Toma Alexandra, Voicu Dragoș, Popazu Constantin, Mihalache Daniela, Duca Oana, Dănilă Dumitru Marius, Enescu Dan Mircea
Faculty of Medicine and Pharmacy, "Dunărea de Jos" University of Galați, 800201 Galați, Romania.
Emergency Clinical Hospital of Brăila, 810325 Brăila, Romania.
J Pers Med. 2024 Jul 25;14(8):788. doi: 10.3390/jpm14080788.
(1) Background: Burn injuries in children present a significant public health concern due to their potential for severe physical and psychological impact. (2) Methods: This study investigates the determinants of pediatric burn severity by analyzing the interplay of demographic and environmental factors. Through a retrospective analysis of pediatric burn cases over five years, encompassing patient demographics, burn causative agents, and clinical outcomes, this research aims to identify significant predictors of burn severity. (3) Results: This study presents a comprehensive analysis of pediatric burn injuries, focusing on the severity, clinical outcomes, and multifactorial aspects influencing recovery. We reviewed 1498 pediatric burn cases from January 2015 to December 2020. The mean age of patients was 5.8 years, with a slight male predominance (54%). Scalds (45%), flame burns (30%), and contact burns (15%) were the most common burn types. Our findings indicate significant differences in burn severity based on TBSA, with 32.5% of cases having TBSA greater than 20%. Multivariate logistic regression identified rural residence, male gender, flame burns, and lower socioeconomic status as significant predictors of severe burn outcomes. The overall mortality rate was 2.5%, with higher rates among patients with TBSA greater than 40%. These results highlight the need for targeted prevention strategies and improved access to specialized burn care. (4) Conclusions: Understanding these factors can inform targeted prevention strategies and improve treatment protocols.
(1) 背景：儿童烧伤因可能造成严重的身体和心理影响而成为重大的公共卫生问题。(2) 方法：本研究通过分析人口统计学和环境因素的相互作用来调查儿童烧伤严重程度的决定因素。通过对五年内儿童烧伤病例进行回顾性分析，涵盖患者人口统计学、烧伤致伤因素和临床结果，本研究旨在确定烧伤严重程度的重要预测因素。(3) 结果：本研究对儿童烧伤进行了全面分析，重点关注严重程度、临床结果以及影响康复的多因素方面。我们回顾了2015年1月至2020年12月期间的1498例儿童烧伤病例。患者的平均年龄为5.8岁，男性略占优势（54%）。烫伤（45%）、火焰烧伤（30%）和接触性烧伤（15%）是最常见的烧伤类型。我们的研究结果表明，基于烧伤总面积（TBSA），烧伤严重程度存在显著差异，32.5%的病例烧伤总面积大于20%。多因素逻辑回归确定农村居住、男性性别、火焰烧伤和社会经济地位较低是严重烧伤结果的重要预测因素。总体死亡率为2.5%，烧伤总面积大于40%的患者死亡率更高。这些结果凸显了制定有针对性的预防策略和改善获得专业烧伤护理机会的必要性。(4) 结论：了解这些因素可为有针对性的预防策略提供参考并改进治疗方案。
