Chen Guanmin, Smith Gary A, Ranbom Lorin, Sinclair Sara A, Xiang Huiyun
Center for Injury Research and Policy, Columbus Children's Research Institute, Columbus Children's Hospital, OH 43205, USA.
J Trauma. 2007 Mar;62(3):682-6. doi: 10.1097/01.ta.0000203760.47151.28.
Burn injuries are an important cause of severe morbidity and mortality among children. However, the epidemiology of burns among disabled children has received little attention.
Burn injuries were identified for children aged less than 12 years using International Classification of Diseases, Ninth Revision, Clinical Modification codes in Ohio Medicaid claims data. Using FY2002 Ohio Medicaid claims data, incidences and relative risks of burn injuries for disabled and nondisabled children were calculated by age, gender, and race or ethnicity. Logistic regression was used to analyze risk factors for burn injuries.
There were 4,307 burn injuries identified in the FY2002 Ohio Medicaid claims database. The incidence of burn injuries for disabled children was significantly higher than for nondisabled children (103.00 per 10,000 vs. 77.41 per 10,000, respectively; p < 0.001). Children aged 1 or 2 years had the highest incidence of burn injuries, regardless of disability status. For disabled children, the incidence of burn injuries decreased after 2 years of age and leveled out at approximately 100 per 10,000 children after 3 years of age. However, for nondisabled children, the incidence of burn injuries decreased until 6 years of age, after which it leveled out at approximately 40 per 10,000 children. After controlling for potentially confounding factors, the risk of burn injuries was significantly higher for disabled than nondisabled children (odds ratio = 1.80; 95% confidence interval, 1.50-2.17).
Disabled children had a significantly higher incidence of burn injuries than nondisabled children did. The risk of burn injuries, even after controlling for demographic factors, was significantly higher for disabled children than nondisabled children.
烧伤是儿童严重发病和死亡的重要原因。然而，残疾儿童烧伤的流行病学情况很少受到关注。
利用俄亥俄州医疗补助索赔数据中的《国际疾病分类，第九次修订本，临床修订版》编码，确定12岁以下儿童的烧伤情况。利用2002财年俄亥俄州医疗补助索赔数据，按年龄、性别和种族或族裔计算残疾儿童和非残疾儿童烧伤的发病率及相对风险。采用逻辑回归分析烧伤的危险因素。
在2002财年俄亥俄州医疗补助索赔数据库中确定了4307例烧伤病例。残疾儿童烧伤的发病率显著高于非残疾儿童（分别为每10000人中有103.00例和77.41例；p<0.001）。无论残疾状况如何，1岁或2岁的儿童烧伤发病率最高。对于残疾儿童，2岁以后烧伤发病率下降，3岁以后稳定在每10000名儿童约100例。然而，对于非残疾儿童，烧伤发病率在6岁之前下降，之后稳定在每10000名儿童约40例。在控制了潜在的混杂因素后，残疾儿童烧伤的风险显著高于非残疾儿童（比值比=1.80；95%置信区间，1.50-2.17）。
残疾儿童烧伤的发病率显著高于非残疾儿童。即使在控制了人口统计学因素后，残疾儿童烧伤的风险仍显著高于非残疾儿童。
