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Age and Sex as Risk Factors for Burn Deaths Among Children

Am J Dis Child. 1993;147(2):132-133. doi:10.1001/archpedi.1993.02160260022012.
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Sir.—Male sex is a well-described risk factor for death and disability due to injuries.1,2 Focusing on the preponderance of the overall risk for boys may, however, mask risks that are associated with age and/or developmental stage for injuries in general, or particular injuries. For example, Harel's analysis3 of children's injuries reported in the 1981 National Health Interview Survey4 revealed that 10-year-old

girls reported more injuries than boys, leading him to suggest a maturational effect associated with the earlier onset of puberty in girls than in boys.

Analysis of children's deaths due to burns in Michigan further highlights the importance of careful age stratification in elucidating the factors associated with burns. Death certificates were reviewed for the years 1980 through 1988 and all fire deaths (E-codes 890-924) in residents through the age of 20 years were analyzed. Conflagrations in private dwellings (E890) accounted for 592 (95%) of 626 of


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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