Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
Fireplace-related injuries in children with special emphasis on neurotrauma: a retrospective study from a paediatric tertiary care centre in the UK.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Kumar Yashvinder, Mathew Manish Joseph, Bhatt Kush, Makwana Milan, Parks Chris, Ellenbogen Jonathan, Vakharia Vejay, Sinha Ajay Kumar
Аннотация
PURPOSE: Paediatric fireplace-associated trauma is an infrequent but potentially life-threatening accident. Though, fireplace is a part of most households in regions with long winters, fireplace-associated trauma is not studied extensively. This study examines the demography and clinical characteristics of children sustaining fireplace injuries, with special attention to neurosurgical injuries.
METHODS: This is a single-centre retrospective observational study carried out at a tertiary care paediatric centre, encompassing all paediatric admissions with fireplace-related accidents between January 2020 and December 2025. Patient demographics, mechanism, type and severity of injury, treatment modality, complications, hospital stay and outcome were systematically recorded and descriptively analysed.
RESULTS: Two hundred four paediatric patients were admitted with head injury during the study period, 15 (7.4%) of whom were following fireplace accidents. Boys comprised the majority (66.7%) of the cohort, with a mean age of 3 years. Structural collapse of the fireplace onto the child was the predominant mechanism (73%). Multisystem involvement was documented in 10 (66.7%) patients, with cranial injury being predominant (47%). Three patients sustained severe head injury. Surgical management was required in 10 patients, requiring a total of 21 surgeries. The median hospital stay was 2 days with mean intensive care unit (ICU) occupancy of 2.8 days. There were 2 mortalities (13.3%) with 2 patients (13.3%) requiring prolonged rehabilitation.
CONCLUSION: Although fireplace injuries constitute a small proportion of paediatric trauma admissions, they cause considerable morbidity and mortality due to multisystem involvement. Mandatory anchorage of freestanding fireplace structures and investment in caregiver-targeted safety education can reduce the incidence of these preventable accidents.
METHODS: This is a single-centre retrospective observational study carried out at a tertiary care paediatric centre, encompassing all paediatric admissions with fireplace-related accidents between January 2020 and December 2025. Patient demographics, mechanism, type and severity of injury, treatment modality, complications, hospital stay and outcome were systematically recorded and descriptively analysed.
RESULTS: Two hundred four paediatric patients were admitted with head injury during the study period, 15 (7.4%) of whom were following fireplace accidents. Boys comprised the majority (66.7%) of the cohort, with a mean age of 3 years. Structural collapse of the fireplace onto the child was the predominant mechanism (73%). Multisystem involvement was documented in 10 (66.7%) patients, with cranial injury being predominant (47%). Three patients sustained severe head injury. Surgical management was required in 10 patients, requiring a total of 21 surgeries. The median hospital stay was 2 days with mean intensive care unit (ICU) occupancy of 2.8 days. There were 2 mortalities (13.3%) with 2 patients (13.3%) requiring prolonged rehabilitation.
CONCLUSION: Although fireplace injuries constitute a small proportion of paediatric trauma admissions, they cause considerable morbidity and mortality due to multisystem involvement. Mandatory anchorage of freestanding fireplace structures and investment in caregiver-targeted safety education can reduce the incidence of these preventable accidents.