Kemme F M, van den Berg E L, Meij-de Vries A, Gigengack R K, Cuijpers M D, van Baar M E, Nieuwenhuis M K, van Zuijlen P P M, van der Vlies C H, Bosma E, Pijpe A
Alliance of Dutch Burn Care, Burn Center, Red Cross Hospital, PO Box 1074, 1940 EB, Beverwijk, the Netherlands.
Department of Plastic Reconstructive and Hand Surgery, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Eur J Pediatr. 2025 Jan 2;184(1):114. doi: 10.1007/s00431-024-05923-7.
Knowledge about trends and epidemiology of pediatric burns is useful to identify patterns, to advance medical research, and to design prevention programs and resource allocation. The aim of this study is to describe the epidemiology and trends of pediatric burns between 2009 and 2022 in the three Dutch burn centers. A secondary objective of this study is to evaluate the influence of the COVID-19 pandemic on the pattern of pediatric burns. A register-based cohort study was conducted based on data from the Dutch Burn Repository R3. Patients between 0 and 17 years at the time of the burn injury admitted between 2009 and 2022 to one of the three burn centers were included. Descriptive statistics were used to investigate the incidence and patient, burn, and treatment characteristics. The COVID-19 pandemic years (2020-2021) were compared with the pooled results from pre-COVID-19 years (2017-2019). A total of 4017 patients were included in this study, of which 3085 (77%) were overnight admissions. The incidence and absolute number of pediatric burn admissions gradually increased over the years, with a small temporary decrease in 2020-2021. Patient and burn characteristics remained relatively consistent over the years. Three quarters of all patients were between 0 and 3 years old, and the majority were boys (59%). A decreasing ratio of length of stay per % total burned surface area and an increase in day admissions was observed since 2016 onwards, which intensified during the COVID-19 pandemic.
There was a slight increase in the number of pediatric admissions to the burn centers between 2009 and 2022. Young children (0-3 years) remain the most frequently affected group. A shorter relative length of stay was observed, as well as an increase in day admissions, which was reinforced by the COVID-19 pandemic.
• Burns are a leading cause of death and disability among children globally. The largest group affected are young children (0-3 years) and most are scald burns. • In the Netherlands, since the late nineties there has been a trend towards more admissions to specialized burn centers, especially for young children with less severe burns.
• There was a slight increase in the number of pediatric admissions to the burn centers between 2009 and 2022, with a temporary decrease during the COVID-19 pandemic (2020-2021). • Admissions now tend to be shorter per percentage total burned surface area (TBSA), with an increase in day admissions, which intensified during the COVID-19 years.
了解儿童烧伤的趋势和流行病学情况，有助于识别模式、推动医学研究以及设计预防方案和资源分配。本研究的目的是描述2009年至2022年期间荷兰三家烧伤中心儿童烧伤的流行病学情况和趋势。本研究的第二个目标是评估新冠疫情对儿童烧伤模式的影响。基于荷兰烧伤数据库R3的数据进行了一项基于登记的队列研究。纳入了2009年至2022年期间在三家烧伤中心之一住院的烧伤时年龄在0至17岁之间的患者。使用描述性统计方法来研究发病率以及患者、烧伤和治疗特征。将新冠疫情期间（2020 - 2021年）与新冠疫情前几年（2017 - 2019年）的汇总结果进行比较。本研究共纳入4017名患者，其中3085名（77%）为过夜住院患者。多年来儿童烧伤住院的发病率和绝对数量逐渐上升，在2020 - 2021年有小幅暂时下降。多年来患者和烧伤特征保持相对一致。所有患者中有四分之三年龄在0至3岁之间，且大多数为男孩（59%）。自2016年起，观察到每%烧伤总面积的住院时间比例下降以及日间住院人数增加，在新冠疫情期间这种情况加剧。
2009年至2022年期间，烧伤中心儿童住院人数略有增加。幼儿（0至3岁）仍然是受影响最频繁的群体。观察到相对住院时间缩短，以及日间住院人数增加，新冠疫情加剧了这种情况。
• 烧伤是全球儿童死亡和残疾的主要原因之一。受影响最大的群体是幼儿（0至3岁），且大多数是烫伤。• 在荷兰，自九十年代末以来，专门烧伤中心的住院人数有增加趋势，尤其是轻度烧伤的幼儿。
• 2009年至2022年期间，烧伤中心儿童住院人数略有增加，在新冠疫情期间（2020 - 2021年）有暂时下降。• 现在每%烧伤总面积的住院时间往往更短，日间住院人数增加，在新冠疫情期间这种情况加剧。
