title: Epidemiology and outcomes of pediatric burns over 35 years at Parkland Hospital.
abstract: BACKGROUND
  Since opening its doors in 1962, the Parkland Burn Center has played an important role in improving the care of burned children through basic and clinical research while also sponsoring community prevention programs. The aim of our study was to retrospectively analyze the characteristics and outcomes of pediatric burns at a single institution over 35 years.
  
  
  METHODS
  The institutional burn database, which contains data from January 1974 until August 2010, was retrospectively reviewed. Patients older than 18 years of age were excluded. Patient age, cause of burn, total body surface area (TBSA), depth of burn, and patient outcomes were collected. Demographics were compared with regional census data.
  
  
  RESULTS
  Over 35 years, 5748 pediatric patients were admitted with a thermal injury. Males comprised roughly two-thirds (66.2%) of admissions. Although the annual admission rate has risen, the incidence of pediatric burn admissions, particularly among Hispanic and African American children has declined. The most common causes of admission were scald (42%), flame (29%), and contact burns (10%). Both the median length of hospitalization and burn size have decreased over time (r(2)=0.75 and 0.62, respectively). Mortality was significantly correlated with inhalation injury, size of burn, and history of abuse. It was negatively correlated with year of admission.
  
  
  CONCLUSIONS
  Over 35 years in North Texas, the median burn size and incidence of pediatric burn admissions has decreased. Concomitantly, length of stay and mortality have also decreased.
authors.affiliation: University of Texas Southwestern Medical Center, Department of Surgery, 5323 Harry Hines Boulevard, Dallas, TX, USA. Electronic address: Melody.Saeman@phhs.org.
authors.forename: Melody R
authors.initials: MR
authors.lastname: Saeman
authors.affiliation: University of Texas Southwestern Medical Center, Department of Surgery, 5323 Harry Hines Boulevard, Dallas, TX, USA.
authors.forename: Erica I
authors.initials: EI
authors.lastname: Hodgman
authors.affiliation: University of Texas Southwestern Medical Center, Department of Surgery, 5323 Harry Hines Boulevard, Dallas, TX, USA.
authors.forename: Agnes
authors.initials: A
authors.lastname: Burris
authors.affiliation: University of Texas Southwestern Medical Center, Department of Surgery, 5323 Harry Hines Boulevard, Dallas, TX, USA.
authors.forename: Steven E
authors.initials: SE
authors.lastname: Wolf
authors.affiliation: University of Texas Southwestern Medical Center, Department of Surgery, 5323 Harry Hines Boulevard, Dallas, TX, USA.
authors.forename: Brett D
authors.initials: BD
authors.lastname: Arnoldo
authors.affiliation: University of Texas Southwestern Medical Center, Department of Surgery, 5323 Harry Hines Boulevard, Dallas, TX, USA.
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Kowalske
authors.affiliation: University of Texas Southwestern Medical Center, Department of Surgery, 5323 Harry Hines Boulevard, Dallas, TX, USA.
authors.forename: Herb A
authors.initials: HA
authors.lastname: Phelan
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000706:statistics & numerical data; D017677:Age Distribution; D001830:Body Surface Area; D002053:Burn Units; D002056:Burns / Q000453:epidemiology* / Q000401:mortality; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data*; D002675:Child, Preschool; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay; D008297:Male; D012189:Retrospective Studies; D017678:Sex Distribution; D013781:Texas / Q000453:epidemiology; D015599:Trauma Severity Indices
keywords: Burn; Epidemiology; Length of stay; Mortality; Pediatric; Total body surface area burn