Hurley Medical Center, Flint, Michigan.
Michigan State University, East Lansing, Michigan.
J Burn Care Res. 2021 Mar 4;42(2):182-185. doi: 10.1093/jbcr/iraa095.
The increasing trend of admissions due to recreational fires prompted a 5-year review. The retrospective chart review of pediatric burn injuries from campfires or bonfires treated at a single medical center's burn unit. The study included children within the ages of 0 to 15 admitted or transferred from January 2012 to December 2016 with first, second, and/or third degree burns by bonfires. These patients accrued burns due to active fires as well as postfire ember contact. Two hundred-eighty nine (289) were pediatric admissions out of which 66 (22.8%) were pediatric admissions associated with recreational fires. The mean annual admission for campfire or bonfire burns was 13 ± .98. The mean age was 4 ± 2.47 years. Gender distribution revealed 21 female and 45 male pediatric patients under the age of 15. From the available data, 8 (12%) of these burns occurred at home in the backyard and 16 (24%) at a public camp or park. Injury mechanisms were more commonly a result of direct contact with hot coals and embers (65%). Falls into open flame accounted for 23% (n = 15) of injuries, and flash flames accounted for 12% of injuries (n = 8). The presence of supervision was unknown in 56%; however, lack of supervision was a factor in 14% of our study population. By gaining a better understanding of the type of injury, mechanism of injury, and the demographic of recreational fire burn victims, policy, and awareness campaigns were instituted in an effort to reduce the incidence of recreational fire burns.
由于娱乐性火灾导致的住院人数不断增加，促使我们进行了这项为期 5 年的回顾研究。本研究回顾性分析了在一家医疗中心烧伤科接受治疗的因营火或篝火导致的儿童烧伤患者的病历资料。研究对象为年龄在 0 至 15 岁之间的儿童，这些儿童是在 2012 年 1 月至 2016 年 12 月期间因营火或篝火而导致第一、二、三度烧伤，并被收入院或转院治疗。这些患者是因营火或篝火而主动接触火源或余烬导致烧伤。在 289 名儿科烧伤患者中，有 66 名（22.8%）与娱乐性火灾有关。因营火或篝火烧伤而住院的平均年发生率为 13±0.98。平均年龄为 4±2.47 岁。性别分布显示，有 21 名女性和 45 名男性儿童患者年龄在 15 岁以下。在可获得数据中，有 8 名（12%）患者的烧伤发生在自家后院，有 16 名（24%）患者的烧伤发生在公共营地或公园。受伤机制通常是直接接触热煤和余烬（65%）。23%（n=15）的烧伤是因跌入明火导致，12%（n=8）的烧伤是因接触闪焰导致。有 56%的患者的烧伤是在无人监管的情况下发生的，但在我们的研究人群中，有 14%的患者是在无人监管的情况下发生的烧伤。通过更好地了解娱乐性火灾烧伤受害者的受伤类型、受伤机制和人口统计学特征，我们制定了相关政策并开展了宣传活动，以努力降低娱乐性火灾烧伤的发生率。
