Pediatric genital burns: A 15-year retrospective analysis of outcomes at a level 1 burn center

Zachary W A Klaassen, Pauline H. Go, E. Hani Mansour, Michael A. Marano, Sylvia J. Petrone, Abraham P. Houng, Ronald S. Chamberlain

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background/Purpose: Burns involving the genitalia and perineum are commonly seen in the context of extensive total body surface area (TBSA) burns and rarely as isolated injuries because of protection provided by the thighs and the abdomen. Genital burns usually result in extended hospital stays and are accompanied by severe morbidity and increased mortality. Methods: A retrospective analysis of consecutive pediatric (<18 years) patients with burns involving the genitalia admitted to the Saint Barnabas Medical Center Level 1 Burn Unit from January 1, 1995, to December 31, 2009, was performed. Results: One hundred sixty pediatric patients (8.3%) had a genital burn, including 105 patients younger than 5 years (65.6%) and 55 patients between 5 and 18 years (34.4%). Overall mean TBSA was 13.8% ± 16.8%, mean TBSA (genitalia) was 0.84% ± 0.25%, mean length of stay (LOS) was 11.9 ± 11.9 days, and mean burn intensive care unit LOS was 4.9 ± 9.7 days. Conclusions: In patients younger than 5 years, a TBSA burn more than 10% with extensive genitalia involvement is almost always the result of a scald injury. Younger patients (<5 years) are more often the victims of abuse, and prolonged LOS is the norm (>2 weeks). Patients 5 years or older are more often male and usually have a TBSA burn more than 15%.

Original languageEnglish (US)
Pages (from-to)1532-1538
Number of pages7
JournalJournal of Pediatric Surgery
Volume46
Issue number8
DOIs
StatePublished - Jan 1 2011

Fingerprint

Burn Units
Burns
Body Surface Area
Pediatrics
Perineum
Genitalia
Thigh
Abdomen
Length of Stay
Morbidity
Mortality
Wounds and Injuries

Keywords

  • Burn
  • Genital burn
  • Outcomes
  • Pediatric

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Klaassen, Z. W. A., Go, P. H., Mansour, E. H., Marano, M. A., Petrone, S. J., Houng, A. P., & Chamberlain, R. S. (2011). Pediatric genital burns: A 15-year retrospective analysis of outcomes at a level 1 burn center. Journal of Pediatric Surgery, 46(8), 1532-1538. https://doi.org/10.1016/j.jpedsurg.2011.02.050

Pediatric genital burns : A 15-year retrospective analysis of outcomes at a level 1 burn center. / Klaassen, Zachary W A; Go, Pauline H.; Mansour, E. Hani; Marano, Michael A.; Petrone, Sylvia J.; Houng, Abraham P.; Chamberlain, Ronald S.

In: Journal of Pediatric Surgery, Vol. 46, No. 8, 01.01.2011, p. 1532-1538.

Research output: Contribution to journalArticle

Klaassen, Zachary W A ; Go, Pauline H. ; Mansour, E. Hani ; Marano, Michael A. ; Petrone, Sylvia J. ; Houng, Abraham P. ; Chamberlain, Ronald S. / Pediatric genital burns : A 15-year retrospective analysis of outcomes at a level 1 burn center. In: Journal of Pediatric Surgery. 2011 ; Vol. 46, No. 8. pp. 1532-1538.
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