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儿童非意外伤害性烧伤的患病率及相关因素:系统评价和荟萃分析。

Prevalence of non-accidental burns and related factors in children: A systematic review and meta-analysis.

机构信息

Nursing Department, Al-Mustaqbal University College, Babylon, Iraq.

Department of Orthopaedic Surgery, Faculty of Medicine, National University of Malaysia, Bani, Malaysia.

出版信息

Int Wound J. 2023 Nov;20(9):3855-3870. doi: 10.1111/iwj.14236. Epub 2023 May 24.

Abstract

Non-accidental burns (NABs) in children had some adverse effects, such as severe burns, requiring skin grafting, and mortality. Previous studies reported NABs in the form of neglect, suspected abuse, and child abuse. Also, different statistics were estimated for the prevalence of NABs in children. Therefore, the current study aimed to comprehensively review and summarise the literature on the prevalence of NABs in children. Also, factors related to NABs as a secondary aim were considered in this review. Keywords combined using Boolean operators and searches were performed in international electronic databases, such as Scopus, PubMed, and Web of Science. Only studies in English were considered from the earliest to 1 March 2023. The analysis was performed using STATA software version 14. Finally, 29 articles were retrieved for the quantitative analysis. Results found that the prevalence of child abuse, suspected abuse, neglect, 'child abuse or suspect abused', and 'abuse, suspect abused, or neglect' was 6% (ES: 0.06, 95% confidence interval [CI]: 0.05-0.07), 12% (ES: 0.12, 95% CI: 0.09-0.15), 21% (ES: 0.21, 95% CI: 0.07-0.35), 8% (ES: 0.08, 95% CI: 0.07-0.09), and 15% (ES: 0.15, 95% CI: 0.13-0.16) among burns victims, respectively. Also, factors related to NABs are categorised into age and gender, agent and area of burns, and family features. Considering the results of the current study, planning for rapid diagnosis and designing a process to manage NABs in children is necessary.

摘要

非意外伤害性烧伤(NAB)会对儿童造成一些不良影响,如严重烧伤、需要植皮和死亡。先前的研究报告了以忽视、疑似虐待和儿童虐待形式出现的 NAB。此外,不同的统计数据估计了儿童 NAB 的患病率。因此,本研究旨在全面回顾和总结有关儿童 NAB 患病率的文献。此外,还考虑了与 NAB 相关的因素作为次要目的。使用布尔运算符和搜索词在国际电子数据库(如 Scopus、PubMed 和 Web of Science)中进行了组合关键词搜索。仅考虑从最早到 2023 年 3 月 1 日的英语研究。使用 STATA 软件版本 14 进行了分析。最后,检索了 29 篇文章进行定量分析。结果发现,儿童虐待、疑似虐待、忽视、“儿童虐待或疑似虐待”和“虐待、疑似虐待或忽视”的患病率分别为 6%(ES:0.06,95%置信区间[CI]:0.05-0.07)、12%(ES:0.12,95%CI:0.09-0.15)、21%(ES:0.21,95%CI:0.07-0.35)、8%(ES:0.08,95%CI:0.07-0.09)和 15%(ES:0.15,95%CI:0.13-0.16)。此外,与 NAB 相关的因素分为年龄和性别、致伤剂和烧伤部位以及家庭特征。考虑到本研究的结果,有必要快速诊断并设计处理儿童 NAB 的流程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d04/10588353/10072a491e44/IWJ-20-3855-g004.jpg

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