Xu Jian-Hong, Qiu Jun, Zhou Ji-Hong, Zhang Liang, Yuan Dan-Feng, Dai Wei, Gao Zhi-Ming
Surgical Department of Navy Office Outpatient Department, Beijing, China.
State Key Laboratory of Trauma, Burns and Combined Injury, Institute for Traffic Medicine, Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing, China.
Burns. 2014 Dec;40(8):1780-8. doi: 10.1016/j.burns.2014.04.003. Epub 2014 Jun 12.
Childhood burns are a global health problem. To date, no epidemiological study with a large sample size of hospitalized pediatric burn patients from the Chinese mainland has been conducted. This study retrospectively analyzed pediatric burn cases to identify the characteristics of pediatric burns and their risk factors in China.
Data for pediatric burn inpatients younger than 14 years were retrieved from the Chinese Trauma Databank (CTDB). The epidemiological characteristics of pediatric burns and risk factors for mortality were analyzed.
A total of 61,068 cases were included in the study. Children under 3 years old were at the highest risk of injury. Scalds were the commonest burns (87.59%). Flame burns occurred more in winter, and electrical burns occurred mainly in July and August. Age, etiology, depth of injury, total body surface area (TBSA), site of injury, and outcome were correlated with length of hospital stay. Risk factors for pediatric burn mortality included being male, having third degree burns, ≥30% TBSA, and having multi-site burns.
The results showed the epidemiological characteristics of pediatric burns in China, which differ from those reported for other countries and regions. These characteristics can be used to develop measures to prevent pediatric burns.
儿童烧伤是一个全球性的健康问题。迄今为止，尚未对来自中国大陆的大量住院小儿烧伤患者进行过流行病学研究。本研究对小儿烧伤病例进行回顾性分析，以确定中国小儿烧伤的特征及其危险因素。
从中国创伤数据库（CTDB）中检索14岁以下小儿烧伤住院患者的数据。分析小儿烧伤的流行病学特征及死亡危险因素。
本研究共纳入61068例病例。3岁以下儿童受伤风险最高。烫伤是最常见的烧伤类型（87.59%）。火焰烧伤在冬季更为常见，电击伤主要发生在7月和8月。年龄、病因、损伤深度、烧伤总面积（TBSA）、损伤部位及转归与住院时间相关。小儿烧伤死亡的危险因素包括男性、三度烧伤、TBSA≥30%以及多处烧伤。
结果显示了中国小儿烧伤的流行病学特征，这些特征与其他国家和地区报告的不同。这些特征可用于制定预防小儿烧伤的措施。
