NDLI: Is there an increased risk of burns to Amish children?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rieman, Mary T. Hunley, Melissa Woeste, Lori Kagan, Richard J.
Spatial Coverage	United States Ohio
Description	Country affiliation: United States Author Affiliation: Rieman MT ( Clinical Research Department, Shriners Hospitals for Children, Cincinnati, Ohio 45229, USA.)
Abstract	The purpose of this study was to examine the incidence, causes, and demographics of burn injuries in Amish children, treated at a pediatric burn center located in close proximity to the Midwestern Amish country. After Institutional Review Board approval, we used our TRACS Burn Registry to identify burn injuries in Amish and non-Amish children. We then compared the groups formed by gender and culture. We identified 37 Amish children (1.25%) among the 2972 acute burn patients admitted over the 12-year period of review. Importantly, Amish girls sustained significantly more extensive and deeper burns than Amish boys or non-Amish children of either gender (P < .05). Ventilator days were also greater for Amish girls than for the non-Amish groups (P < .05). A greater length of hospital stay for the Amish girls was likely because of their significantly larger burn size. There were also overall significant differences in burn causes among Amish and non-Amish children (P = .002). Amish patients had a higher incidence of burns, by hot liquids not related to cooking, ignition of clothing, or ignition of flammable materials, than non-Amish children. Of note, Amish girls had a relatively shorter delay in admission to our burn center than did Amish boys and non-Amish children. Burn injuries to Amish children requiring inpatient treatment seem to be quite uncommon. When they do occur, burns in Amish children tend to be more extensive than similar injuries in non-Amish children. The data suggest that there may be significant and specific educational opportunities for burn prevention in Amish children in our burn center's referral area.
File Format	HTM / HTML
ISSN	1559047X
Issue Number	5
Volume Number	29
e-ISSN	15590488
Journal	Journal of Burn Care & Research
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2008-09-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Traumatology Burns Epidemiology Cultural Characteristics Protestantism Burn Units Etiology Child Female Humans Inpatients Length Of Stay Male Ohio Registries Retrospective Studies Risk Assessment Risk Factors United States Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine Rehabilitation Surgery

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