Martz N, Sika A, Guemaleu P, Elenga N, Quet F
Service de Chirurgie Pédiatrique, Hôpital Andrée Rosemon, Cayenne, France.
Service de Pédiatrie, Hôpital Andrée Rosemon, Cayenne, France.
Ann Burns Fire Disasters. 2023 Dec 31;36(4):293-298. eCollection 2023 Dec.
This descriptive observational study aims to describe the epidemiological profile of children hospitalized for burns in Guyana, a French district which does not have a burn treatment centre, and direct prevention towards the populations most at risk. Retrospective analysis of 665 hospitalizations was made thanks to the coding of patients aged 0 to 18, hospitalized for burns between January 2010 and December 2022 at Cayenne Hospital Centre. Univariate and multivariate descriptive analyses were carried out on age, sex, municipality of origin, date of burn, duration of hospitalization, mode of burn, location, percentage and depth of burn. A total 416 children with "burn" coding were hospitalized over this period and 358 patients were included. Burns were more common in males (58%) and in children under 6 (75%). A majority of patients were townspeople and lived on the coast (70%). 9.5% of patients were transferred to Trousseau Hospital in Paris for more specialized care. 61% of burns were caused by hot water and 16.5% by flames. Duration of hospitalization was on average 8 days and the burnt skin surface was 9.5%. Children under 2 years old living in Cayenne and its suburbs are the most at risk of burns, but the most serious burns requiring a transfer to Paris are found in children over 3 years old living on the Maroni River and playing with flammable products.
这项描述性观察性研究旨在描述圭亚那(法属地区,没有烧伤治疗中心)因烧伤住院儿童的流行病学概况,并针对高危人群进行直接预防。通过对2010年1月至2022年12月在卡宴医院中心因烧伤住院的0至18岁患者进行编码,对665例住院病例进行了回顾性分析。对年龄、性别、原籍市、烧伤日期、住院时间、烧伤方式、部位、烧伤百分比和深度进行了单变量和多变量描述性分析。在此期间,共有416名编码为“烧伤”的儿童住院,纳入358例患者。烧伤在男性中更为常见(58%),在6岁以下儿童中更为常见(75%)。大多数患者是城镇居民,居住在沿海地区(70%)。9.5%的患者被转至巴黎的特鲁索医院接受更专业的治疗。61%的烧伤由热水引起,16.5%由火焰引起。平均住院时间为8天,烧伤皮肤面积为9.5%。居住在卡宴及其郊区的2岁以下儿童烧伤风险最高,但需要转至巴黎的最严重烧伤病例出现在居住在马罗尼河沿岸且接触易燃产品的3岁以上儿童中。