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Epidemiology and screening of non-accidental burns in children in a Dutch burn centre

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Abstract

Objectives International estimates of the incidence of non-accidental burns (NAB) in children admitted to burn centres vary from 1% to 25%. Hardly any data about Dutch figures exist. The aim of this study was to evaluate the incidence, treatment and outcome of burns due to suspected child maltreatment in paediatric burns. We described the process of care and outcome, including the accuracy of the SPUTOVAMO screening tool and examined child, burn and treatment characteristics related to suspicions of child abuse or neglect. Methods A retrospective study was conducted in children aged 0-17 years with a primary admission after burn injuries to the burn centre Rotterdam in the period 2009-2013. Data on patient, injury and treatment characteristics were collected, using the Dutch Burn Repository R3. In addition, medical records were reviewed. Results In 498 paediatric admissions, suspected child abuse or neglect was present in 43 children (9%). 442 screening questionnaires (89%) were completed. In 52 out of 442 questionnaires (12%) the completed SPUTOVAMO had one or more positive signs. Significant independent predictors for suspected child maltreatment were burns in the genital area or buttocks (OR=3.29;CI:143-7.55) and a low socio-economic status (OR=2.52;95%CI:1.30-4.90). Conclusions The incidence of suspected child maltreatment requiring the set-up of additional support in our population is comparable to studies with a similar design in other countries.

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© Copyright 2020 Morressier GmbH.
All rights reserved.