University of California Riverside, School of Medicine, Riverside, California.
Division of Plastic & Reconstructive Surgery, University of Southern California, Los Angeles, California.
J Surg Res. 2024 Oct;302:897-905. doi: 10.1016/j.jss.2024.08.004. Epub 2024 Sep 11.
The Consumer Product Safety Improvement Act (CPSIA) was passed in 2008 to establish safety standards and improve the quality of children's products. Coronavirus Disease 2019 (COVID-19) led to a "stay-at-home" quarantine. The purpose of this study is to evaluate trends of pediatric burns and analyze the relationship with the CPSIA and COVID-19.
The National Electronic Injury Surveillance System database was used to identify thermal and electric pediatric burns from 2002 to 2021. To evaluate the association of the CPSIA and COVID-19, burns before and after the law was passed, and the pandemic, were analyzed. Sex, ethnicity, age, injured body part, product, and disposition were determined. Chi-squared analysis was performed.
A total of 21,962 burns met inclusion criteria, with 1409 electrical and 20,553 thermal burns. Majority of cases were male (58.3%) and involved household appliances (34.2%). For the CPSIA cohort, there was an average of 1274.1 burns per year before 2009, which decreased to 1003.3 burns per year after 2009. Before 2009, most burns affected the hand (44.5%), which increased after 2009 and remained the most-affected body part (48.1%, P < 0.001). For the COVID-19 cohort, there was an average of 1133.5 burns per year before 2020, which decreased to 779.5 burns per year after 2020.
The CPSIA and COVID-19 pandemic may have led to a decreased incidence of pediatric burns from electronic devices. Pediatric populations are still at high risk for hand burns and household appliance burns. Providers should be aware of burn trends to inform guardians about the risks.
消费者产品安全改进法案（CPSIA）于 2008 年通过，旨在建立安全标准并提高儿童产品质量。2019 年冠状病毒病（COVID-19）导致了“居家”隔离。本研究旨在评估儿科烧伤的趋势，并分析其与 CPSIA 和 COVID-19 的关系。
利用国家电子伤害监测系统数据库，从 2002 年至 2021 年，确定小儿热烧伤和电烧伤。为了评估 CPSIA 和 COVID-19 的关联，分析了该法律通过前后以及大流行期间的烧伤情况。确定了性别、种族、年龄、受伤身体部位、产品和处理方式。进行了卡方检验。
共有 21962 例烧伤符合纳入标准，其中 1409 例为电烧伤，20553 例为热烧伤。大多数病例为男性（58.3%），涉及家用器具（34.2%）。在 CPSIA 队列中，2009 年前每年平均有 1274.1 例烧伤，2009 年后减少到每年 1003.3 例。2009 年前，大多数烧伤发生在手（44.5%），2009 年后，手仍然是受伤最严重的部位（48.1%，P<0.001）。在 COVID-19 队列中，2020 年前每年平均有 1133.5 例烧伤，2020 年后减少到每年 779.5 例。
CPSIA 和 COVID-19 大流行可能导致儿童电子设备烧伤的发生率下降。儿科人群仍然面临手部烧伤和家用器具烧伤的高风险。医务人员应了解烧伤趋势，以便向监护人告知相关风险。
