Uygur F, Sahin C, Duman H
Department of Plastic and Reconstructive Surgery, Gülhane Military Medical Academy, Haydarpaşha Hospital, Istanbul, Turkey.
Eur J Pediatr Surg. 2009 Jun;19(3):174-8. doi: 10.1055/s-0029-1202344. Epub 2009 Apr 9.
The factors and demographic features of pediatric patients with burns in eastern and western cultures differ from each other. In this retrospective study, our aim was to identify the demographic features of pediatric burns presenting to our tertiary burn center catering to a large population from Istanbul.
The demographic data and information of 358 children with burns admitted to the GMM HTH burn center in Istanbul over a 7-year period (2001-2008) were retrospectively reviewed.
48 children with burn injuries were hospitalized in our burn center during the study period. Out of the total of 358 patients, 33.79% (121) were infants and toddlers, 39.66% (142) were in early childhood and 26.53% (95) belonged to the late childhood age group. Males were predominantly affected, the total male to female ratio being 1.3:1. 297 (82.9%) of the 358 subjects resided in urban environments and 61 (17.1%) lived in rural areas. Scalds accounted for more than half (88.16%) of all burns, followed by contact (4.96%), flame (3.43%), electrical (1.52%), chemical (1.52%) and sunburn (0.38). Boiling water was the commonest agent, followed by hot tea. The three most frequent areas of burns were the upper limb (126 cases, 31.18%), followed by the lower limb (105 cases, 25.9%), and the trunk (94 cases, 23.26%). The majority (74%) of the patients had burns covering up to 10% of TBSA, and in 98.8% of the patients' the burn size was less than 30% of TBSA.
This study demonstrates that the epidemiological features of pediatric burn patients, based on a review of such patients admitted to our burn center, differ in many aspects between eastern and western populations. Scalds occurring in a domestic setting, with mild to moderate burns, caused the vast majority of hospital admissions. It is necessary to improve the preventive programs and strategies in order to reduce the incidence of pediatric burn trauma.
东西方文化背景下小儿烧伤患者的影响因素及人口统计学特征存在差异。在这项回顾性研究中，我们的目的是确定就诊于我们为来自伊斯坦布尔的大量人群服务的三级烧伤中心的小儿烧伤患者的人口统计学特征。
回顾性分析了2001年至2008年期间在伊斯坦布尔GMM HTH烧伤中心收治的358例烧伤儿童的人口统计学数据和信息。
研究期间有48例烧伤患儿在我们的烧伤中心住院。在358例患者中，33.79%（121例）为婴幼儿，39.66%（142例）为幼儿期儿童，26.53%（95例）为童年晚期儿童。男性受影响为主，男女总比例为1.3:1。358例受试者中297例（82.9%）居住在城市环境，61例（17.1%）居住在农村地区。烫伤占所有烧伤的一半以上（88.16%），其次是接触性烧伤（4.96%）、火焰烧伤（3.43%）、电击伤（1.52%）、化学烧伤（1.52%）和晒伤（0.38%）。沸水是最常见的致伤因素，其次是热茶。烧伤最常见的三个部位是上肢（126例，31.18%），其次是下肢（105例，25.9%）和躯干（94例，23.26%）。大多数患者（74%）烧伤面积占总体表面积的10%以下，98.8%的患者烧伤面积小于总体表面积的30%。
本研究表明，基于对我院烧伤中心收治的此类患者的回顾，小儿烧伤患者的流行病学特征在东西方人群之间存在许多差异。家庭环境中发生的轻度至中度烫伤导致了绝大多数住院病例。有必要改进预防计划和策略以降低小儿烧伤创伤的发生率。
