title: Pediatric genital burns: a 15-year retrospective analysis of outcomes at a level 1 burn center.
abstract: OBJECTIVE
  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%.
authors.affiliation: Department of Surgery, Saint Barnabas Medical Center, Livingston, NJ 07039, USA.
authors.forename: Zachary
authors.initials: Z
authors.lastname: Klaassen
authors.forename: Pauline H
authors.initials: PH
authors.lastname: Go
authors.forename: E Hani
authors.initials: EH
authors.lastname: Mansour
authors.forename: Michael A
authors.initials: MA
authors.lastname: Marano
authors.forename: Sylvia J
authors.initials: SJ
authors.lastname: Petrone
authors.forename: Abraham P
authors.initials: AP
authors.lastname: Houng
authors.forename: Ronald S
authors.initials: RS
authors.lastname: Chamberlain
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D002056:Burns / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D005260:Female; D005835:Genitalia / Q000293:injuries*; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009515:New Jersey / Q000453:epidemiology; D010502:Perineum / Q000293:injuries; D012189:Retrospective Studies; D017678:Sex Distribution; D016896:Treatment Outcome