Wang Shujun, Li Dawei, Shen Chuanan, Chai Jiake, Zhu Hongjuan, Lin Yanlu, Liu Congying
Department of Burns and Plastic Surgery, the First Affiliated Hospital of Chinese PLA General Hospital, Beijing, 100048, China.
BMC Pediatr. 2016 Oct 18;16(1):166. doi: 10.1186/s12887-016-0686-7.
BACKGROUND: This study aimed to assess the epidemiological characteristics of pediatric burns in Beijing City. METHODS: This was a retrospective study of pediatric patients (n = 400) admitted to four burn centers in Beijing City between June 2010 and May 2011. Burn severity was determined according to total body surface area (TBSA) percentage and degree. Patients were followed up for one year. Multivariate analyses were carried out to determine the factors (burn etiology, time and place of injury, living conditions, hospital type, first-aid treatment methods, and parent/guardian knowledge of burns, educational level, occupation) affecting burn properties (severity and pigmentation/scar). RESULTS: 191/400 (47.8 %) patients were aged 2-3 years, and scalding was the leading etiology (355/400, 88.8 %). Burn incidence peaked in May (14.8 %), at 10:00-12:00 and 17:00-20:00. Most burn events occurred indoors (272/400, 68.0 %), especially in the kitchen (180/400, 45.0 %). Roughly half of them involved head and neck; 188 (47.0 %) patients had mild burns, 140 (35.0 %) moderate, 44 (11.0 %) extensive, and 28 (7.0 %) critical burns; 184 (46.0 %) patients were treated only with cold-water rinsing or compress; 120 (30.0 %) received no first aid. Only 32 (8.0 %) patients visited a specialized institution. 164 patients underwent surgery. Hospitalization lasted for 14.8 ± 8.1 days. Independent risk factors for burn severity were occurrence month, living conditions, occupation of the mother, and first aid. 288 (72.0 %) patients developed pigmentation and scar within a year while no independent risk factors was observed. CONCLUSIONS: Pediatric burns often occurred indoors, especially in the kitchen, and a substantial proportion receives no first aid.
背景:本研究旨在评估北京市小儿烧伤的流行病学特征。 方法:这是一项对2010年6月至2011年5月间入住北京市四家烧伤中心的小儿患者(n = 400)进行的回顾性研究。根据烧伤总面积(TBSA)百分比和烧伤程度确定烧伤严重程度。对患者进行为期一年的随访。进行多变量分析以确定影响烧伤特征(严重程度和色素沉着/瘢痕)的因素(烧伤病因、受伤时间和地点、生活条件、医院类型、急救治疗方法以及父母/监护人的烧伤知识、教育程度、职业)。 结果:191/400(47.8%)例患者年龄在2至3岁,烫伤是主要病因(355/400,88.8%)。烧伤发生率在5月达到峰值(14.8%),在10:00 - 12:00和17:00 - 20:00。大多数烧伤事件发生在室内(272/400,68.0%),尤其是在厨房(180/400,45.0%)。大约一半的烧伤涉及头颈部;188例(47.0%)患者为轻度烧伤,140例(35.0%)为中度烧伤,44例(11.0%)为大面积烧伤,28例(7.0%)为重度烧伤;184例(46.0%)患者仅接受冷水冲洗或冷敷治疗;120例(30.0%)未接受急救。仅
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