Ramirez Jesus I, Thomas Debi M, Neal Donald J, Maguina Pirko
Shriners Hospitals for Children Northern California, Sacramento, California.
University of California Davis, Sacramento, California.
J Burn Care Res. 2018 Oct 23;39(6):911-914. doi: 10.1093/jbcr/iry005.
Scald injuries caused by hair braiding have become increasingly common in our pediatric burn center's African-American population. This injury mechanism has received little attention in the medical literature. To guide prevention, the present study aims to characterize this novel mechanism of injury and identify patterns underlying its frequency. A retrospective cohort analysis was performed on all cases of scald injury due to hair braiding in African-American girls treated at our burn center from 2000 to 2016. Data were gathered from the patient's medical records to determine demographics, details of the injury, and treatment rendered. Patterns of injury frequency were identified and statistically analyzed. Thirty-four patients suffered scald injuries associated with hair braiding. The mean patient age was 8.4 years (SD ± 5 years). The majority of injuries (90%) occurred in the home. The frequency of injuries significantly increased starting in the year 2012, rising from less than 3% to more than 10% of evaluated injuries in African-American girls (P = .0015). Injuries were significantly more frequent in summer months. Injuries resulted in considerable usage of medical resources, including ambulance transport, hospital admission, clinic visits, prolonged wound care, and surgery. Complications developed in 41% of injured children; the most frequent complication was scarring. Pediatric scald injuries caused by braiding practices are morbid, have recently become increasingly frequent, tend to occur in the summer, and may be related to a new do-it-yourself style trend among African-American girls.
在我们儿科烧伤中心的非裔美国人群中，编发导致的烫伤越来越常见。这种损伤机制在医学文献中很少受到关注。为了指导预防工作，本研究旨在描述这种新的损伤机制，并确定其发生频率背后的模式。对2000年至2016年在我们烧伤中心接受治疗的非裔美国女孩因编发导致烫伤的所有病例进行了回顾性队列分析。从患者的病历中收集数据，以确定人口统计学特征、损伤细节和所提供的治疗。确定损伤频率模式并进行统计分析。34名患者因编发而遭受烫伤。患者的平均年龄为8.4岁（标准差±5岁）。大多数损伤（90%）发生在家中。从2012年开始，损伤频率显著增加，在非裔美国女孩中，从评估损伤的不到3%上升到超过10%（P = 0.0015）。夏季损伤明显更频繁。损伤导致大量医疗资源的使用，包括救护车转运、住院、门诊就诊、长期伤口护理和手术。41%的受伤儿童出现并发症；最常见的并发症是疤痕形成。编发导致的儿科烫伤具有危害性，最近越来越频繁，往往发生在夏季，可能与非裔美国女孩中一种新的自己动手的时尚潮流有关。
