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格拉茨过去25年的小儿烧伤治疗及重要经验教训。概述。

The past 25 years of pediatric burn treatment in Graz and important lessons been learned. An overview.

作者信息

Trop Marija, Herzog Sereina A, Pfurtscheller Klaus, Hoebenreich Angelika M, Schintler Michael V, Stockenhuber Andrea, Kamolz Lars-Peter

机构信息

Children's Burns Unit, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.

Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.

出版信息

Burns. 2015 Jun;41(4):714-20. doi: 10.1016/j.burns.2014.10.001. Epub 2015 Feb 10.


DOI:10.1016/j.burns.2014.10.001
PMID:25678085
Abstract

INTRODUCTION: The aim of this study was to characterize the epidemiology of pediatric and adolescent burns admitted to the Children's Burns Unit at the Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Austria, between January 1st 1988 and December 31st 2012. METHODS: This is a retrospective review over the past 25-years and describes admission rate by gender and age groups, causes of burns, anatomical sites of burns, extent and depth of injury, length of hospital stay, child abuse and in-hospital mortality. RESULTS: In the studied 25 year-period, 1586 pediatric burn patients were admitted. 1451 patients were "acute" admissions, 64 "secondary" admissions and 71 patients did not fulfill the inclusion criteria. Of the 1451 patients, 930 (64%) were male and 521 (36%) female. The majority of patients - 880 or 60.6% - were children from 1 to 5 years of age. Domestic burns occurring at home resulted in 1164 (80.2%) of injuries and scalds were the most common type of thermal trauma with 945 (65.1%) patients. According to the extent of injury 1106 (76.2%) patients suffered burns of <10% with an median length of hospital stay of 3 days. 14 children (0.98%) - 8 girls and 6 boys - were confirmed victims of abuse and 4 patients (0.3%) died. CONCLUSION: The study provides a good opportunity to review changes in burn care over a long time period, at a single center, including children and adolescents, with stable surgical and rehabilitation staff. The data is also important for the design of prevention programs and establishment of burn care capacities, since the analysis showed no change in the incidence of burn related admissions over the time period studied.

摘要

引言:本研究旨在描述1988年1月1日至2012年12月31日期间,奥地利格拉茨医科大学儿科与青少年医学部儿童烧伤病房收治的儿童及青少年烧伤的流行病学特征。 方法:这是一项对过去25年的回顾性研究,描述了按性别和年龄组划分的入院率、烧伤原因、烧伤的解剖部位、损伤程度和深度、住院时间、虐待儿童情况及院内死亡率。 结果:在研究的25年期间,共收治1586例儿童烧伤患者。1451例为“急性”入院,64例为“二次”入院,71例患者不符合纳入标准。在1451例患者中,930例(64%)为男性,521例(36%)为女性。大多数患者——880例或60.6%——为1至5岁的儿童。在家中发生的家庭烧伤导致1164例(80.2%)受伤,烫伤是最常见的热创伤类型,有945例(65.1%)患者。根据损伤程度,1106例(76.2%)患者烧伤面积<10%,中位住院时间为3天。14名儿童(0.98%)——8名女孩和6名男孩——被确认为虐待受害者,4例患者(0.3%)死亡。 结论:本研究提供了一个很好的机会,可在单一中心长期回顾烧伤护理的变化情况,涉及儿童和青少年,且有稳定的外科和康复医护人员。这些数据对于预防项目的设计和烧伤护理能力的建立也很重要,因为分析表明在所研究的时间段内,烧伤相关入院率没有变化。

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