Department of Burns and Reconstructive Surgery, Faculty Hospital Brno, Czech Republic.
Burns. 2012 Aug;38(5):776-82. doi: 10.1016/j.burns.2011.12.021. Epub 2012 Feb 20.
UNLABELLED: The aim of this study was to determine the basic epidemiological characteristics of severely burned children who were admitted to the intensive care unit (ICU), Department of Burns and Reconstructive Surgery Faculty Hospital Brno, Czech Republic in the years 1997-2009. METHODS: We collected and evaluated epidemiological data such as age, sex, burn etiology, length of hospitalization, duration of the ICU stay, surgical or conservative therapeutic strategies, the use of mechanical ventilation and its duration, day and month of injury and the extent of burned area. RESULTS: In total 383 children (253 boys, 130 girls) aged 0-14 years, underwent intensive care for at least 48h. Male to female ratio was 1.95:1. The average range of burn area in the group was 16.43±12.86% TBSA (total body surface area). During the reporting period, 16 children were admitted with burns over 50% TBSA. 328 children suffered burns indoors, with 55 children being burned outdoors. Indoor/outdoor ratio was set at 5.96:1. The most frequent etiological agent was scalding (hot water, soup, coffee, oil, tea). The total number of scalded children in this group was 312 (81.46%). Mechanical ventilation was used in 96 cases (25.07% of all the admitted patients). The duration of mechanical ventilation in these patients was 8.03±5.67 days in average. The average length of stay in ICU was 10.71±10.92 days and total length of hospital stay was an average of 21.55±14.55 days. A total of 184 patients (48.04%) were treated surgically and therefore required necrectomy and skin grafting. The other 199 (51.96%) patients were treated conservatively. During the reporting period 3 children died (0.78%). CONCLUSION: In our report we identify basic epidemiological data defined in the aim of this study for burned children requiring intensive care.
目的:本研究旨在确定 1997-2009 年期间在捷克布尔诺Faculty 医院烧伤与整形外科重症监护病房(ICU)收治的严重烧伤儿童的基本流行病学特征。
方法:我们收集和评估了流行病学数据,如年龄、性别、烧伤病因、住院时间、ICU 入住时间、手术或保守治疗策略、机械通气的使用及其持续时间、损伤的日和月以及烧伤面积。
结果:共有 383 名 0-14 岁的儿童(253 名男孩,130 名女孩)接受了至少 48 小时的重症监护。男女比例为 1.95:1。该组的平均烧伤面积范围为 16.43±12.86%TBSA(体表面积)。在报告期内,有 16 名儿童的烧伤面积超过 50%TBSA。328 名儿童在室内烧伤,其中 55 名儿童在室外烧伤。室内/室外比例为 5.96:1。最常见的病因是烫伤(热水、汤、咖啡、油、茶)。该组共有 312 名(81.46%)烫伤儿童。96 例(所有入院患者的 25.07%)使用机械通气。这些患者的机械通气持续时间平均为 8.03±5.67 天。平均 ICU 入住时间为 10.71±10.92 天,总住院时间平均为 21.55±14.55 天。共有 184 名患者(48.04%)接受手术治疗,因此需要进行坏死组织切除术和植皮。其余 199 名(51.96%)患者接受保守治疗。在报告期内,有 3 名儿童死亡(0.78%)。
结论:在本报告中,我们确定了本研究目的中定义的需要重症监护的烧伤儿童的基本流行病学数据。
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