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Evaluation, Treatment, and Outcomes of 295 Consecutive Pediatric Hand Burns
Michelle Lee MD, Matthew Brown MD, Tammy Coffee CRNP, and Charles Yowler MD
Metrohealth Medical Center, Case Western Reserve University
2014-03-11
Presenter: Michelle Lee
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting.
Director Name: Hooman Soltanian
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: General Reconstruction
Objective: To better characterize pediatric hand burns.
Methods: A retrospective chart review of a major burn center from 2008 to 2010 were reviewed. Pediatric patients with hand burns were identified based on ICD-9 diagnosis.
Results: A total of 295 patients were identified with hand burns. 60% of patients were male and 58% of patients were less than the age of 3. Contact was the cause of 52% of injuries with 34% being related to scalds. Isolated hand burns occurred in 79% of patients with 21% having burns to other anatomical areas. The mean TBSA was 0.99%. There were 14 patients admitted to the burn unit and 281 patients discharged for outpatient management from the burn clinic. 176 patients were followed to greater than 90% epithelization with mean time of 14.6 days.. Excision and grafting was used to treat 4 patients. All other patients were treated with local wound care. Operative contracture release was necessary in 2 patients. There were 3 patients who were treated as outpatients that had subsequent admissions. 2 patients had subsequent infections requiring antibiotic treatment.
Conclusions: The majority of pediatric hand burns are related to contact and scald etiologies. Almost 20% of pediatric patients with hand burns have associated burns. Most hand burns have small TBSA and can be effectively managed with outpatient management and local wound care. Pediatric hand burns have very low rates of infection and significant scaring.
