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Pediatric genital burns: a 15-year retrospective analysis of outcomes at a level 1 burn center.

Abstract：

BACKGROUND/PURPOSE:Burns involving the genitalia and perineum are commonly seen in the context of extensive total body surface area (TBSA) burns and rarely as isolated injuries because of protection provided by the thighs and the abdomen. Genital burns usually result in extended hospital stays and are accompanied by severe morbidity and increased mortality. METHODS:A retrospective analysis of consecutive pediatric (<18 years) patients with burns involving the genitalia admitted to the Saint Barnabas Medical Center Level 1 Burn Unit from January 1, 1995, to December 31, 2009, was performed. RESULTS:One hundred sixty pediatric patients (8.3%) had a genital burn, including 105 patients younger than 5 years (65.6%) and 55 patients between 5 and 18 years (34.4%). Overall mean TBSA was 13.8% ± 16.8%, mean TBSA (genitalia) was 0.84% ± 0.25%, mean length of stay (LOS) was 11.9 ± 11.9 days, and mean burn intensive care unit LOS was 4.9 ± 9.7 days. CONCLUSIONS:In patients younger than 5 years, a TBSA burn more than 10% with extensive genitalia involvement is almost always the result of a scald injury. Younger patients (<5 years) are more often the victims of abuse, and prolonged LOS is the norm (>2 weeks). Patients 5 years or older are more often male and usually have a TBSA burn more than 15%.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Klaassen Z,Go PH,Mansour EH,Marano MA,Petrone SJ,Houng AP,Chamberlain RS

doi

10.1016/j.jpedsurg.2011.02.050

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

1532-8

issue

8

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(11)00164-3

journal_volume

46

pub_type

杂志文章

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