Saeman Melody R, Hodgman Erica I, Burris Agnes, Wolf Steven E, Arnoldo Brett D, Kowalske Karen J, Phelan Herb A
University of Texas Southwestern Medical Center, Department of Surgery, 5323 Harry Hines Boulevard, Dallas, TX, USA.
University of Texas Southwestern Medical Center, Department of Surgery, 5323 Harry Hines Boulevard, Dallas, TX, USA.
Burns. 2016 Feb;42(1):202-208. doi: 10.1016/j.burns.2015.10.011. Epub 2015 Nov 22.
Since opening its doors in 1962, the Parkland Burn Center has played an important role in improving the care of burned children through basic and clinical research while also sponsoring community prevention programs. The aim of our study was to retrospectively analyze the characteristics and outcomes of pediatric burns at a single institution over 35 years.
The institutional burn database, which contains data from January 1974 until August 2010, was retrospectively reviewed. Patients older than 18 years of age were excluded. Patient age, cause of burn, total body surface area (TBSA), depth of burn, and patient outcomes were collected. Demographics were compared with regional census data.
Over 35 years, 5748 pediatric patients were admitted with a thermal injury. Males comprised roughly two-thirds (66.2%) of admissions. Although the annual admission rate has risen, the incidence of pediatric burn admissions, particularly among Hispanic and African American children has declined. The most common causes of admission were scald (42%), flame (29%), and contact burns (10%). Both the median length of hospitalization and burn size have decreased over time (r(2)=0.75 and 0.62, respectively). Mortality was significantly correlated with inhalation injury, size of burn, and history of abuse. It was negatively correlated with year of admission.
Over 35 years in North Texas, the median burn size and incidence of pediatric burn admissions has decreased. Concomitantly, length of stay and mortality have also decreased.
自1962年开业以来，帕克兰德烧伤中心通过基础研究和临床研究，在改善烧伤儿童护理方面发挥了重要作用，同时还开展社区预防项目。我们研究的目的是回顾性分析一家机构35年来小儿烧伤的特征和治疗结果。
对机构烧伤数据库进行回顾性审查，该数据库包含1974年1月至2010年8月的数据。排除18岁以上的患者。收集患者年龄、烧伤原因、烧伤总面积（TBSA）、烧伤深度和患者治疗结果。将人口统计学数据与地区人口普查数据进行比较。
在35年期间，5748名小儿患者因热损伤入院。男性约占入院患者的三分之二（66.2%）。尽管年入院率有所上升，但小儿烧伤入院率，尤其是西班牙裔和非裔美国儿童的入院率有所下降。最常见的入院原因是烫伤（42%）、火焰烧伤（29%）和接触性烧伤（10%）。住院时间中位数和烧伤面积均随时间下降（r²分别为0.75和0.62）。死亡率与吸入性损伤、烧伤面积和虐待史显著相关。与入院年份呈负相关。
在北德克萨斯州的35年里，小儿烧伤入院的中位烧伤面积和发病率有所下降。与此同时，住院时间和死亡率也有所下降。
