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1442 例小儿烧伤患者的流行病学和转归:单中心经验。

Epidemiology and outcome of 1442 pediatric burn patients: A single-center experience.

机构信息

Department of General Surgery, Adana City Training and Research Hospital, Adana-Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2022 Jan;28(1):57-61. doi: 10.14744/tjtes.2020.69447.

DOI:10.14744/tjtes.2020.69447
PMID:34967435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10443157/
Abstract

BACKGROUND

Burns are common injuries among children resulting with significant mortality and morbidity, especially in developing countries. Epidemiological data may guide for the preventive measures and contribute reducing the incidence of burns in children. The aim of this study is to report the epidemiological features of pediatric burn patients treated in a tertiary burn center and to suggest preventive measures.

METHODS

Between January 1, 2015, and June 30, 2019, a total of 1442 children hospitalized in our burn center were evaluated retrospectively. Demographic, epidemiological, and clinical data including burn etiology, percentage of burned total body surface area (TBSA), hospital stay, infection, and mortality rate were reported.

RESULTS

The percentage of burned TBSA was 11.23±10.70 and the length of hospital stay was 14.38±18.1 days. In total, 89.18% of the patients (n=1286) experienced burn injury indoors. With regard to the etiology, scalding with hot water and tea was the most common in all age groups. Flame burn incidence increases after infancy, and electrical burns occur more in school age. A total of 10 patients (0.69%) were died and seven of them were delayed referrals from other hospitals.

CONCLUSION

Infants and males consist of the majority of our pediatric burn patients. The percentage of burned TBSA and length of hospital stay increased as the patient age increased. Childhood burn injuries are mainly scald burns that occur indoors, while their parents were nearby. Therefore, education programs focusing on primary prevention addressing family members are required to avoid pediatric burns.

摘要

背景

烧伤是儿童常见的创伤,会导致较高的死亡率和发病率,尤其在发展中国家。流行病学数据可能指导预防措施,并有助于降低儿童烧伤的发生率。本研究旨在报告在一家三级烧伤中心治疗的儿科烧伤患者的流行病学特征,并提出预防措施。

方法

回顾性评估 2015 年 1 月 1 日至 2019 年 6 月 30 日期间在我院烧伤中心住院的 1442 名儿童。报告人口统计学、流行病学和临床数据,包括烧伤病因、烧伤总面积百分比(TBSA)、住院时间、感染和死亡率。

结果

TBSA 的烧伤百分比为 11.23±10.70,住院时间为 14.38±18.1 天。总共 89.18%(n=1286)的患者在室内发生烧伤。就病因而言,热水和茶水烫伤在所有年龄段均最为常见。火焰烧伤在婴儿期后发生率增加,而电烧伤在学龄期更为常见。共有 10 名患者(0.69%)死亡,其中 7 名是其他医院延迟转诊的。

结论

婴儿和男性构成了我们儿科烧伤患者的大多数。烧伤总面积百分比和住院时间随着患者年龄的增加而增加。儿童烧伤主要是室内发生的热液烫伤,而其父母就在附近。因此,需要针对家庭成员开展以初级预防为重点的教育计划,以避免儿童烧伤。

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