Department of Burns & Plastic Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham B15 2GW, United Kingdom.
Department of Burns & Plastic Surgery, University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham B15 2GW, United Kingdom.
Burns. 2021 Dec;47(8):1890-1895. doi: 10.1016/j.burns.2021.02.019. Epub 2021 Feb 27.
Burns incidence, mortality and complication rates have been shown to be directly correlated by race, gender and socioeconomic status. As such, socioeconomic status (SES) has been previously highlighted as a target for burn prevention in the UK and abroad. The Queen Elizabeth Hospital, Birmingham (QEHB) is the regional Burns Centre for the Midlands Burn Network, supporting a population of 13.7 million METHODS: 16-year retrospective review was performed of all acute adult burns assessed by the Burns and Plastics Department, QEHB. The data included patient demographics (age, gender, ethnic origin and postcode), mechanism of injury, total body surface area (TBSA) affected and whether first aid was given. IMD Rank, IMD Scores were obtained from individual postcodes, as well as incidence data per electoral ward.
In our analyses there were 3369 total acute admissions and acute assessments. 812 patients (24.1%) were in the most deprived decile. 1715 patients (50.9%) live within the 3 most deprived deciles. The deciles with the lowest completion of first aid were the first (524, 70.72%), third (257, 72.39%) and second (351, 72.82%).
This study shows patients from the most deprived areas are over-represented in burns incidence and are less likely to perform first aid. We feel this should be highlighted in burns prevention and education strategies.
烧伤的发生率、死亡率和并发症发生率已被证明与种族、性别和社会经济地位直接相关。因此，社会经济地位（SES）以前曾被强调为英国和国外烧伤预防的目标。伯明翰伊丽莎白女王医院（QEHB）是米德兰兹烧伤网络的区域烧伤中心，为 1370 万人口提供服务。
对 QEHB 烧伤和整形科评估的所有急性成人烧伤进行了 16 年的回顾性研究。该数据包括患者人口统计学特征（年龄、性别、种族和邮政编码）、损伤机制、全身表面积（TBSA）和是否进行急救。从各个邮政编码获得了 IMD 排名和 IMD 分数，以及按选举区划分的发病率数据。
在我们的分析中，共有 3369 例急性住院和急性评估。812 名患者（24.1%）处于最贫困的十分之一。1715 名患者（50.9%）居住在最贫困的三个十分之一。完成急救比例最低的十分之一分别为第一（524 人，70.72%）、第三（257 人，72.39%）和第二（351 人，72.82%）。
本研究表明，来自最贫困地区的患者烧伤发病率较高，且不太可能进行急救。我们认为，这应在烧伤预防和教育策略中得到强调。
