Gabbe Belinda J, Watterson Dina M, Singer Yvonne, Darton Anne
Department of Epidemiology and Preventive Medicine, Monash University, The Alfred Centre, Commercial Road, Melbourne, 3004, Australia.
Department of Epidemiology and Preventive Medicine, Monash University, The Alfred Centre, Commercial Road, Melbourne, 3004, Australia; Occupational Therapy Department, Alfred Health, Commercial Road, Melbourne, 3004, Australia.
Burns. 2015 May;41(3):446-53. doi: 10.1016/j.burns.2014.11.013. Epub 2014 Dec 23.
Most studies about burn injury focus on admitted cases.
To compare outpatient and inpatient presentations at burn centers in Australia to inform the establishment of a repository for outpatient burn injury.
Data for sequential outpatient presentations were collected at seven burn centers in Australia between December 2010 and May 2011 and compared with inpatient admissions from these centers recorded by the Burns Registry of Australia and New Zealand for the corresponding period.
There were 788 outpatient and 360 inpatient presentations. Pediatric outpatients included more children <3 years of age (64% vs 33%), scald (52% vs 35%) and contact burns (39% vs 24%). Adult outpatients included fewer males (58% vs 73%) and intentional injuries (3.3% vs 10%), and more scald (46% vs 30%) and contact burns (24% vs 13%). All pediatric, and 98% of adult, outpatient presentations involved a %TBSA<10. The pattern of outpatient presentations was consistent between centers.
Outpatient presentations outnumbered inpatient admissions by 2.2:1. The pattern of outpatient burns presenting to burn centers differed to inpatient admission data, particularly with respect to etiology and burn severity, highlighting the importance of the need for outpatient data to enhance burn injury surveillance and inform prevention.
大多数关于烧伤的研究都集中在住院病例上。
比较澳大利亚烧伤中心的门诊和住院病例情况，为建立门诊烧伤损伤资料库提供依据。
收集了2010年12月至2011年5月期间澳大利亚7个烧伤中心连续门诊病例的数据，并与澳大利亚和新西兰烧伤登记处记录的这些中心同期的住院病例进行比较。
有788例门诊病例和360例住院病例。儿科门诊病例中3岁以下儿童更多（64%对33%），烫伤更多（52%对35%），接触性烧伤更多（39%对24%）。成人门诊病例中男性较少（58%对73%），故意伤害较少（3.3%对10%），烫伤较多（46%对30%），接触性烧伤较多（24%对13%）。所有儿科门诊病例以及98%的成人门诊病例的烧伤总面积均<10%。各中心门诊病例的模式一致。
门诊病例数量是住院病例的2.2倍。烧伤中心门诊烧伤病例的模式与住院病例数据不同，特别是在病因和烧伤严重程度方面，这突出了门诊数据对于加强烧伤损伤监测和预防工作的重要性。
