Division of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Burns. 2010 Feb;36(1):109-13. doi: 10.1016/j.burns.2009.02.011. Epub 2009 Oct 8.
This study aims to demonstrate the epidemiologic characteristics of outpatient burn injuries in Tehran. This cross-sectional study was performed over a 1-year period in a referral burn centre in Tehran and included all outpatient burns. The required data were recorded by two trained physicians. Of the 4813 studied patients, including 293 infants, 2901 patients (60%) were male (P<0.001). The mean age of the adult patients was 31.3+/-18.3 years, while for infants it was 10.68+/-2.27 months. In all age groups and both genders, scalding was the most common aetiology. Majority of the burns were non-intentional (n=4808) and 70.5% of the injuries occurred at home. Housewives consisted of 24% of the burn patients. With respect to the site of burn, multiple injuries were the most frequent (53%) followed by upper extremities (37%). Most of the burns (96%) were partial thickness. Significant association was present between the aetiology and depth of burn (P<0.001). The mean affected total body surface area (TBSA) was 3.16+/-2.92% and there was significant association between burnt TBSA and the mechanism of injury (P<0.001). In conclusion, it seems that women aged 21-30 years and children younger than 10 years are at greater risk of these injuries and therefore should be the target for preventive strategies.
本研究旨在展示德黑兰门诊烧伤的流行病学特征。这是一项在德黑兰一家转诊烧伤中心进行的为期 1 年的横断面研究,纳入了所有门诊烧伤患者。两名经过培训的医生记录了所需数据。在 4813 名研究患者中,包括 293 名婴儿,2901 名患者(60%)为男性(P<0.001)。成年患者的平均年龄为 31.3+/-18.3 岁,而婴儿为 10.68+/-2.27 个月。在所有年龄组和性别中,烫伤是最常见的病因。大多数烧伤是非故意伤害(n=4808),70.5%的损伤发生在家庭中。家庭主妇占烧伤患者的 24%。就烧伤部位而言,多处伤最为常见(53%),其次是上肢(37%)。大多数烧伤(96%)为部分厚度。烧伤病因与烧伤深度之间存在显著相关性(P<0.001)。平均受累的总体表面积(TBSA)为 3.16+/-2.92%,烧伤 TBSA 与损伤机制之间存在显著相关性(P<0.001)。总之,似乎 21-30 岁的女性和 10 岁以下的儿童更容易受到这些伤害,因此应成为预防策略的目标。