Wibbenmeyer Lucy, Gittelman Michael A, Kluesner Karen, Liao Junlin, Xing Yunfan, Faraklas Iris, Anyan Walter, Gamero Chelsea, Moulton Steven, Nederveld Cindy, Banks Ashley, Ryan Colleen M, Conway Jennifer A, Reilly Debra A, Fish Joel, Kelly Charis, Peltier George, Schwantke Emily, Conrad Peggie F, Caruso Daniel M, Richey Karen J, McCrory Kristine, Elfar Mohamed S A, Pittinger Timothy, Sadie Christine, Greenhalgh David, Palmieri Tina, Grossman Peter H, Richards Kurt M, Joyce Teresa, Pozez Andrea L, Savetamal Alisa, Harrington David T, Duncan Kimberley, Pomerantz Wendy J, Dillard B Daniel
From the *Department of Surgery, The University of Iowa Carver College of Medicine, Iowa City; †Division of Emergency Medicine, Comprehensive Children's Injury Center, Cincinnati Children's Hospital, Ohio; ‡Department of Surgery, University of Utah, Salt Lake City; §Department of Surgery, Children's Hospital, Denver, Colorado; ‖Department of Surgery, Shriners Hospital for Children - Boston; ¶Department of Surgery, Massachusetts General Hospital, Boston; #Harvard Medical School, Boston; **Department of Surgery, University of Nebraska, Omaha; ††Department of Surgery, Hospital for Sick Children Toronto, Ontario, Canada; ‡‡Department of Surgery, Hennepin County Hospital, St. Paul, Minnesota; §§Department of Surgery, Loyola University, Chicago, Illinois; ‖‖Department of Surgery, Arizona Burn Center, Maricopa Medical Center, Phoenix, Arizona; ¶¶Department of Surgery, Clark Burn Center, SUNY Upstate Medical University, Syracuse, New York; ##Department of Surgery, Akron Children's Hospital, Ohio; ***Department of Surgery, Shriners Hospital for Children - Northern California Sacramento, California; †††Department of Burn Medicine, West Hills Hospital West Hills, California; ‡‡‡Department of Surgery, Shriners Hospital for Children - Cincinnati, Ohio; §§§Virginia Commonwealth University Richmond, Virginia; ‖‖‖Department of Surgery, Bridgeport Hospital, Connecticut; ¶¶¶Department of Surgery, Rhode Island Hospital, Providence; and ###Burn Prevention Network.
J Burn Care Res. 2015 Jan-Feb;36(1):240-5. doi: 10.1097/BCR.0000000000000215.
Glass fronted gas fireplaces (GFGFs) have exterior surfaces that can reach extremely high temperatures. Burn injuries from contact with the glass front can be severe with long-term sequelae. The Consumer Product Safety Commission reported that these injuries are uncommon, whereas single-center studies indicate a much higher frequency. The purpose of this multi-institutional study was to determine the magnitude and severity of GFGF injuries in North America. Seventeen burn centers elected to participate in this retrospective chart review. Chart review identified 402 children ≤10 years of age who sustained contact burns from contact with GFGF, who were seen or admitted to the study hospitals from January 2006 to December 2010. Demographic, burn, treatment, and financial data were collected. The mean age of the study group was 16.8 ± 13.3 months. The majority suffered burns to their hands (396, 98.5%), with burns to the face being the second, much less common site (14, 3.5%). Two hundred and sixty-nine required rehabilitation therapy (66.9%). The number of GFGF injuries reported was 20 times greater than the approximately 30 injuries estimated by the Consumer Product Safety Commission's 10-year review. For the affected children, these injuries are painful, often costly and occasionally can lead to long-term sequelae. Given that less than a quarter of burn centers contributed data, the injury numbers reported herein support a need for broader safety guidelines for gas fireplaces in order to have a significant impact on future injuries.
玻璃面燃气壁炉（GFGFs）的外表面温度可能会极高。接触玻璃面导致的烧伤可能很严重，并会产生长期后遗症。消费品安全委员会报告称，此类伤害并不常见，而单中心研究显示的频率要高得多。这项多机构研究的目的是确定北美地区GFGF伤害的规模和严重程度。17个烧伤中心选择参与这项回顾性病历审查。病历审查确定了402名10岁及以下儿童，他们在2006年1月至2010年12月期间因接触GFGF而遭受接触性烧伤，并在研究医院接受诊治或住院。收集了人口统计学、烧伤、治疗和财务数据。研究组的平均年龄为16.8±13.3个月。大多数人手部烧伤（396例，98.5%），面部烧伤是第二常见部位，但要少得多（14例，3.5%）。269人需要康复治疗（66.9%）。报告的GFGF伤害数量比消费品安全委员会10年审查估计的约30例伤害高出20倍。对于受影响的儿童来说，这些伤害很痛苦，往往代价高昂，偶尔还会导致长期后遗症。鉴于不到四分之一的烧伤中心提供了数据，本文报告的伤害数字表明需要为燃气壁炉制定更广泛的安全指南，以便对未来的伤害产生重大影响。
