{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T13:19:56Z","timestamp":1777987196805,"version":"3.51.4"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Burns are a leading cause of childhood injury. Analysis of pediatric burn epidemiology is essential for targeting educational and public health strategies, but there is limited available UK data, particularly traversing the COVID-19 pandemic. We hypothesize that the last 20\u00a0years have seen significant changes in injury patterns and service provision, with a marked effect from national lockdown measures. This study aims to describe the epidemiology of pediatric burns referrals and admissions within a pediatric burns unit in the United Kingdom over 20\u00a0years (2005-2024). A retrospective analysis was performed for pediatric patients referred to our center between 2005 and 2024. The International Burn Injury Database (iBID) was used to extract demographic and injury information. Data before, during, and after COVID-19 lockdown periods were compared. A total of 6919 patients met the inclusion criteria. In total, 1872 (27.1%) of the patients required admission. There was a significant reduction in admission rate following COVID despite an increase in average TBSA (P &amp;lt; .01). Most cases were scalds (n\u2009=\u20093100, 44.8%) or contact burns (n\u2009=\u20092650, 38.3%). The majority of patients were aged under 5\u00a0years (n\u2009=\u20094529, 65.5%), with a rise in referrals for older children across the study period. There was a noticeable rise in aerosol-related flash burns, cold burns, and treadmill-related friction burns during and after the pandemic. This study provides epidemiological data for the development of public health initiatives and adaptation of pediatric burns services. Emerging mechanistic trends and service re-design following the COVID pandemic require further multicenter evaluation to inform future care.<\/jats:p>","DOI":"10.1093\/jbcr\/irag009","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T13:00:43Z","timestamp":1769086843000},"page":"850-855","source":"Crossref","is-referenced-by-count":0,"title":["The Changing Landscape of Pediatric Burns in the United Kingdom: A 20-Year Epidemiological Study"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3476-5215","authenticated-orcid":false,"given":"Lucy M S","family":"Hoade","sequence":"first","affiliation":[{"name":"Welsh Centre for Burns & Plastic Surgery, Morriston Hospital , Swansea, SA6 6NL ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas H","family":"Jovic","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns & Plastic Surgery, Morriston Hospital , Swansea, SA6 6NL ,","place":["United Kingdom"]},{"name":"Reconstructive Surgery and Regenerative Medicine Research Group, Swansea University , Swansea, SA6 6NL ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elliott N","family":"Rees","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Morriston Hospital , Swansea, SA6 6NL ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zita M","family":"Jessop","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns & Plastic Surgery, Morriston Hospital , Swansea, SA6 6NL ,","place":["United Kingdom"]},{"name":"Cardiff University , Cardiff, CF10 3AT ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J","family":"Drew","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns & Plastic Surgery, Morriston Hospital , Swansea, SA6 6NL ,","place":["United 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