The Causes, Characteristics and Outcomes of Paediatric Farm Burns in Australia and New Zealand.

Objective: Burn injuries on farms are under‐recognised in Australia and New Zealand. Previous studies suggested children are at risk of burn injury, focusing on risk factors including unmodified farm work, risk‐taking behaviours, lack of supervision, and limited safety regulations. This study invest...

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Publicado en:Australian Journal of Rural Health Vol. 33; no. 1; pp. 1 - 9
Autores principales: Chua, Marcel, Teague, Warwick J., Tracy, Lincoln M.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2025
      vid: 33
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: The Causes, Characteristics and Outcomes of Paediatric Farm Burns in Australia and New Zealand.
      aug:
        au:
          Chua, Marcel
          Teague, Warwick J.
          Tracy, Lincoln M.
        affil: School of Public Health and Preventive Medicine, Monash University, Melbourne Victoria,, Australia
      sug:
        subj:
          Burns Etiology
          Burns Symptoms
          Burns Therapy
          Agriculture
          Occupational-Related Injuries
          Treatment Outcomes
          Human
          Male
          Female
          Child, Preschool
          Child
          Adolescence
          Australia
          New Zealand
          Retrospective Design
          Prospective Studies
          Nonexperimental Studies
          Registries, Trauma
          Severity of Illness
          Descriptive Statistics
          Age Factors
          Fires
          Friction
          First Aid
          Skin Transplantation
          Funding Source
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Objective: Burn injuries on farms are under‐recognised in Australia and New Zealand. Previous studies suggested children are at risk of burn injury, focusing on risk factors including unmodified farm work, risk‐taking behaviours, lack of supervision, and limited safety regulations. This study investigated the causes, characteristics, and outcomes of paediatric farm burns. Methods: Registry‐based retrospective cohort study. Design: Observational. Setting: Burns Registry of Australia and New Zealand (BRANZ). Participants: Paediatrics aged < 16 years and registered to the BRANZ between 2009 and 2021. Main Outcome Measures: The demographics, causes of burn injuries, pre‐ and in‐hospital management, severity, and outcomes. Results: Out of 10 936 paediatric burns, 186 were farm‐related (1.7%). Children sustaining farm‐related burns were older than those in non‐farm environments, with 78.8% aged ≥ 5 years. Most farm burns occurred during leisure (72.5%). Predominant causes were found to be contact (62.4%), followed by flame (19.9%) and friction (10.8%). Only 56.9% received gold‐standard first aid compared to 74.0% in non‐farm environments. Farm‐related burns were smaller but a greater proportion were full‐thickness injuries, requiring surgical management with skin grafts. The majority of farm‐related burns were discharged home (97.3%) with zero deaths. Conclusion: Farm‐related burns in children are distinct from burns in non‐farm environments. Despite children being well‐recognised participants in farm work, work‐related burns were relatively uncommon, and the occurrence of burns during leisure may explain low rates of recommended first aid. These insights can inform burn prevention and first aid strategies targeted at farm communities.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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