Gurfinkel R, Cohen A D, Glezinger R, Krieger Y, Yancolevich N, Rosenberg L
Plastic Surgery Department, Burn Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Ann Burns Fire Disasters. 2007 Mar 31;20(1):3-6.
Background. Burn trauma is a major public health concern, with increased risk for burns in children. Objectives. To characterize the profile of injured burn patients and to identify patients who are prone to burn injury. Methods. This is a cross-sectional study including all patients who were admitted to the Burns and Plastic Surgery Department, Soroka University Medical Center, Israel, between 1 January 2001 and 31 December 2002. Results. Five hundred and fifty-eight patients with a mean age of 15.4 yr (SD, 19.5 yr) were included in the study. There were 348 male patients (62.4%). The cause of the burns was scalding in 314 patients (56.3%), flame in 177 (31.7%), chemicals in 31 (5.6%), explosion in 20 (3.6%), and electricity in four (0.7%). There were 325 Bedouin patients (58.2%) and 221 Jewish patients (39.6%). In Bedouins, 235 patients (72.3%) were children below 5 yr, compared to 59 Jewish patients (26.7%) (p < 0.001). Eighteen burn patients (3.2%) expired. A multivariate analysis demonstrated that age and percentage of body surface area involved in the burn were significantly associated with mortality. Conclusions. The epidemiological characteristics of the burned population in Soroka University Medical Center are described. Burn injury has become a principal public health problem, particularly in Bedouin children.
背景。烧伤创伤是一个重大的公共卫生问题,儿童烧伤风险增加。目的。描述烧伤患者的特征,并识别易发生烧伤的患者。方法。这是一项横断面研究,纳入了2001年1月1日至2002年12月31日期间入住以色列索罗卡大学医学中心烧伤与整形外科的所有患者。结果。558例患者纳入研究,平均年龄15.4岁(标准差19.5岁)。男性患者348例(62.4%)。烧伤原因中,314例(56.3%)为烫伤,177例(31.7%)为火焰烧伤,31例(5.6%)为化学烧伤,20例(3.6%)为爆炸伤,4例(0.7%)为电击伤。贝都因患者325例(58.2%),犹太患者221例(39.6%)。在贝都因人群中,235例(72.3%)为5岁以下儿童,而犹太人群中为59例(26.7%)(p<0.001)。18例烧伤患者(3.2%)死亡。多因素分析表明,年龄和烧伤累及的体表面积百分比与死亡率显著相关。结论。描述了索罗卡大学医学中心烧伤人群的流行病学特征。烧伤已成为一个主要的公共卫生问题,尤其是在贝都因儿童中。