Division of Population Medicine, School of Medicine, Cardiff University, University Hospital of Wales, Cardiff, UK.
Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.
Inj Prev. 2020 Feb;26(1):24-30. doi: 10.1136/injuryprev-2018-042881. Epub 2019 Feb 21.
Childhood burns represent a burden on health services, yet the full extent of the problem is difficult to quantify. We estimated the annual UK incidence from primary care (PC), emergency attendances (EA), hospital admissions (HA) and deaths.
The population was children (0-15 years), across England, Wales, Scotland and Northern Ireland (NI), with medically attended burns 2013-2015. Routinely collected data sources included PC attendances from Clinical Practice Research Datalink 2013-2015), EAs from Paediatric Emergency Research in the United Kingdom and Ireland (PERUKI, 2014) and National Health Services Wales Informatics Services, HAs from Hospital Episode Statistics, National Services Scotland and Social Services and Public Safety (2014), and mortality from the Office for National Statistics, National Records of Scotland and NI Statistics and Research Agency 2013-2015. The population denominators were based on Office for National Statistics mid-year population estimates.
The annual PC burns attendance was 16.1/10 000 persons at risk (95% CI 15.6 to 16.6); EAs were 35.1/10 000 persons at risk (95% CI 34.7 to 35.5) in England and 28.9 (95% CI 27.5 to 30.3) in Wales. HAs ranged from 6.0/10 000 person at risk (95% CI 5.9 to 6.2) in England to 3.1 in Wales and Scotland (95% CI 2.7 to 3.8 and 2.7 to 3.5, respectively) and 2.8 (95% CI 2.4 to 3.4) in NI. In England, Wales and Scotland, 75% of HAs were aged <5 years. Mortality was low with 0.1/1 000 000 persons at risk (95% CI 0.06 to 0.2).
With an estimated 19 574 PC attendances, 37 703 EAs (England and Wales only), 6639 HAs and 1-6 childhood deaths annually, there is an urgent need to improve UK childhood burns prevention.
儿童烧伤给医疗服务带来了负担，但要全面了解问题的严重程度却很困难。我们评估了英国 2013-2015 年来自初级保健（PC）、急诊就诊（EA）、住院（HA）和死亡的数据的年度发病率。
研究对象为英格兰、威尔士、苏格兰和北爱尔兰（NI）的 0-15 岁儿童，有医疗干预的烧伤患者。常规收集的数据来源包括 2013-2015 年临床实践研究数据链接中的 PC 就诊（PC）、英国和爱尔兰儿科急诊研究（PERUKI）中的 EA（2014 年）和威尔士国民健康服务信息服务中的 HA（2014 年）、苏格兰国民服务和社会服务及公共安全中的 HA（2014 年）以及 2013-2015 年来自国家统计局、苏格兰国家记录和 NI 统计和研究机构的死亡率。人口分母基于国家统计局年中人口估计。
每年 PC 烧伤就诊率为每 10 000 名风险人群中有 16.1 人（95%CI 15.6-16.6）；英格兰的 EA 为每 10 000 名风险人群中有 35.1 人（95%CI 34.7-35.5），威尔士为每 10 000 名风险人群中有 28.9 人（95%CI 27.5-30.3）。HA 范围从英格兰每 10 000 名风险人群中有 6.0 人（95%CI 5.9-6.2）到威尔士和苏格兰的每 10 000 名风险人群中有 3.1 人（95%CI 2.7-3.8 和 2.7-3.5）和北爱尔兰的每 10 000 名风险人群中有 2.8 人（95%CI 2.4-3.4）。在英格兰、威尔士和苏格兰，75%的 HA 患者年龄<5 岁。死亡率较低，每 100 万人中有 0.1 人（95%CI 0.06-0.2）。
英国每年 PC 就诊 19574 次，EA（仅英格兰和威尔士）37703 次，HA 6639 次，儿童死亡 1-6 例，因此迫切需要改善英国儿童烧伤预防。
