Department of Emergency, The 958th Hospital of PLA, The Affiliated Hospital of Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400020, People's Republic of China.
School of Nursing, Third Military Medical University (Army Medical University), Chongqing, 400038, People's Republic of China.
Sci Rep. 2021 Apr 30;11(1):9374. doi: 10.1038/s41598-021-88507-x.
Burns are one of the most common injuries in daily life for all ages of population. This study was to investigate the epidemiology and outcomes among burn patients in one of the largest burn centers in the southwest of China. The study was performed at the Institute of Burn Research in the first affiliated with the Army Medical University (AMU). A total of 17,939 burn patients were included in this retrospective study. Information regarding burn epidemiology and outcomes in 17 years were collected, calculated and compared. The age ranged from 257 days to 95 years old. Scalding and flame were the two most common causes to burn injuries, comprising of 91.96% in total. Limbs, head/face/neck, and trunk were the most frequently occurred burn sites, with the number and the percent of 12,324 (68.70%), 7989 (44.53%), and 7771 (43.32%), respectively. The average total body surface area (TBSA) was 13.64 ± 16.83% (median 8%) with a range of 0.1-100%. A total of 874 (4.9%) patients had TBSA > 50%. The presence of a burn with an inhalation injury was confirmed in 543 patients (3.03%). The average LOS was 32.11 ± 65.72 days (median: 17 days). Eventually, the retrospective analysis resulted in the development of a burn management continuum used for developing strategies to prevent and manage severe burns. The annual number of burn injuries has kept decreasing, which was partially attributed to the increased awareness and education of burn prevention and the improved burn-preventative circumstances. However, the burn severity and the economic burden were still in a high level. And the gender difference and age difference should be considered when making individualized interventions and rehabilitative treatments.
烧伤是各年龄段人群日常生活中最常见的损伤之一。本研究旨在调查中国西南部最大的烧伤中心之一的烧伤患者的流行病学和结局。该研究在陆军军医大学第一附属医院烧伤研究所进行。共有 17939 名烧伤患者纳入本回顾性研究。收集、计算和比较了 17 年来烧伤流行病学和结局的信息。年龄范围为 257 天至 95 岁。烫伤和火焰是导致烧伤的两个最常见原因，占总数的 91.96%。四肢、头/面/颈部和躯干是最常发生烧伤的部位，数量和百分比分别为 12324 例（68.70%）、7989 例（44.53%）和 7771 例（43.32%）。平均总体表面积（TBSA）为 13.64±16.83%（中位数 8%），范围为 0.1-100%。共有 874 例（4.9%）患者 TBSA>50%。543 例（3.03%）患者存在烧伤合并吸入性损伤。平均 LOS 为 32.11±65.72 天（中位数：17 天）。最终，回顾性分析产生了一个烧伤管理连续体，用于制定预防和管理严重烧伤的策略。烧伤损伤的年发生数一直在减少，这部分归因于烧伤预防意识和教育的提高以及烧伤预防环境的改善。然而，烧伤严重程度和经济负担仍处于较高水平。在制定个体化干预和康复治疗措施时，应考虑性别差异和年龄差异。
