School of Medicine, University of Texas Health Science Center San Antonio, 7733 Louis Pasture San Antonio, TX 78229, USA; The University of Texas School of Public Health, 7411 John Smith Dr, #1100 San Antonio, TX 78229, USA.
The University of Texas School of Public Health, 7411 John Smith Dr, #1100 San Antonio, TX 78229, USA.
Burns. 2019 Jun;45(4):957-963. doi: 10.1016/j.burns.2018.12.011. Epub 2019 Jan 3.
Globally, burns are among some of the most devastating injuries and account for more than 265,000 deaths worldwide. In Bangladesh alone, nearly 3000 people die annually from burn-related injuries. This study was conducted at the National Institute of Burn and Plastic Surgery in Dhaka, Bangladesh in June of 2016. Data included conducting surveys of hospitalized burn patients (N=66) and a chart review of deceased burn patients (N=88). In addition to reporting on the demographic profile of patients, information was also obtained on clinical measures during hospitalization. For non-fatal burns, high risk groups included young adult males (early 30s) of lower socioeconomic status. Among children, the most vulnerable group was found to be children less than eight years old. The most common non-fatal types of burn injuries were flame (35%), electrical (31%) and scald (24%). Discharged patients had an average hospital stay of around 30days with half of all patients requiring surgical intervention, thus indicating the severity of those cases and the need for resource-intensive care. Among the discharged patient population, factors significantly associated with a longer duration of hospital stay included severity of injury, not having received prior treatment before admission and whether or not patients required surgery during hospitalization. Among the mortality cases, the high-risk groups also included young adult males and children of around eight years of age. The average total body surface area (TBSA) sustained in these cases was 46.4%, with 65% of deaths attributable to complications from flame burns. These findings highlight the frequency and severity of burn injuries, identify vulnerable population groups and list common causes of burns in this large developing country of 160 million people. Furthermore, these findings may be applicable to the epidemiology and outcome of burns in similar low and middle income countries.
全球范围内，烧伤是最具破坏性的伤害之一，全世界有超过 26.5 万人因此死亡。仅在孟加拉国，每年就有近 3000 人死于与烧伤有关的伤害。本研究于 2016 年 6 月在孟加拉国达卡的国家烧伤和整形外科学研究所进行。数据包括对住院烧伤患者（N=66）进行调查和对死亡烧伤患者（N=88）进行病历回顾。除了报告患者的人口统计学特征外，还获得了住院期间临床指标的信息。对于非致命性烧伤，高风险群体包括社会经济地位较低的年轻成年男性（30 岁出头）。在儿童中，最脆弱的群体是 8 岁以下的儿童。最常见的非致命性烧伤类型是火焰（35%）、电（31%）和烫伤（24%）。出院患者的平均住院时间约为 30 天，一半的患者需要手术干预，这表明这些病例的严重程度以及对资源密集型护理的需求。在出院患者人群中，与住院时间延长显著相关的因素包括受伤严重程度、入院前是否未接受过治疗以及患者在住院期间是否需要手术。在死亡病例中，高风险群体还包括年轻成年男性和 8 岁左右的儿童。这些病例的平均总体表面积（TBSA）为 46.4%，65%的死亡归因于火焰烧伤的并发症。这些发现突出了烧伤的频率和严重程度，确定了脆弱人群群体，并列出了这个拥有 1.6 亿人口的大型发展中国家常见的烧伤原因。此外，这些发现可能适用于类似的低收入和中等收入国家的烧伤流行病学和结果。
