Krasner Henry, Chevalier Emma, Chang Samantha, Slattery David, Saquib Syed
Kirk Kerkorian School of Medicine at UNLV, University of Nevada Las Vegas, Las Vegas, NV 89106, USA.
University of Nevada Las Vegas, Las Vegas, NV 89154, USA.
Eur Burn J. 2025 Jul 1;6(3):38. doi: 10.3390/ebj6030038.
In some regions, extreme heat can result in pavement temperatures that are high enough to cause severe burn injuries within seconds of skin contact. This risk is elevated for unhoused individuals who may lack adequate clothing and shelter and have susceptibility to other risk factors, including substance use and in turn loss of consciousness. While prior studies have shown worse outcomes for unhoused individuals due to delays in care and higher susceptibility, there is a lack of data on the impact of pavement burns specifically within this population. This single-institution retrospective cohort study aims to explore burn severity and hospital outcomes in housed vs. unhoused patients with pavement burns. The data were analyzed using independent samples -tests and logistic regression when appropriate, with < 0.05 considered statistically significant. A total of 305 individuals met the inclusion/exclusion criteria and comprised the final study cohort, 17.7% of which were unhoused. There was no significant difference in TBSA, survival to discharge, or hospital length of stay between housed and unhoused patients. While unhoused individuals may still be at heightened risk for pavement burns due to exposure to extreme heat and a lack of protective measures, these results may additionally suggest consistent emergency care for patients regardless of housing status. Furthermore, these results highlight the importance of developing targeted outreach and prevention programs and equitable emergency care protocols for vulnerable populations.
在一些地区，酷热会导致路面温度极高，皮肤与之接触数秒就可能造成严重烧伤。对于无家可归者而言，这种风险更高，他们可能缺乏足够的衣物和住所，且易受其他风险因素影响，包括药物使用进而导致意识丧失。虽然先前的研究表明，由于护理延误和更高的易感性，无家可归者的治疗结果更差，但缺乏关于这一特定人群路面烧伤影响的数据。这项单机构回顾性队列研究旨在探讨有住所和无住所的路面烧伤患者的烧伤严重程度和医院治疗结果。数据在适当情况下使用独立样本t检验和逻辑回归进行分析，P<0.05被认为具有统计学意义。共有305人符合纳入/排除标准，组成了最终的研究队列，其中17.7%为无家可归者。有住所和无住所患者之间的烧伤总面积、出院生存率或住院时间没有显著差异。虽然无家可归者由于暴露于酷热和缺乏保护措施，可能仍然面临更高的路面烧伤风险，但这些结果可能还表明，无论患者的住房状况如何，都应为其提供一致的紧急护理。此外，这些结果凸显了为弱势群体制定有针对性的外展和预防计划以及公平的紧急护理方案的重要性。
