Kong Weishi, Xiao Yongqiang, Wang Baoli, Zhu Zhe, Hu Lunyang, Tang Hongtai, Wang Kangan, Fang He, Shi Ying, Long Jianyan, Gan Lanxia, Wang Haibo, Sun Yu, Xia Zhaofan
Department of Burn Surgery, the First Affiliated Hospital of Naval Medical University, Shanghai 200433, P.R.China.
Burn Institute of PLA, Research Unit of key techniques for treatment of burns and combined burns and trauma injury, Chinese Academy of Medical Sciences, Shanghai 200433, P.R.China.
Burns Trauma. 2021 Jun 10;9:tkab012. doi: 10.1093/burnst/tkab012. eCollection 2021.
Scar comorbidities seriously affect the physical and mental health of patients, but few studies have reported the exact epidemiological characteristics of scar comorbidities in China. This study aimed to investigate the prevalence of scar comorbidities in China.
The data of 177,586 scar cases between 2013 and 2018 were obtained from the Hospital Quality Monitoring System based on the 10th edition of the International Classification of Diseases coding system. The total distribution of scar comorbidities and their relationship with age, aetiology and body regions were analysed.
Six comorbidities (contracture, malformation, ocular complications, adhesion, infection and others) were the main focus. In general, male patients outnumbered females and urban areas outnumbered rural areas. The proportion of contractures was the highest at 59,028 (33.24%). Students, workers and farmers made up the majority of the occupation. Han Chinese accounted for the majority of the ethnic. The highest proportion of scar contracture occurred at 1-1.9 years of age (58.97%), after which a significant downward trend was observed. However, starting from 50 years of age, ocular complications increased gradually and significantly, eventually reaching a peak of 34.49% in those aged >80 years. Scar contracture was the most common comorbidity according to aetiology, and the highest proportion was observed in patients who were scalded (29.33%). Contractures were also the most frequent comorbidity in hands (10.30%), lower limbs (6.97%), feet (6.80%) and upper limbs (6.02%). The mean and median hospitalization durations were 12.85 and 8 days, respectively.
Contractures were the most common comorbidities, and different comorbidities tended to occur at different ages and with different causative factors.
瘢痕合并症严重影响患者身心健康，但国内鲜少有研究报道瘢痕合并症的确切流行病学特征。本研究旨在调查中国瘢痕合并症的患病率。
基于第十版国际疾病分类编码系统，从医院质量监测系统获取2013年至2018年间177,586例瘢痕病例的数据。分析瘢痕合并症的总体分布及其与年龄、病因和身体部位的关系。
主要关注六种合并症（挛缩、畸形、眼部并发症、粘连、感染及其他）。总体而言，男性患者多于女性，城市地区多于农村地区。挛缩比例最高，为59,028例（33.24%）。职业以学生、工人和农民为主。汉族占多数。瘢痕挛缩比例在1 - 1.9岁时最高（58.97%），之后呈显著下降趋势。然而，从50岁开始，眼部并发症逐渐显著增加，最终在80岁以上人群中达到峰值34.49%。按病因来看，瘢痕挛缩是最常见的合并症，烫伤患者中比例最高（29.33%）。挛缩在手部（10.30%）、下肢（6.97%）、足部（6.80%）和上肢（6.02%）也是最常见的合并症。平均住院天数和中位数住院天数分别为12.85天和8天。
挛缩是最常见的合并症，不同合并症往往在不同年龄和不同病因下发生。
