Whittam Alexander, Stone Matthew, Anwar Mohammad Umair
The Regional Burns Service, The Mid Yorkshire Hospitals NHS Trust, Pinderfields General Hospital, Wakefield, UK.
J Burn Care Res. 2021 May 7;42(3):495-498. doi: 10.1093/jbcr/iraa190.
The primary method of heating residential dwellings in the developed world is through central heating radiators. These appliances are a major risk factor for contact burns, especially in individuals at the extremes of age. This article presents our findings of radiator contact burns in adults treated at a regional burns service during a 6-year period. We identified a total of 116 patients and 60% were male. The mean age was 58 (range 16-97), 71% had at least one comorbidity, with a mean of 1.88 comorbidities for each patient (range 0-8). The mean TBSA was 1.7% (range 0.1-8). Thirty-three patients (26%) required at least one operation with the average number of procedures being 1.45 (range 1-4). The mean length of stay was 16 days (range 0-98) compared to 7.5 days for all admitted patients across the same period. Four patients died within 30 days of their injury, 7 within 90 days, and 16 had died within 1 year of their injury. There have been previous smaller studies looking at contact burns from radiators in both adult and pediatric populations, demonstrating a bi-modal distribution at the extremes of age. This study is the largest of its kind looking specifically at an adult population and demonstrates that these injuries tend to occur in a population with a number of other comorbidities. These patients often required prolonged hospital care.
在发达国家，住宅供暖的主要方式是通过中央供暖散热器。这些设备是接触性烧伤的主要危险因素，尤其是对于年龄极大或极小的人。本文介绍了我们对一家地区烧伤服务机构在6年期间治疗的成人散热器接触性烧伤病例的研究结果。我们共识别出116例患者，其中60%为男性。平均年龄为58岁（范围16 - 97岁），71%的患者至少有一种合并症，每位患者合并症的平均数为1.88种（范围0 - 8种）。平均烧伤总面积为1.7%（范围0.1 - 8%）。33例患者（26%）至少需要进行一次手术，手术平均次数为1.45次（范围1 - 4次）。平均住院时间为16天（范围0 - 98天），而同期所有入院患者的平均住院时间为7.5天。4例患者在受伤后30天内死亡，7例在90天内死亡，16例在受伤后1年内死亡。此前有一些针对成人和儿童散热器接触性烧伤的规模较小的研究，显示在年龄两端呈双峰分布。本研究是同类研究中针对成人人群规模最大的，表明这些损伤往往发生在有多种其他合并症的人群中。这些患者通常需要长期住院治疗。
