Solís F Fresia, Domic C Carmina, Saavedra O Rolando
Rev Chil Pediatr. 2014 Dec;85(6):690-700. doi: 10.4067/S0370-41062014000600006.
To determine demographic, clinical and health care factors associated to prevalence of burns in children less than 20 years of age in the districts of Cerro Navia, Lo Prado and Pudahuel, and their comparison with incidence in 2011.
Population survey based on probability and two-stage stratified complex sample of households, registering 4,968 households. In 302 of them randomly selected, the mother/adult present at the time of the injury took a survey. A questionnaire of 50 questions (20 minutes), created by 6 experts and previously validated, was conducted by 10 interviewers and 3 supervisors. People were contacted by telephone before visiting them at their homes. The non-response rate was 6%, after up to 3 home visits.
Regarding prevalence, the male-to-female ratio was 1.16:1. Main reasons were hot objects (42.4%) and liquids (41.5%). 84.1% of burns occurred inside the home and in the afternoon (50.7%). 93.3% of the burns took place with an adult present. Hands were the most affected areas (46.7%). 30.2% were left with scars the first time of the accident. 34.4% of the burn victims did not require health care and 8.4% of them required hospitalizations. Over 60% of respondents reported that they poured cold water on the burn as a first step.
Relevant information was obtained to be used in burn prevention in children and adolescents. Recall bias is the main limitation of the study.
确定塞罗纳维亚、洛普拉多和普达韦尔地区20岁以下儿童烧伤患病率相关的人口统计学、临床和医疗保健因素,并将其与2011年的发病率进行比较。
基于概率和两阶段分层复杂样本进行的家庭人口调查,登记了4968户家庭。在随机抽取的302户家庭中,由受伤时在场的母亲/成年人进行调查。由6名专家编制并预先验证的一份包含50个问题(20分钟)的问卷,由10名访谈员和3名监督员进行调查。在登门拜访之前先通过电话联系受访者。在进行多达3次家访后,无应答率为6%。
关于患病率,男女比例为1.16:1。主要原因是热物体(42.4%)和液体(41.5%)。84.1%的烧伤发生在家中,且发生在下午(50.7%)。93.3%的烧伤发生时有成年人在场。手部是受影响最严重的部位(46.7%)。30.2%的人在事故首次发生时留下了疤痕。34.4%的烧伤受害者不需要医疗护理,其中8.4%需要住院治疗。超过60%的受访者表示他们第一步是往烧伤处浇冷水。
获得了相关信息,可用于儿童和青少年的烧伤预防。回忆偏倚是该研究的主要局限性。