农村地区烧伤发生率的下降
Decreasing incidence of burn injury in a rural state.
作者信息
Clark D E, Dainiak C N, Reeder S
机构信息
Department of Surgery, Maine Medical Center, Portland 04102, USA.
出版信息
Inj Prev. 2000 Dec;6(4):259-62. doi: 10.1136/ip.6.4.259-a.
OBJECTIVES
To determine changes in the incidence of burn injury since the regionalization of burn care and intensification of fire prevention initiatives that occurred in Maine during the 1970s.
METHODS
Death certificate data from Maine and the United States for deaths due to fire or burns were obtained for 1960-98. Hospitalization and burn registry data were obtained for Maine from 1973-98. Frequencies and incidence rates were compared over time and, where possible, between Maine and the United States.
RESULTS
During 1960-79, annual burn mortality in Maine averaged 5.1/100,000, with random variation. After this, the rate declined steadily to an average annual level of 1.4/100,000 during 1993-96. For the entire United States, average annual mortality declined from 4.2/100,000 during 1961-64 to 1.5/100,000 during 1993-96. Reduction in mortality has been principally due to prevention of dwelling fires. Hospitalization for burns in Maine was 34.8/100,000 during 1973-76 and declined to 10.6/100,000 during 1995-98.
CONCLUSIONS
Burn prevention measures have dramatically reduced the incidence of death and hospitalization resulting from burns in Maine.
目的
确定自20世纪70年代缅因州烧伤护理区域化和加强防火措施以来烧伤发生率的变化。
方法
获取了1960 - 1998年缅因州和美国因火灾或烧伤导致死亡的死亡证明数据。获取了1973 - 1998年缅因州的住院和烧伤登记数据。对频率和发病率随时间进行了比较，并在可能的情况下，在缅因州和美国之间进行了比较。
结果
在1960 - 1979年期间，缅因州的年度烧伤死亡率平均为5.1/100,000，存在随机波动。在此之后，该比率稳步下降，在1993 - 1996年期间降至平均每年1.4/100,000的水平。对于整个美国，年度平均死亡率从1961 - 1964年期间的4.2/100,000降至1993 - 1996年期间的1.5/100,000。死亡率的降低主要归因于住宅火灾的预防。缅因州1973 - 1976年期间烧伤住院率为34.8/100,000，在1995 - 1998年期间降至10.6/100,000。
结论
预防烧伤措施显著降低了缅因州因烧伤导致的死亡和住院发生率。
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