Cohen-Manheim Irit, Harats Moti, Goldman Sharon, Beylin Dmitry, Haik Josef, Bodas Moran, Givon Adi, Kornhaber Rachel, Hayun Yehiel, Cleary Michelle, Hilewitz Daniel, Tessone Ariel
Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel.
School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv-Yafo, Israel.
Semin Plast Surg. 2022 Aug 4;36(2):66-74. doi: 10.1055/s-0042-1749094. eCollection 2022 May.
Based on the Israeli National Trauma Registry (INTR) data, this study reports etiological, demographic, and clinical trends and includes all admissions to burn and trauma centers across Israel from 2011 to 2019 and compares these with 2004 to 2010 rates. From 2011 to 2019, 5,710 patients were admitted to burn centers across Israel. Children aged 0 to 1 years (25.9%), non-Jews (40.7%), and males (67.2%) remain the main groups of the burn casualties. Most of the casualties sustained 1 to 9% total body surface area (TBSA) burns with various depths. Scalds were less fatal than fire/flame-related casualties (<1 vs. 11.5%). Fewer surgical procedures were conducted for burns under 9% TBSA compared with greater TBSA. The percentage of TBSA and burn depth were found to be the most significant predictor of mortality among all age groups (>200 times increased risk with full-thickness burns >30% TBSA burn) and correlated with prolonged length of stay (>7 days).
基于以色列国家创伤登记处(INTR)的数据,本研究报告了病因、人口统计学和临床趋势,涵盖了2011年至2019年期间以色列所有烧伤和创伤中心的入院病例,并将这些数据与2004年至2010年的发病率进行了比较。2011年至2019年期间,以色列各地烧伤中心共收治了5710例患者。0至1岁的儿童(25.9%)、非犹太人(40.7%)和男性(67.2%)仍是烧伤伤亡的主要群体。大多数伤员全身表面积(TBSA)烧伤1%至9%,深度各异。烫伤的致死率低于与火灾/火焰相关的伤亡(<1%对11.5%)。与较大TBSA烧伤相比,TBSA低于9%的烧伤进行的外科手术较少。在所有年龄组中,TBSA百分比和烧伤深度被发现是死亡率的最显著预测因素(全层烧伤TBSA>30%时风险增加>200倍),并与住院时间延长(>7天)相关。