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Observational Study
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
World J Clin Pediatr. Mar 9, 2026; 15(1): 114064
Published online Mar 9, 2026. doi: 10.5409/wjcp.v15.i1.114064
Pediatric burns: Key insights from cohort of 325 patients
Atul Parashar, Somesh Thakur, Renu Sharda
Atul Parashar, Somesh Thakur, Renu Sharda, Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Co-first authors: Atul Parashar and Somesh Thakur.
Author contributions: Parashar A contributed to conceptualization and planning of study; Parashar A and Thaku S contributed to manuscript writing, and they contributed equally to this manuscript and are co-first authors; Parashar A, Thaku S, and Sharda R contributed to manuscript editing; Thaku S contributed to data collection and evaluation; Sharda R contributed to manuscript editing organization. All authors have approval the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Post Graduate Institute of Medical Education and Research Chandigarh (Approval No. INT/IEC/2023/SPL-813).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author. Participants gave informed consent for data sharing.
Corresponding author: Atul Parashar, MBBS, MS, MCh, Professor, Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India. atulparashar@hotmail.com
Received: September 11, 2025
Revised: October 29, 2025
Accepted: January 6, 2026
Published online: March 9, 2026
Processing time: 177 Days and 0.8 Hours
Abstract
BACKGROUND

Burns are a common cause of morbidity and mortality in children, especially in developing countries like India. Unless fatal, burns can lead to lifelong disability, affecting social and psychological well-being of the child. It further exacerbates the financial strain on parents and adversely impacts the mental well-being of siblings.

AIM

To understand the epidemiological profile as well as the psychosocial and economic impact of burns on patients and their families which may help us to devise strategies to manage and prevent these largely avoidable injuries.

METHODS

An observational study was conducted at tertiary care teaching hospital over a period of 20 months in which pediatric burn patients of age less than 15 years of age were evaluated. Demographic profile, circumstances of injury, type of burns (scalds, flame burns, electric burns), adult supervision at the time injury, time lapse and condition of patient at initial reporting, severity of burns, length of hospital stay and stay in intensive care unit, surgical procedures performed, outcome, deaths, adverse behavioral changes, financial impact on parents and impact on siblings were studied.

RESULTS

Majority of pediatric burns enrolled in the study were below 5 years of age (63.4%). Male (59.7%) to female (40.3%) ratio was 1.5:1. Scalds were the most common cause in all ages (55.07%). Flame burns (28.6%) and electric burns (16.3%) were more common in older children between age group 5-15 years. Patients who presented early with total body surface area burnt less than 50% had better outcomes. Mean loss of number of working days of parents in our study was 27.77 ± 13.07 days. Most common behavioral alteration reported in patients was irritability and anger (5.18%). Mean number of losses of school days for siblings was 20.59 ± 14.72 days. Multiple behavioral changes were observed in the siblings.

CONCLUSION

Majority of pediatric burns are caused by preventable factors. Public awareness regarding risk factors and preventive strategies can go a long way in reducing both pediatric disability as well as financial impact on the family.

Keywords: Burns; Epidemiological; Behavioral; Pediatric; Socioeconomic

Core Tip: Pediatric burns remain a significant cause of morbidity in developing countries, with children under five most affected. This prospective study highlights the predominantly preventable nature of such injuries, with scalds being the most common cause. Beyond physical trauma, burns impose a profound psychosocial and economic burden on families - ranging from emotional distress and behavioral changes in both patients and siblings, to substantial loss of workdays for parents. Early intervention and standardized management improve outcomes. Public awareness, education on prevention, and improved burn care infrastructure are essential to reduce incidence, disability, and long-term financial impact on affected families and the healthcare system.