Rossignol A M, Locke J A, Boyle C M, Burke J F
J Am Geriatr Soc. 1985 Nov;33(11):768-72. doi: 10.1111/j.1532-5415.1985.tb04188.x.
This study is based on data for Massachusetts residents who were burned between July 1, 1978 and June 30, 1979 and who were treated as hospital inpatients in any of the 240 hospitals participating in the New England Regional Burn Program. Demographic information and information regarding the nature of the burn injury and consumer products involved were obtained by review of the medical record for each case. One hundred seven (9%) of the 1237 burn victims identified were aged 65 years or older, yielding a burn incidence rate equal to 15.5 burns per 100,000 person-years compared with a rate of 23.8 burns per 100,000 person-years for younger Massachusetts residents. The burn mortality rate for the elderly who survived long enough to be hospitalized was 2.6 deaths per 100,000 person-years compared with a rate of 0.4 deaths per 100,000 person-years for younger individuals. For survivors, the average length of hospital stay for elderly victims was 28.6 days compared with 12.0 days for younger individuals. Clothing ignition, stoves and ovens, smoking materials, and bathroom showers and tubs contributed significantly to the causes of burning among the elderly. In addition, evidence was found suggesting that elderly patients receive medical care relatively later after injury, thus considerably complicating their illness.
本研究基于1978年7月1日至1979年6月30日期间马萨诸塞州烧伤居民的数据,这些居民在参与新英格兰地区烧伤项目的240家医院中的任何一家接受住院治疗。通过查阅每个病例的病历,获取了人口统计学信息以及烧伤损伤的性质和所涉及的消费品信息。在1237名已确认的烧伤受害者中,有107名(9%)年龄在65岁及以上,烧伤发病率为每10万人年15.5例烧伤,而马萨诸塞州年轻居民的发病率为每10万人年23.8例烧伤。在那些存活时间足够长得以住院的老年人中,烧伤死亡率为每10万人年2.6例死亡,而年轻人的死亡率为每10万人年0.4例死亡。对于幸存者而言,老年受害者的平均住院时间为28.6天,而年轻人为12.0天。衣物着火、炉灶和烤箱、吸烟材料以及浴室淋浴和浴缸是导致老年人烧伤的重要原因。此外,有证据表明老年患者在受伤后相对较晚才接受医疗护理,从而使他们的病情严重复杂化。