Pediatric burns in Israeli natives versus asylum seekers living in Israel: Lessons learned

Burns. 2018 Aug;44(5):1322-1329. doi: 10.1016/j.burns.2018.02.027. Epub 2018 Mar 28.

Abstract

Background: Burn injuries are one of the leading causes of morbidity and mortality in the pediatric population. In early childhood, burns have a wide range of adverse long-term consequences ranging from functional impairment to psychological implications. Children from low-income and middle-income countries are at a higher risk of suffering from burn injuries. In the last 10 years the population of asylum seekers from low-income countries in Israel has increased dramatically. About 25,000 or 60% of asylum seekers are living in the Tel Aviv area, making up roughly 6% of the city's total population (about 405,000).

Aim: A retrospective study aimed to profile the pediatric burn injuries treated at the Tel Aviv Sourasky Medical Center over the last 9 years in an effort to examine the distinct characteristics of African asylum seekers who suffer burn injuries in comparison with Israeli nationals.

Patients & methods: Medical records of 876 patients under the age of 18 years presenting between 2007-2015 were retrospectively reviewed. The parameters collected included gender, causality, total body surface area (TBSA), burn depth and patient outcome.

Conclusions: There was no significant difference regarding: age; male-female ratio; scald-types burns; limb involvement. However, hospitalization and length of hospital stay were significantly higher among asylum seekers, as was family burden. Questions may be raised regarding prevention, education & social support. Our research provides a small glimpse into the world of asylum seekers in Israel. We hope it will serve as a window into the much grander problems that this population faces on a daily basis.

Keywords: Asylum seekers gender; Burn injuries; Casualty; Depth of burn and patient outcome; Hospitality stay & rate; Israeli native; Pediatric population; Total body surface area (TBSA).

MeSH terms

  • Adolescent
  • Africa / ethnology
  • Body Surface Area
  • Burns / epidemiology*
  • Child
  • Child, Preschool
  • Emergency Service, Hospital
  • Female
  • Hospitalization / statistics & numerical data
  • Humans
  • Infant
  • Infant, Newborn
  • Israel / epidemiology
  • Length of Stay / statistics & numerical data
  • Male
  • Refugees / statistics & numerical data*
  • Risk
  • Trauma Severity Indices