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[圣保罗州农村地区烧伤护理病房收治的儿童和青少年概况]

[Profile of children and adolescents admitted to a Burn Care Unit in the countryside of the state of São Paulo].

作者信息

Biscegli Terezinha Soares, Benati Larissa Delázari, Faria Rafaela Sperandio, Boeira Taís Romano, Cid Felipe Biscegli, Gonsaga Ricardo Alessandro Teixeira

机构信息

Faculdades Integradas Padre Albino (FIPA), Catanduva, SP, Brasil.

Faculdades Integradas Padre Albino (FIPA), Catanduva, SP, Brasil.

出版信息

Rev Paul Pediatr. 2014 Sep;32(3):177-82. doi: 10.1590/0103-0582201432305. Epub 2014 Oct 3.

Abstract

OBJECTIVE

: To describe the profile of pediatric burn victims hospitalized at Hospital-Escola Padre Albino (HEPA), in Catanduva, São Paulo, Brazil.

METHODS

: This was a cross-sectional, retrospective study analyzing 446 medical records of patient aged 0-18 years old hospitalized in the Burn Care Unit of HEPA, from 2002 to 2012. The following variables were recorded: demographic data, skin burn causes, lesions characteristics, complications, surgical procedures, length of hospital stay, and outcome. Descriptive statistics were used.

RESULTS

: 382 patients with full medical records were included in the study. Burns were more frequent in males (64.4%) and in children aged less than 6 years (52.9%). Most accidents occurred at home (67.3%) and hot liquids were responsible for 47.1% of them. Mean burnt body surface was 18% and the most affected body areas were chest and limbs. First- and second-degree burns were observed in 64.4% of the cases. Secondary infection and surgical procedures occurred in 6.5% and 45.0% of the patients, respectively. Mean length of hospital stay was 9.8 days. The mortality rate was 1.6%.

CONCLUSIONS

: Preschool children were the main victims of burns occurring at home, representing the largest contingent of hospitalizations due to this cause in individuals aged < 18 years. It is important to develop strategies to alert parents and general society through educational programs and preventive campaigns.

摘要

目的

描述巴西圣保罗州卡坦杜瓦市阿尔比诺神父教学医院(HEPA)收治的小儿烧伤患者的概况。

方法

这是一项横断面回顾性研究,分析了2002年至2012年期间在HEPA烧伤护理单元住院的446例0至18岁患者的病历。记录了以下变量:人口统计学数据、皮肤烧伤原因、损伤特征、并发症、手术程序、住院时间和转归。采用描述性统计分析。

结果

382例有完整病历的患者纳入研究。烧伤在男性中更为常见(64.4%),且多见于6岁以下儿童(52.9%)。大多数事故发生在家中(67.3%),其中47.1%是由热液引起的。平均烧伤体表面积为18%,受影响最严重的身体部位是胸部和四肢。64.4%的病例观察到一度和二度烧伤。分别有6.5%和45.0%的患者发生继发感染和接受手术治疗。平均住院时间为9.8天。死亡率为1.6%。

结论

学龄前儿童是家中烧伤的主要受害者,是18岁以下因该原因住院的最大群体。通过教育项目和预防活动制定策略以提醒家长和整个社会非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b31e/4227337/33ec35edc173/0103-0582-rpp-32-03-0177-gf01.jpg

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