Department of Epidemiology and Preventive Medicine, Monash University, Level 3, 553 St. Kilda Road, Melbourne 3004, Victoria, Australia.
Victorian Adult Burns Service, Alfred Hospital, 55 Commercial Rd., Melbourne, Victoria 3004 Australia.
Burns. 2019 Nov;45(7):1553-1561. doi: 10.1016/j.burns.2019.07.003. Epub 2019 Jul 24.
Knowledge of the epidemiology of burn-related fatalities is limited, with most previous studies based on hospital and burn centre data only.
To describe the epidemiological characteristics of all burn-related fatalities in Australia and New Zealand, and to identify any trends in burn-related fatality incidence over the study period.
Data from the National Coronial Information System, including data for pre-hospital and in-hospital burn-related fatality cases, was used to examine the characteristics of burn-related fatalities occurring in Australia and New Zealand from 2009 to 2015. Burn-related fatality rates per 100,000 population were estimated, and incidence trends assessed using Poisson regression analysis.
Of the 310 burn-related fatalities that occurred in Australia and New Zealand, 2009-2015, 41% occurred in a pre-hospital setting. Overall, most burn-related fatality cases were fire related, occurred at home, and were of people aged 41-80 years. One quarter of all burn-related fatalities were a result of intentional self-harm. The population incidence of all burn-related fatalities combined, and for NSW, decreased over the study period.
This study has identified the importance of examining all burn-related fatalities. If this is not done, vulnerable population subgroups will be missed and prevention efforts poorly targeted.
烧伤相关死亡的流行病学知识有限，以前的大多数研究仅基于医院和烧伤中心的数据。
描述澳大利亚和新西兰所有烧伤相关死亡的流行病学特征，并确定研究期间烧伤相关死亡率的任何趋势。
使用国家验尸信息系统的数据，包括院外和院内烧伤相关死亡病例的数据，研究 2009 年至 2015 年澳大利亚和新西兰发生的烧伤相关死亡的特征。按每 10 万人计算烧伤相关死亡率，并使用泊松回归分析评估发病率趋势。
在澳大利亚和新西兰发生的 310 例烧伤相关死亡中，41%发生在院外。总体而言，大多数烧伤相关死亡病例与火灾有关，发生在家庭中，且死者年龄在 41-80 岁之间。四分之一的所有烧伤相关死亡是故意自残的结果。在研究期间，所有烧伤相关死亡的人群发病率以及新南威尔士州的发病率均有所下降。
本研究确定了检查所有烧伤相关死亡的重要性。如果不这样做，就会遗漏弱势人群亚组，预防工作也难以有针对性。
