Bousema Sara, Stas Helene G, van de Merwe Marjolijn H, Oen Irma M M H, Baartmans Martin G A, van Baar Margriet E
Burn Centre Rotterdam, Maasstad Hospital, Rotterdam, The Netherlands.
Division of Pediatrics, Maasstad Hospital, Rotterdam, The Netherlands.
Burns. 2016 Sep;42(6):1287-94. doi: 10.1016/j.burns.2016.01.009. Epub 2016 May 20.
International estimates of the incidence of non-accidental burns (NAB) in children admitted to burn centres vary from 1% to 25%. Hardly any data about Dutch figures exist. The aim of this study was to evaluate the incidence, treatment and outcome of burns due to suspected child abuse in paediatric burns. We described the process of care and outcome, including the accuracy of the SPUTOVAMO screening tool and examined child, burn and treatment characteristics related to suspicions of child abuse or neglect. A retrospective study was conducted in children aged 0-17 years with a primary admission after burn injuries to the burn centre Rotterdam in the period 2009-2013. Data on patient, injury and treatment characteristics were collected, using the Dutch Burn Repository R3. In addition, medical records were reviewed. In 498 paediatric admissions, suspected child abuse or neglect was present in 43 children (9%). 442 screening questionnaires (89%) were completed. In 52 out of 442 questionnaires (12%) the completed SPUTOVAMO had one or more positive signs. Significant independent predictors for suspected child abuse were burns in the genital area or buttocks (OR=3.29; CI: 143-7.55) and a low socio-economic status (OR=2.52; 95%CI: 1.30-4.90). The incidence of suspected child abuse indicating generation of additional support in our population is comparable to studies with a similar design in other countries.
国际上对烧伤中心收治儿童非意外烧伤（NAB）发病率的估计在1%至25%之间。几乎没有关于荷兰数据的资料。本研究的目的是评估小儿烧伤中疑似虐待儿童所致烧伤的发病率、治疗及预后。我们描述了护理过程及预后，包括SPUTOVAMO筛查工具的准确性，并研究了与虐待或忽视儿童嫌疑相关的儿童、烧伤及治疗特征。对2009年至2013年期间因烧伤首次入住鹿特丹烧伤中心的0至17岁儿童进行了一项回顾性研究。利用荷兰烧伤数据库R3收集了患者、损伤及治疗特征的数据。此外，还查阅了病历。在498例儿科住院病例中，43例儿童（9%）存在疑似虐待或忽视儿童的情况。共完成了442份筛查问卷（89%）。在442份问卷中的52份（12%）中，填写完整的SPUTOVAMO有一个或多个阳性体征。疑似虐待儿童的重要独立预测因素为生殖器区域或臀部烧伤（OR=3.29；CI：1.43 - 7.55）以及社会经济地位较低（OR=2.52；95%CI：1.30 - 4.90）。在我们的研究人群中，表明需要额外支持的疑似虐待儿童的发病率与其他国家类似设计的研究相当。
