Department of Orthopaedics, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA 1710, Negara Brunei Darussalam.
Singapore Med J. 2012 Feb;53(2):124-7.
Burn injuries are a public health concern across the world, particularly in Southeast Asia, where epidemiological data is lacking. This retrospective study was conducted to assess the epidemiology of patients with burns treated at a major referral hospital in Brunei Darussalam, with particular reference to demographics and aetiology.
All patients were referred to and treated at the Burns Unit, where data was recorded by the on-duty nurse on a pre-designed form at the first attendance. A total of 211 patients (111 male, 100 female), comprising 10 inpatients and 201 outpatients, were treated during the study period.
The average age of the patients was 19.6 ± 20.9 (median 10, range < 1-90) years. 67 (32%) patients were under two years of age. Scalding due to hot liquids was the most common cause (78.2%), followed by flame and contact burns. The majority of burns were sustained indoors either at home or at work (87.2%). The total body surface area (TBSA%) for the whole sample was 3.7% ± 7.9% (median 2%; range 1%-90%). Patients with flame burns (n = 19) were older and had larger TBSA% (p < 0.05). Inpatients had significantly higher TBSA% compared to outpatients (28.2% ± 26% versus 2.5% ± 2.1%; p < 0.005).
Scald burns sustained indoors are the most common across all age groups. Although the TBSA is small, a large number of children are affected. There is a need for burns prevention education programme in Brunei Darussalam.
烧伤是全世界关注的公共卫生问题，特别是在东南亚，那里缺乏流行病学数据。本回顾性研究旨在评估文莱达鲁萨兰国一家主要转诊医院治疗的烧伤患者的流行病学情况，特别关注人口统计学和病因学。
所有患者均在烧伤科接受治疗，值班护士在首次就诊时在预先设计的表格上记录数据。在研究期间，共有 211 名患者（111 名男性，100 名女性）接受了治疗，包括 10 名住院患者和 201 名门诊患者。
患者的平均年龄为 19.6 ± 20.9 岁（中位数 10 岁，范围< 1-90 岁）。67 名（32%）患者年龄在 2 岁以下。因热液烫伤是最常见的原因（78.2%），其次是火焰和接触烧伤。大多数烧伤发生在室内，无论是在家中还是在工作场所（87.2%）。整个样本的总体表面积（TBSA%）为 3.7% ± 7.9%（中位数 2%；范围 1%-90%）。火焰烧伤患者（n = 19）年龄较大，TBSA%较大（p < 0.05）。住院患者的 TBSA%明显高于门诊患者（28.2% ± 26%与 2.5% ± 2.1%；p < 0.005）。
所有年龄段最常见的烧伤是室内热液烫伤。尽管 TBSA 较小，但有大量儿童受到影响。文莱达鲁萨兰国需要开展烧伤预防教育计划。
