Aim of the study: To estimate and evaluate the influence of sociodemographic and environmental factors on children burnings in Kaunas region in 2000–2003. Methods: The research is carried out during 2000–2003. The data is taken from Kaunas territorial patient center. During the research the rate of children burning according sex, age and living place is analyzed. The distribution of burnings depending to the city and country as well as the patient age is surveyed, too. MS Excel and SPSS programs are used for the data analysis. Results: During 2000–2003, there were 2233 children(1365 boys and 868 girls) with various burnings in Kaunas region. In 2000 in Kaunas region 367,5 boys and 225 girls suffered from burnings; in 2001 there were 408,5 boys and 322,9 girls with burnings for 100 000 region dwellers. In 2002 there were 360,6 boys and 229,8 girls with burnings, but in 2003 the number increased up to 494,2 boys and 308,1 girls with burnings. The total number of injured boys is 1365(61%) and the total number of injured girls is 868(39%). The largest number of burnt children is stated in the group of 0-6 years(1249–56%). In the group of 7-9 years the number of burnt children is 246(11%). 432(19%) children of 10–14 years old and 306(14%) children of 15–17 years old suffered from burnings. 323(23,7%) boys and 211(24,3%) girls suffered from arm and shoulder burnings. 195(22,5%) girls suffered from leg burnings. The number is 5,6% higher than the number of analogous burnings in boys... [to full text]

ABBREVIATIONS MPJ – Metacarpophalangeal joints PIPJ – Proximal interphalangeal joints DIPJ – Distal interphalangeal joints OIJ – Own interphalangeal joints (PIPJ + DIPJ) DPTB – Deep partial thickness burns ST– Sparing tactics AST – Active surgical tactics KMUH–Kaunas Medical University Hospital MRSA - Meticylin resistant Staphylococcus aureus MSSA - Meticylin sensitive Staphylococcus aureus ADP – Autodermoplastics TBSA – Total burn surface area BAH– Burnt area of hand IHF – Impairment of hand’ function AASH – The Association of American Surgeons of Hand 1. INTRODUCTION Hand actively participate in daily activities of a human, therefore hand are the mostly vulnerable part of human’s body. According to the data of various authors, the injuries of hand and fingers make even 30-75% of all industrial traumas (Antonopulos et al. 1992, Burm et al. 1999), and burns of hand make about 6% of all traumas of hand (Mam et al. 1998). According to the data of the Lithuanian Information Center of Health, the number of injuries of shoulder bend and hand in these latter years is increasing constantly (Picture 1). Moreover, every year more than 6000 people sustain burns and about 2000 of them are treated at hospitals. About 500 people, who sustained burns, are treated every year at the specialized hospitals. Burns of one or both hand are diagnosed to about half of hospitalized patients, and deep partial thickness burns of hand are diagnosed to 15-20% of them. a b... [to full text]