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

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-02-05 DOI:10.1111/ajr.70003

Marcel Chua, Warwick J. Teague, Lincoln M. Tracy

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引用次数: 0

Abstract

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.

Abstract Image

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澳大利亚和新西兰儿童农场烧伤的原因、特征和结果。

目的：在澳大利亚和新西兰，农场烧伤未得到充分认识。先前的研究表明，儿童有烧伤的风险，重点关注的风险因素包括未经修改的农活、冒险行为、缺乏监督和有限的安全法规。本研究调查了儿童农场烧伤的原因、特点和结果。方法：基于注册表的回顾性队列研究。设计:观察。单位：澳大利亚和新西兰伯恩斯登记处（BRANZ）。主要结局指标：人口统计学、烧伤原因、院前和院内管理、严重程度和结局。结果：在10936例小儿烧伤中，186例与农场有关（1.7%）。农场相关烧伤的儿童比非农场环境的儿童年龄大，78.8%的儿童年龄≥5岁。大多数农场烧伤发生在休闲时间（72.5%）。主要原因是接触（62.4%），其次是火焰（19.9%）和摩擦（10.8%）。只有56.9%的人接受了金标准急救，而非农业环境中的这一比例为74.0%。农场相关烧伤较小，但更大比例是全层损伤，需要植皮手术治疗。大多数与农场有关的烧伤（97.3%）出院回家，零死亡。结论：儿童农场烧伤不同于非农场环境烧伤。尽管儿童是公认的农场劳动参与者，但与工作有关的烧伤相对不常见，休闲期间烧伤的发生可能解释了推荐的急救率较低的原因。这些见解可以为针对农场社区的烧伤预防和急救策略提供信息。

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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.