Tiryaki C, Haksal M C
Department of General Surgery, University of Health Science, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.
Department of General Surgery, Medipol University, Faculty of Medicine, Istanbul, Turkey.
Niger J Clin Pract. 2019 May;22(5):642-647. doi: 10.4103/njcp.njcp_359_18.
We aimed to compare the epidemiological data, general characteristics, laboratory findings, and outcomes of burn patients with ≤18 and >18 years of age. By this way, we also aimed to determine the effective preventive measures appropriate for different age groups.
The data of 630 consecutive patients admitted to our hospital with 2 or 3 degree burn injuries were retrospectively investigated. The patients were grouped into two regarding their ages as ≤18 (group 1) and >18 (group 2) years. Data of age, gender, cause of injury, location of injury, total burn area, length of hospital stay, laboratory data, and outcome of treatment were recorded.
We determined that although burn injury is more common in males compared with the females, male predominance is more commonly determined in older age group than children. Extremities are most commonly affected areas in both groups. In children, the most common etiological agent was hot beverages while in older age group electrical burns, and work accidents were more common (P < 0.001). Among children, patients younger than 3 years of age were compromising 62.4% of all cases. In adult group, total burned body surface area %, operation or intensive care unit requirement, hospitalization period, blood transfusion, or fresh frozen plasma requirement and the number of patients expired were all significantly higher compared with the children. Regarding the admission laboratory data, renal and liver function tests were significantly worse in older age group. However, neutrophile percentage was significantly higher in older group which may be a sign of augmented inflammatory response.
Especially clinicians and public health providers should be aware of the clinical findings and outcomes of burn victims in order to drive more effective preventive measures.
我们旨在比较年龄≤18岁和>18岁烧伤患者的流行病学数据、一般特征、实验室检查结果及预后。通过这种方式，我们还旨在确定适合不同年龄组的有效预防措施。
回顾性调查我院收治的630例连续的Ⅱ度或Ⅲ度烧伤患者的数据。根据年龄将患者分为两组，年龄≤18岁（第1组）和>18岁（第2组）。记录年龄、性别、受伤原因、受伤部位、烧伤总面积、住院时间、实验室数据及治疗结果。
我们确定，虽然烧伤在男性中比女性更常见，但男性优势在老年组比儿童组更常见。两组中四肢都是最常受影响的部位。在儿童中，最常见的病因是热饮，而在老年组中，电烧伤和工伤事故更常见（P<0.001）。在儿童中，3岁以下的患者占所有病例的62.4%。与儿童相比，成人组的烧伤总面积百分比、手术或重症监护病房需求、住院时间、输血或新鲜冰冻血浆需求以及死亡患者数量均显著更高。关于入院时的实验室数据，老年组的肾功能和肝功能检查明显更差。然而，老年组的中性粒细胞百分比明显更高，这可能是炎症反应增强的一个迹象。
尤其是临床医生和公共卫生服务提供者应了解烧伤患者的临床表现和预后，以便采取更有效的预防措施。
