Elijah Itoro, Edelman Linda S, Sabourin Heather, Dong Lydia, Saffle Jeffrey R, Cochran Amalia
Baystate Medical Center, Springfield, MA, USA.
J Burn Care Res. 2008 Jan-Feb;29(1):123-9. doi: 10.1097/BCR.0b013e31815fa45d.
This retrospective review describes differences in social and demographic factors of women and men hospitalized for acute burns. These differences are examined using the framework of social capital to assess burn injury outcomes. Our TRACS-ABA registry was used to identify adult women admitted for the treatment of acute burns from 1998 to 2002. Each woman was matched by age (+/-5 years), %TBSA (+/-5%), and inhalation injury to a man hospitalized during the same period. Patient medical records were reviewed for sociodemographic data, burn etiology, hospital course, and discharge information. One hundred forty-five adult women hospitalized for burn injury during the study period were successfully matched by age, burn size, and inhalation injury to 145 men. The mean age of study patients was 46.4 +/- 18 years. The mean %TBSA burned was 13.0 +/- 18, and 15.5% had inhalation injury. There were no sex-related differences in any clinical outcomes evaluated. A surprising finding was that women were admitted to the hospital significantly later than men after injury (3.7 vs 1.2 days; P < .05). Days from admit to injury negatively correlated with %TBSA in women, but not in men. Women also differed from men in a number of sociodemographic factors. Social and demographic differences exist between men and women admitted for treatment of acute burn injury. These differences influence admission after burn injury. Additional efforts are needed to better measure and evaluate the role of social capital in burn injury epidemiology, management, and outcomes.
这项回顾性研究描述了因急性烧伤住院的女性和男性在社会和人口统计学因素方面的差异。使用社会资本框架来研究这些差异，以评估烧伤损伤的结果。我们利用TRACS - ABA登记系统，确定了1998年至2002年期间因急性烧伤入院治疗的成年女性。根据年龄（±5岁）、烧伤总面积（±5%）和吸入性损伤情况，为每位女性匹配了同期住院的男性。查阅患者病历以获取社会人口统计学数据、烧伤病因、住院病程和出院信息。在研究期间，145名因烧伤住院的成年女性在年龄、烧伤面积和吸入性损伤方面成功与145名男性匹配。研究患者的平均年龄为46.4±18岁。平均烧伤总面积为13.0±18，15.5%的患者有吸入性损伤。在评估的任何临床结果方面均未发现与性别相关的差异。一个惊人的发现是，女性受伤后入院时间明显晚于男性（3.7天对1.2天；P < 0.05）。女性从受伤到入院的天数与烧伤总面积呈负相关，而男性则不然。女性在一些社会人口统计学因素方面也与男性不同。因急性烧伤损伤入院治疗的男性和女性之间存在社会和人口统计学差异。这些差异影响烧伤后的入院情况。需要进一步努力，以更好地衡量和评估社会资本在烧伤损伤流行病学、管理和结果中的作用。
