Al-Zacko S M, Zubeer H G, Mohammad A S
Department of Surgery, College of Medicine, University of Mosul, Iraq.
Department of Community Medicine, College of Medicine, University of Mosul, Iraq.
Ann Burns Fire Disasters. 2014 Jun 30;27(2):70-5.
A cross-sectional study was conducted to determine the characteristics and case fatality rate of pediatric burns in Mosul, Iraq. The study group was burn patients aged 14 years and under who were admitted to the Burns Unit in Al-Jamhoori Teaching Hospital from the 1(st) of March 2011 to the 1(st) of March 2012. Of the 459 emergency burn admissions, 209 (45.53%) were pediatric patients up to 14 years of age, with a mean age of 4.73±3.61 years. Scald was the most common type of burn and occurred mainly in domestic settings. The mean total body surface area (TBSA) burned was 19.73±17.15%. Thirty-five patients died during the study period, giving a case fatality rate of 16.75%. The maximum number of deaths occurred in the 2-4 years age group. The case fatality rate was high in patients having more than 40% TBSA involvement. Flame burns were significantly more fatal than scalds, with a fatality rate of 35.35% and 12.05% respectively; (p=0.0001). In conclusion, given that most pediatric burn accidents occur at home, burn prevention should be focused on improving living conditions and on providing an educational program for parents.
一项横断面研究旨在确定伊拉克摩苏尔小儿烧伤的特征及病死率。研究对象为2011年3月1日至2012年3月1日期间入住贾姆胡里教学医院烧伤科的14岁及以下烧伤患者。在459例急诊烧伤入院患者中,209例(45.53%)为14岁及以下的小儿患者,平均年龄为4.73±3.61岁。烫伤是最常见的烧伤类型,主要发生在家庭环境中。烧伤的平均总体表面积(TBSA)为19.73±17.15%。在研究期间有35例患者死亡,病死率为16.75%。死亡人数最多的是2 - 4岁年龄组。TBSA受累超过40%的患者病死率较高。火焰烧伤的致死率明显高于烫伤,分别为35.35%和12.05%;(p = 0.0001)。总之,鉴于大多数小儿烧伤事故发生在家中,烧伤预防应侧重于改善生活条件并为家长提供教育项目。