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酒精相关性烧伤的上升趋势:对三级烧伤中心的影响。

The increasing trend in alcohol-related burns: it's impact on a tertiary burn centre.

机构信息

Department of Plastic Surgery, Whiston Hospital, Warrington Road, Prescot, Merseyside, UK.

出版信息

Burns. 2010 Sep;36(6):938-43. doi: 10.1016/j.burns.2009.12.008. Epub 2010 Feb 24.

DOI:10.1016/j.burns.2009.12.008
PMID:20185245
Abstract

INTRODUCTION

The incidence of alcohol-related hospital admissions is a worldwide problem and currently costs the UK National Health Service approximately 4% of its annual budget. 40% of men and 22% of women drink over the recommended UK weekly allowance. The purpose of our study was to examine the trend in alcohol-related admissions to a tertiary burns unit over a 5-year period.

METHODOLOGY

All patients admitted were documented for alcohol-related burn, and history of alcohol dependence.

RESULTS

1293 patients admitted between 2003 and 2008 were included in the study. The number of alcohol-related burns were as follows: 2003: 6%; 2004: 10%; 2005: 16%; 2006: 9%; 2007: 19%; 2008: 19%. This increasing trend was highly significant (p<0.0001). Alcohol-related burns had a higher incidence of flame injury (60%) and a subsequent longer length of stay (12.5 vs. 7.9, p=0.04). Alcohol dependence was noted in 54% of all alcohol-related burns and in 5% of the non-alcohol-related burns.

DISCUSSION

The number of alcohol-related burns admitted to a tertiary burn unit is increasing and now comprises of nearly 20% of all admissions. This highlights the growing burden of alcohol on health and the need to address it at both a national and regional level.

摘要

简介

酒精相关的住院治疗是一个全球性的问题,目前英国国民医疗服务体系(NHS)为此每年花费约 4%的预算。40%的男性和 22%的女性饮酒量超过英国每周推荐的限量。我们的研究目的是在 5 年内观察一家三级烧伤病房与酒精相关的住院治疗趋势。

方法

所有因酒精相关烧伤而住院的患者都记录了酒精依赖史。

结果

2003 年至 2008 年间共收治 1293 名患者。酒精相关烧伤的数量如下:2003 年:6%;2004 年:10%;2005 年:16%;2006 年:9%;2007 年:19%;2008 年:19%。这种上升趋势具有统计学意义(p<0.0001)。与酒精相关的烧伤火焰伤的发生率更高(60%),住院时间也更长(12.5 天 vs. 7.9 天,p=0.04)。在所有酒精相关烧伤患者中,有 54%的患者存在酒精依赖,而非酒精相关烧伤患者中仅有 5%的患者存在酒精依赖。

讨论

三级烧伤病房因酒精相关烧伤而住院的人数正在增加,目前占所有住院人数的近 20%。这突显了酒精对健康的影响日益严重,需要在国家和地区层面上解决这一问题。

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