Marsden N J, Battle C E, Combellack E J, Sabra A, Morris K, Dickson W A, Whitaker I S, Evans P A
NISCHR Haemostasis Biomedical Research Unit, Morriston Hospital, Swansea, UK; The Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK.
NISCHR Haemostasis Biomedical Research Unit, Morriston Hospital, Swansea, UK; College of Medicine, Swansea University, Swansea, UK.
Burns. 2016 Mar;42(2):446-52. doi: 10.1016/j.burns.2015.08.019. Epub 2016 Jan 12.
Low socio-economic status is thought to be associated with increased burn risk, however the significance and generalisability across different populations and cultures has been questioned.
A nine-year retrospective study of burn presentations to a large teaching hospital (2005-2014) was performed to investigate the association between socio-economic status and burns. Demographic and injury data was collected via the trust 'Information portal'. The Welsh Index of Multiple: Deprivation 2011 was used to score for socio-economic status. Chi-squared test and Odds Ratios were calculated and statistical significance defined as p<0.05 throughout.
6441 burns were identified, with 755 (11.7%) admitted. Overall incidence rates were the highest published in the UK (0.35/1000/year) with sub group analysis showing the highest rates in under fives and males. Significant relationships between both age and burn mechanism and gender and burn mechanism (p=0.0005) were identified. Scald (67.1%) was the most common mechanism with the upper limb (48%) most commonly burned. Chi square analysis demonstrated a significant relationship between socio-economic deprivation, age and burn incidence (p≤0.0005), with a disproportionately high number of burns in patients under the age of 16 in the most deprived quintile (OR 1.23; 95% CI 1.06-1.44).
This study specifically highlights patients under the age of 16 living in poorer socio-economic areas as the most at risk of suffering burns receiving hospital attention. This study demonstrates burns as a significant public health issue, and the results should aid in designing specific burn prevention strategies to target high-risk groups.
社会经济地位较低被认为与烧伤风险增加有关，然而，其在不同人群和文化中的重要性及普遍性受到了质疑。
对一家大型教学医院（2005 - 2014年）的烧伤病例进行了为期九年的回顾性研究，以调查社会经济地位与烧伤之间的关联。通过信托机构的“信息门户”收集人口统计学和损伤数据。使用2011年威尔士多重剥夺指数对社会经济地位进行评分。计算卡方检验和比值比，整个研究中统计学显著性定义为p<0.05。
共识别出6441例烧伤病例，其中755例（11.7%）住院治疗。总体发病率是英国公布的最高值（每年0.35/1000），亚组分析显示五岁以下儿童和男性的发病率最高。确定了年龄与烧伤机制以及性别与烧伤机制之间的显著关系（p = 0.0005）。烫伤（67.1%）是最常见的机制，上肢（48%）是最常烧伤的部位。卡方分析表明社会经济剥夺、年龄与烧伤发病率之间存在显著关系（p≤0.0005），在最贫困五分位数中，16岁以下患者的烧伤人数不成比例地高（比值比1.23；95%置信区间1.06 - 1.44）。
本研究特别强调，生活在社会经济较差地区的16岁以下患者是最容易遭受烧伤并需要医院治疗的高危人群。本研究表明烧伤是一个重大的公共卫生问题，研究结果应有助于设计针对高危人群的具体烧伤预防策略。
