpatients. Children under five years old have a distinct aetiology distribution comparing to other age groups, representing in Portugal a fifth of all hospitalisations with burns. We aimed to describe the demographic and clinical burden of burns requiring hospitalization, as well as hospitalization charges, among this age group in Portugal. Methods: We performed a retrospective study including inpatients younger than five years-old and discharged between 2011 and 2015 in a public Portuguese hospital with a main or secondary diagnosis of burns (ICD-9-CM: 940.xx-949.xx). Clinical and demographics characteristics were assessed, as well as hospital reimbursement charges. Results: A total of 1217 hospitalisations with burns were found, with a hospitalization rate of 54.6 hospitalisations/100,000 inhabitants/year, higher among boys. Ninety percent of them were due to hot liquid or objects. There were three in-hospital deaths. There was a median length of stay of 9 days and a mean hospitalization reimbursed charge of 3073 Euros (4918 I$). Non-rural: rural hospitalization rate ratio was of 0.42:1. Évora and Bragança were the districts with higher hospitalization rate with 116 and 107, respectively. Discussion: This Portuguese nation-wide study on hospitalisations with burns highlights that 90% of all burns were due to hot liquid or object and a major impact of patients younger than 2 years old in this age group. Urban vs rural difference in hospitalization rate should also be considered for further health inequalities’ studies. As conclusion, ongoing attention needs to be dedicated to paediatric burn prevention and safety cost-effective strategies, particularly in relation to scalds, to further reduce the incidence of burn hospitalisations in children and the associated hospital costs.

AB - Introduction: Paediatric population still represents a high burden of hospitalisations among burns inpatients. Children under five years old have a distinct aetiology distribution comparing to other age groups, representing in Portugal a fifth of all hospitalisations with burns. We aimed to describe the demographic and clinical burden of burns requiring hospitalization, as well as hospitalization charges, among this age group in Portugal. Methods: We performed a retrospective study including inpatients younger than five years-old and discharged between 2011 and 2015 in a public Portuguese hospital with a main or secondary diagnosis of burns (ICD-9-CM: 940.xx-949.xx). Clinical and demographics characteristics were assessed, as well as hospital reimbursement charges. Results: A total of 1217 hospitalisations with burns were found, with a hospitalization rate of 54.6 hospitalisations/100,000 inhabitants/year, higher among boys. Ninety percent of them were due to hot liquid or objects. There were three in-hospital deaths. There was a median length of stay of 9 days and a mean hospitalization reimbursed charge of 3073 Euros (4918 I$). Non-rural: rural hospitalization rate ratio was of 0.42:1. Évora and Bragança were the districts with higher hospitalization rate with 116 and 107, respectively. Discussion: This Portuguese nation-wide study on hospitalisations with burns highlights that 90% of all burns were due to hot liquid or object and a major impact of patients younger than 2 years old in this age group. Urban vs rural difference in hospitalization rate should also be considered for further health inequalities’ studies. As conclusion, ongoing attention needs to be dedicated to paediatric burn prevention and safety cost-effective strategies, particularly in relation to scalds, to further reduce the incidence of burn hospitalisations in children and the associated hospital costs.

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Santos JV, Viana J, Oliveira A, Ramalho A, Sousa-Teixeira J, Duke J et al. Hospitalisations with burns in children younger than five years in Portugal, 2011–2015. Burns. 2019 Aug 1;45(5):1223-1230. https://doi.org/10.1016/j.burns.2019.01.003