Wibbenmeyer Lucy Ann, Amelon Margery Josephine, Torner James Corydon, Kealey Gerald Patrick, de Mola Rebecca Marie Loret, Lundell John, Lynch Charles F, Aspelund Thor, Zwerling Craig
College of Medicine, Department of Surgery, University of Iowa, Iowa City, Iowa 52242, USA.
J Burn Care Rehabil. 2003 Jul-Aug;24(4):192-202. doi: 10.1097/01.BCR.0000075968.37894.7C.
Although nonfatal burn injuries vastly outnumber fatal injuries, their epidemiology is not well defined. We sought to determine the epidemiology of nonfatal burn injuries in a largely rural region of a midwestern state to target intervention efforts at populations and injury mechanisms at risk. Data were retrospectively collected on a population-based sample of medically treated burn injuries in 10 counties in southern Iowa from 1997 to 1999 using International Classification of Diseases, 9th Revision, Clinical Modification codes (ICD-9-CM, Ncode 940-949) to identify burn-related emergency room visits from computerized lists. A total of 1430 emergency room visits were identified, with 1382 records available for review. Injuries were grouped into etiology subcategories to better delineate common mechanisms and determine methods of prevention. Scald and hot-object contact and flame-related injuries were the leading causes of burn injury. Scald and contact injuries were subdivided into three major sets of scenarios, scald and contact injuries related to household food preparation and consumption, work-related scald and contact injuries. and injuries resulting from contact with nonfood and nonbeverage-related household objects. Children ages 0 to 4 had the highest population-based scald and hot-object contact injury rate of all age groups, with an average annual incidence rate of 35.9 per 10,000. Injuries in this age group were most commonly related to household objects (34.7%) followed by food preparation (25.3%). Children and young adults ages 5 to 24 were also the most likely to be injured by flame and fire-related causes secondary to open fires. Nonfatal burn injuries typically afflict children and young adults in definable patterns, suggesting intervention strategies. Future studies need to better delineate the contributing factors associated with these injuries to refine the intervention strategies.
尽管非致命性烧伤的数量远远超过致命性烧伤，但它们的流行病学特征尚未得到明确界定。我们试图确定美国中西部一个主要为农村地区的非致命性烧伤的流行病学特征，以便针对高危人群和损伤机制开展干预工作。我们使用国际疾病分类第九版临床修订本编码（ICD-9-CM，编码范围940-949），从计算机列表中识别与烧伤相关的急诊室就诊情况，对1997年至1999年爱荷华州南部10个县接受医学治疗的烧伤患者进行基于人群的抽样回顾性数据收集。共识别出1430次急诊室就诊记录，其中1382份记录可供审查。将损伤分为病因亚类，以更好地描述常见机制并确定预防方法。烫伤、热物体接触伤和火焰相关损伤是烧伤的主要原因。烫伤和接触伤细分为三大类情况，即与家庭食物制备和消费相关的烫伤和接触伤、与工作相关的烫伤和接触伤，以及与非食物和非饮料相关的家用物品接触导致的损伤。0至4岁儿童的人群烫伤和热物体接触伤发生率在所有年龄组中最高，平均年发病率为每10000人35.9例。该年龄组的损伤最常见于家用物品（34.7%），其次是食物制备（25.3%）。5至24岁的儿童和年轻人也最容易因明火导致的火焰和火灾相关原因受伤。非致命性烧伤通常以可定义的模式影响儿童和年轻人，这提示了干预策略。未来的研究需要更好地描述与这些损伤相关的促成因素，以完善干预策略。
