PubMed · 8726251
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B A Pruitt. 1996. Validation and verification.. https://doi.org/10.1016/s0305-4179(96)90015-7
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Severe cutaneous disease and injury often is best treated in the specialized treatment environment of a burn center. Skilled burn treatment personnel combine critical care expertise with extensive clinical experience in the management of severe cutaneous injury and disease. In addition to thermal injury, the burn center is the ideal environment for patients with progressive toxic epidermal necrolysis, pemphigoid lesions, and invasive cutaneous infection. Recent research indicates that the burn wound is a dynamic structure whose ultimate extent is modifiable by manipulations of the local anatomic and molecular environment. The many unanswered questions on the pathogenesis and treatment of both the "medical" and "surgical" cutaneous processes require close collaboration between the dermatologist and the burn team.
The financial burden imposed on society by abusing children through burn injury is unknown. This study retrospectively evaluates the economic impact and demographics of such abuse on patients and their families treated at Children's Hospital Medical Center of Akron (CHMCA) from four counties over a 5 year period. The inclusive group consisted of all children evaluated during the stated period referred to Social Services for possible child abuse. There were 104 children (55 females and 49 males, 46% black and 56% white) with a mean age of 3.76 years. 71% of the patients came from single parent homes (all single mothers). There were a total of 58 admissions with a mean length of stay of 10.53 days. Total cost for all patients was approximately 1.2 million dollars for health care, of which 65% was government funded. In addition to hospital costs, the perpetrators incurred court costs and jail costs, all of which were the financial responsibility of Summit County. Child abuse through burns imposes a potentially preventable financial burden. This study does not take into account the socioeconomic and psychological impact on the abused victims through life, which is incalculable. By increasing awareness about the demographics and financial burden of child abuse, this paper may serve as a focus for further study and prevention of such abuse.