Starchy liquid burns do not have worse outcomes in children relative to hot beverage scalds

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Lavigne, Jordan M
Patel, Bhaveshkumar
Stockton, Kellie
McBride, Craig A
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2016
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Abstract

Aim: To characterise children presenting with hot beverage scalds versus scalds caused by starchy water. Methods: Retrospective survey of prospectively collected database of all children presenting over a two-year period. Results: There were 138 starch scalds and 262 hot beverage injuries. Children with hot beverage injuries were significantly younger (18.2 months; IQR 14.1, 27.8) than those suffering starch scald injuries (51.4 months; 18.7, 102.3; p < 0.001). Perineal burns were more common in the starch group than the hot beverage scald group (10.9% vs. 2.4%, p < 0.001). Chest/breast and abdominal burns were more common in the hot beverage group than the starch group (60.7% vs. 36.9%, p < 0.001). Children under three years of age in both groups are significantly less likely to receive adequate first aid at the scene (p < 0.001). There are no differences in the need for skin grafting or scar management when comparing hot beverage scalds and scalds caused by starchy liquids. Conclusions: Scald injuries caused by starchy liquids do not appear to cause a more severe injury than hot beverage scalds. There is a different pattern of injury from starchy liquids in older children. Children under three years old are less likely to receive appropriate first aid at the scene.

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Burns

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42

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8

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Clinical sciences

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Life Sciences & Biomedicine

Critical Care Medicine

Dermatology

Surgery

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Lavigne, JM; Patel, B; Stockton, K; McBride, CA, Starchy liquid burns do not have worse outcomes in children relative to hot beverage scalds, Burns, 2016, 42 (8), pp. 1751-1755

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