Burns Unit, Chelsea and Westminster Hospital NHS Foundation Trust, United Kingdom.
Burns Unit, Chelsea and Westminster Hospital NHS Foundation Trust, United Kingdom.
Burns. 2019 Jun;45(4):974-982. doi: 10.1016/j.burns.2018.12.006. Epub 2019 Feb 12.
Hot water bottles (HWBs) are a common domestic item in the UK. Their use is associated with burns injuries, either by contact for prolonged periods with the skin, or through the HWB leaking or bursting.
We used electronic health records to retrospectively review HWB related burns treated by the Burns Service at Chelsea and Westminster Hospital between January 2017-March 2018. We analysed the mechanism of injury, size and depth of burn, method of treatment and costs associated with HWB burns in our centre.
80 patients sustained HWB burns during this period, with a similar incidence of contact burns (41/80, 51.3%) and scalds (38/80, 47.5%), with one steam burn. The commonest area burnt was the lower limb (40/80, 50%). Most burns had a TBSA of 1% or smaller (50/80, 62.5%). 30 patients had full thickness burns, with 37 in total received operative management. We estimate that the total cost for managing this cohort of patients was over £68,634.
There are a significant proportion of patients presenting with HWB burns that could be prevented, with significant impact on patient morbidity and resource burden on the NHS. Targeted public awareness campaigns are needed to ameliorate these injuries.
热水瓶（HWBs）在英国是一种常见的家用物品。它们的使用与烧伤损伤有关，要么是由于长时间与皮肤接触，要么是由于热水瓶泄漏或爆裂。
我们使用电子健康记录回顾性地审查了 2017 年 1 月至 2018 年 3 月期间切尔西和威斯敏斯特医院烧伤科治疗的与热水瓶相关的烧伤。我们分析了我们中心热水瓶烧伤的损伤机制、烧伤面积和深度、治疗方法和相关费用。
在此期间，80 名患者遭受了热水瓶烧伤，接触烧伤（41/80，51.3%）和烫伤（38/80，47.5%）的发生率相似，有一例蒸汽烧伤。最常见的烧伤部位是下肢（40/80，50%）。大多数烧伤的 TBSA 为 1%或更小（50/80，62.5%）。30 名患者有全层烧伤，其中 37 名患者接受了手术治疗。我们估计，管理这组患者的总成本超过 68634 英镑。
有相当一部分患者因热水瓶烧伤而就诊，这些损伤会对患者的发病率和 NHS 的资源负担产生重大影响。需要开展有针对性的公众宣传活动来减轻这些伤害。
