Koenig Samantha M, Mathis Michelle S, Onwubiko Chinwendu, Chen Mike K, Beierle Elizabeth A, Russell Robert T
Children's of Alabama, Pediatric Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Children's of Alabama, Pediatric Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
J Pediatr Surg. 2025 Jan;60(1):161989. doi: 10.1016/j.jpedsurg.2024.161989. Epub 2024 Oct 5.
Burn injuries remain one of the leading causes of injury and death in children. Studies have demonstrated a higher mortality for pediatric burns associated with non-accidental injury. Using data from a burn registry, our study aimed to discern potential factors associated with non-accidental burn injuries.
We utilized the American Burn Association database from 2016 to 2018, which collects data from over one hundred burn centers across the United States, to evaluate a large pediatric burn population. Patients aged ≤14 years were analyzed. The population was then divided into suspected non-accidental versus accidental burn injuries. A multivariable logistic regression model was utilized to evaluate for predictors of burn injuries. Additional models were used to assess the relationship between suspected non-accidental burn injury and mortality, intensive care unit (ICU) stay, and hospital length of stay.
16,671 pediatric patients were included. Of those, 1228 (7.4%) patients suffered non-accidental burn injury. A majority of children who sustained non-accidental burn injury were younger, non-white, and sustained scald burns. The regression model demonstrated predictors for non-accidental burn injuries included younger age, Black race, chemical/corrosion burns, government insurance, and increased total body surface area (TBSA) burn. Overall mortality for the population was 0.5%.
This evaluation of a national burn registry reveals differences in pediatric patients sustaining non-accidental burns compared to accidental burns. The findings in this study identify pediatric populations at risk for suspected non-accidental burn injuries which may assist in preparing the families for expectations after admission for a burn injury.
III.
烧伤仍是儿童受伤和死亡的主要原因之一。研究表明，与非意外伤害相关的小儿烧伤死亡率更高。本研究利用烧伤登记处的数据，旨在识别与非意外伤害性烧伤相关的潜在因素。
我们使用了2016年至2018年美国烧伤协会数据库，该数据库收集了美国一百多家烧伤中心的数据，以评估大量小儿烧伤人群。对年龄≤14岁的患者进行分析。然后将人群分为疑似非意外伤害性烧伤和意外伤害性烧伤。使用多变量逻辑回归模型评估烧伤的预测因素。还使用了其他模型来评估疑似非意外伤害性烧伤与死亡率、重症监护病房（ICU）住院时间和住院总时长之间的关系。
纳入了16671名儿科患者。其中，1228名（7.4%）患者遭受了非意外伤害性烧伤。大多数遭受非意外伤害性烧伤的儿童年龄较小、非白人，且为烫伤。回归模型显示，非意外伤害性烧伤的预测因素包括年龄较小、黑人种族、化学/腐蚀性烧伤、政府保险以及烧伤总面积（TBSA）增加。该人群的总体死亡率为0.5%。
对全国烧伤登记处的这项评估揭示了遭受非意外伤害性烧伤的儿科患者与意外伤害性烧伤患者之间的差异。本研究结果确定了疑似非意外伤害性烧伤风险的儿科人群，这可能有助于让家庭对烧伤入院后的预期有所准备。
III级。
