Ramsey Walter A, Stoler Justin, Haggerty Christopher R, Huerta Carlos T, Saberi Rebecca A, O'Neil Christopher F, Bustillos Luciana Tito, Perez Eduardo A, Sola Juan E, Satahoo Shevonne S, Schulman Carl I, Thorson Chad M
DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Geography and Sustainable Development, University of Miami, Miami, FL, USA; University of Miami Miller School of Medicine, Miami, FL, USA.
J Pediatr Surg. 2025 Jan;60(1):161963. doi: 10.1016/j.jpedsurg.2024.161963. Epub 2024 Sep 24.
Geospatial analysis is useful for identifying hot spots for preventable injuries and for informing prevention efforts. We hypothesize that specific populations of children in South Florida are at increased risk of burn injury.
We used a regional burn center registry to geocode burn cases treated from July 2013 to December 2022 for patients <18 years. Spatial analysis was utilized to identify high-density areas and potential spatial clusters of patients living in Palm Beach, Broward, and Miami-Dade Counties. Sociodemographic factors, burn etiology, and physiologic characteristics were analyzed using geospatial and statistical analyses.
689 patients (58% male, median age 2 [1-8] years) were identified. The annual incidence of burns was 5.5 per 100,000 children. There was no seasonal variation in injury patterns. Most patients were Black (51%) and non-Hispanic (73%). Scald burns (72%) represented the most common etiology, followed by flame (10%) and contact with hot objects (9%). Most patients (58%) required inpatient admission. Scald and contact burns occurred in younger patients compared to other mechanisms (median [IQR] age: 2 [1-6] vs. 8 [4-12] years, p < 0.001). Race, ethnicity, and insurance status were not associated with inpatient admission (all p > 0.05). Overall, there was a higher rate of pediatric burn injuries affecting Black residents, with a paucity of injuries in predominately high-income areas.
A disproportionate amount of pediatric burn injuries occur in low-income and predominantly Black neighborhoods. Additionally, scald and contact burns are a target for injury prevention in South Florida. These data may inform public health implementation to reduce morbidity in vulnerable populations.
Level III.
Retrospective comparative study.
地理空间分析有助于识别可预防伤害的热点地区，并为预防工作提供信息。我们假设南佛罗里达州的特定儿童群体烧伤风险增加。
我们使用了一个区域烧伤中心登记处，对2013年7月至2022年12月期间治疗的18岁以下患者的烧伤病例进行地理编码。利用空间分析来确定居住在棕榈滩、布劳沃德和迈阿密-戴德县的患者的高密度区域和潜在空间聚集区。使用地理空间和统计分析方法分析社会人口学因素、烧伤病因和生理特征。
共识别出689例患者（58%为男性，中位年龄2[1-8]岁）。烧伤的年发病率为每10万名儿童中有5.5例。损伤模式没有季节性变化。大多数患者为黑人（51%）且非西班牙裔（73%）。烫伤（72%）是最常见的病因，其次是火焰烧伤（10%）和接触热物体烧伤（9%）。大多数患者（58%）需要住院治疗。与其他机制相比，烫伤和接触烧伤发生在年龄较小的患者中（中位[四分位间距]年龄：2[1-6]岁对8[4-12]岁，p<0.001）。种族、民族和保险状况与住院治疗无关（所有p>0.05）。总体而言，影响黑人居民的儿童烧伤发生率较高，而在主要为高收入地区的烧伤病例较少。
低收入和主要为黑人的社区发生的儿童烧伤比例过高。此外，烫伤和接触烧伤是南佛罗里达州伤害预防的目标。这些数据可为公共卫生实施提供信息，以降低弱势群体的发病率。
三级。
回顾性比较研究。
