Chester Darren L, Jose Rajive Mathew, Aldlyami Ehab, King Helen, Moiemen Naiem S
West Midlands Regional Centre for Burns and Plastic Surgery, Selly Oak Hospital, Raddlebarn Road, Selly Oak, Birmingham, B29 6JD, UK.
Burns. 2006 Mar;32(2):222-8. doi: 10.1016/j.burns.2005.08.018. Epub 2006 Jan 31.
Although many studies have described burn abuse in detail, burns that have occurred as a result of neglect have been studied to a much lesser degree. A retrospective study of 440 hospitalised paediatric burns patients during 2000-2002 inclusive was performed. A multidisciplinary team investigation of suspicious cases was used. This included a home assessment. There were 41 cases of neglect (9.3%) and 395 cases of accidental burning (89.8%). Parental drug abuse, single parent families, delay to presentation and a lack of first aid were statistically more prevalent in the "neglect" group than in the "accidental" group. Children in the "neglect" group were also statistically more likely to have deeper burns and require skin grafting. 82.9% of children whose burns were deemed to be due to neglect had a previous entry on the child protection register. 48.8% were transferred into foster care. This study shows that burning by neglect is far more prevalent than abuse. We advocate a multidisciplinary investigation coupled with the use of home assessments to aid diagnosis. It may be possible to target preventative strategies on the children with the above risk factors.
尽管许多研究已经详细描述了烧伤虐待情况，但因疏忽导致的烧伤却鲜少被研究。我们对2000年至2002年（含）期间住院的440名儿科烧伤患者进行了一项回顾性研究。采用多学科团队对可疑病例进行调查，包括家庭评估。其中有41例疏忽导致的烧伤（9.3%），395例意外烧伤（89.8%）。与“意外”组相比，“疏忽”组中父母药物滥用、单亲家庭、延迟就诊以及缺乏急救措施在统计学上更为普遍。“疏忽”组的儿童在统计学上也更有可能烧伤程度更深且需要进行皮肤移植。82.9%被认为因疏忽导致烧伤的儿童之前已被列入儿童保护登记册。48.8%被转入寄养家庭。这项研究表明，疏忽导致的烧伤比虐待更为普遍。我们提倡进行多学科调查并结合家庭评估以辅助诊断。针对具有上述风险因素的儿童采取预防策略或许是可行的。
