Noffsinger Dana L, Johnson Susan R, Wheeler Krista, Shi Junxin, Xiang Huiyun, Groner Jonathan I
From the *Trauma Program, Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio; †Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio; ‡Physical Therapy, Sports and Orthopedics, Nationwide Children's Hospital, Columbus, Ohio; §Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio; and ‖The Ohio State University College of Medicine, Columbus.
J Burn Care Res. 2017 Jul/Aug;38(4):215-219. doi: 10.1097/BCR.0000000000000446.
A pediatric nurse practitioner and an occupational therapist were impressed by the number and severity of treadmill-related hand burns encountered in their outpatient burn clinic. They observed that treadmill burns appeared to be deeper compared with other contact hand burns. Literature review revealed that research was inadequate in this area. A retrospective chart review was conducted, and a total of 384 patients were found to receive treatments at a regional level 1 pediatric burn center for treadmill and contact hand burns from 2010 to 2014. Age distribution, severity, and negative outcomes were compared between treadmill hand burns and contact hand burns. Recommendations for primary caregivers to prevent treadmill hand burns were given. Treadmill burns were the second most common hand injury mechanism after stovetop burns. Both hot surface contact burns and treadmill burns were more frequently seen in patients 0 to 4 years of age. Treadmill hand burns were more severe than contact hand burns in depth of injury (24.5 vs 1.4% full thickness), need for operative intervention (6.4 vs 0.0%), mean number of burn appointments (4.9 vs 1.9), median time to skin closure (25.2 days vs 11.0 days), and median length of care (51.0 days vs 11.0 days). Treadmill hand burns were frequently seen, and they were more severe and required an increased level and duration of care in comparison with other contact hand burns.
一名儿科执业护士和一名职业治疗师对他们门诊烧伤诊所中与跑步机相关的手部烧伤的数量和严重程度印象深刻。他们观察到，与其他接触性手部烧伤相比，跑步机烧伤似乎更深。文献综述显示该领域的研究不足。进行了一项回顾性病历审查，结果发现2010年至2014年期间共有384名患者在一家地区一级的儿科烧伤中心接受跑步机和接触性手部烧伤的治疗。对跑步机手部烧伤和接触性手部烧伤的年龄分布、严重程度及不良后果进行了比较。给出了对主要照料者预防跑步机手部烧伤的建议。跑步机烧伤是仅次于炉灶烧伤的第二常见手部损伤机制。热表面接触烧伤和跑步机烧伤在0至4岁的患者中更为常见。跑步机手部烧伤在损伤深度（全层烧伤24.5% 对1.4%）、手术干预需求（6.4% 对0.0%）、平均烧伤就诊次数（4.9次对1.9次）、皮肤闭合中位时间（25.2天对11.0天）以及护理中位时长（51.0天对11.0天）方面比接触性手部烧伤更严重。跑步机手部烧伤很常见，与其他接触性手部烧伤相比，它们更严重，需要更高水平和更长时间的护理。
