Jeffrey Cheah School of Medicine Health Sciences, Monash University Malaysia, Malaysia.
Sultanah Aminah Hospital, Johor Bahru, Malaysia (HSAJB), Ministry of Health Malaysia, Malaysia.
Med J Malaysia. 2023 Sep;78(5):661-668.
Burn injuries incur not just significant morbidity but also long-term psychosocial impact. This study aims to identify the clinico-demographics of children hospitalised for burns and factors associated with prolonged hospitalisation.
Written medical records of burn patients admitted to the Sultanah Aminah Hospital paediatric surgical ward, from January 2016 to December 2018, were retrospectively reviewed. Details on the patients' socio-demographic background, burn injuries, management and outcomes were recorded and analysed with logistic regression.
Of the 255 children included in the study, the majority were males (62.7%), children aged between 1 to 3 years (43.1%), and of the Malay ethnic group (83.1%). The commonest injury mechanism was scalds burns (81.2%). Staphylococcus aureus remained the commonest organism cultured from paediatric burn wounds. Most patients (66.4%) were hospitalised for less than 1 week. A significant number of patients experienced complications from their injuries. Multivariate analysis showed burns affecting total body surface area > 10% (adjusted OR, 13.45 [95% CI 6.25 - 28.96]; p = < 0.001) and non-scald burns (adjusted OR, 2.70 [95% CI 1.12 - 6.50]; p = 0.027) were the two main factors associated with prolonged hospitalisation of more than 1 week. These findings describing the epidemiology and outcomes of paediatric burn cases in a tertiary centre in Malaysia may inform future practice. More importantly, the information may contribute to the identification of at-risk populations and advise the development of effective prevention strategies to reduce the incidence and morbidity associated with paediatric burns in this region.
烧伤不仅会导致严重的发病率，还会对患者造成长期的心理社会影响。本研究旨在确定因烧伤住院的儿童的临床人口统计学特征，以及与住院时间延长相关的因素。
回顾性分析了 2016 年 1 月至 2018 年 12 月期间在苏丹阿明娜医院儿科外科病房住院的烧伤患儿的书面病历。记录了患者的社会人口统计学背景、烧伤情况、治疗和结局，并进行了逻辑回归分析。
在纳入研究的 255 名儿童中，大多数为男性（62.7%），年龄在 1 至 3 岁之间（43.1%），为马来族（83.1%）。最常见的损伤机制是烫伤烧伤（81.2%）。金黄色葡萄球菌仍然是从儿科烧伤伤口中培养出的最常见的病原体。大多数患者（66.4%）住院时间不到 1 周。有相当数量的患者因受伤而出现并发症。多变量分析显示，烧伤总面积超过 10%（调整后的 OR，13.45 [95% CI 6.25-28.96]；p < 0.001）和非烫伤烧伤（调整后的 OR，2.70 [95% CI 1.12-6.50]；p = 0.027）是与住院时间超过 1 周相关的两个主要因素。这些在马来西亚一家三级中心描述儿科烧伤病例的流行病学和结局的发现，可能为未来的实践提供信息。更重要的是，这些信息可以帮助识别高危人群，并为制定有效的预防策略提供建议，以减少该地区与儿科烧伤相关的发病率和发病率。
