Department of Pediatric Surgery, Pediatric Burn Center, Childrens' Hospital, Ankara Bilkent City Hospital, Ankara 06800, Turkey.
Department of Pediatric Surgery, Pediatric Burn Center, Health Science University, Childrens' Hospital, Ankara Bilkent City Hospital, Ankara 06800, Turkey.
J Burn Care Res. 2024 Sep 6;45(5):1274-1278. doi: 10.1093/jbcr/irae043.
Burn injuries are a serious emergency. Most burn injuries in children can be treated as outpatients. The aim of this study was to present the clinical and epidemiologic characteristics of pediatric burn injuries treated in our outpatient burn clinic. This study included pediatric patients treated in an outpatient burn clinic over an 8-year period. The demographic and clinical characteristics of the patients were retrospectively analyzed. The patients were divided into 4 groups according to their age groups, and the differences between the groups were investigated. Statistical analysis was performed using IBM SPSS Statistics, Version 25.0. P < .05 was accepted as statistically significant. Of the total 5167 patients, 2811 (54.4%) were male. Scald burns were the most common cause of burns (81.4%). Contact burns accounted for 12.2% of all burns. There were no differences between sexes for any variable. The highest incidence was seen in children in the 2- to 5-year-old age group (28.3%). There were differences between age groups in terms of sex, burn area, burn visit, burn type, burn location, need for wound dressing under anesthesia, and need for grafting. Among the patients, 4.9% were hospitalized due to the need for wound dressing under anesthesia. However, most of the patients (95.1%) were treated as outpatients. In conclusion, the majority of pediatric burn patients can be treated as outpatients. This allows pediatric patients to complete treatment in a psychologically comfortable environment and has low complication rates. Outpatient treatment should become the standard for children who are suitable for outpatient follow-up and who have home support.
烧伤是一种严重的急症。大多数儿童烧伤可在门诊治疗。本研究旨在介绍在我院门诊烧伤科治疗的小儿烧伤的临床和流行病学特征。本研究纳入了在门诊烧伤科治疗的 8 年间的小儿患者。回顾性分析患者的人口统计学和临床特征。根据年龄组将患者分为 4 组，并对组间差异进行了调查。采用 IBM SPSS Statistics 版本 25.0 进行统计学分析。P<.05 为差异有统计学意义。在总共 5167 例患者中，2811 例（54.4%）为男性。烫伤是烧伤的最常见原因（81.4%）。接触烧伤占所有烧伤的 12.2%。各变量在性别方面无差异。发病率最高的是 2-5 岁年龄组（28.3%）。在性别、烧伤面积、烧伤就诊次数、烧伤类型、烧伤部位、是否需要在麻醉下进行伤口敷料处理以及是否需要植皮方面，各年龄组间存在差异。在这些患者中，4.9%的患者因需要在麻醉下进行伤口敷料处理而住院。然而，大多数患者（95.1%）接受门诊治疗。总之，大多数小儿烧伤患者可接受门诊治疗。这使小儿患者能够在心理舒适的环境中完成治疗，且并发症发生率较低。对于适合门诊随访且有家庭支持的患儿，门诊治疗应成为标准治疗方法。
