Simon P A, Baron R C
Division of Field Epidemiology, Centers for Disease Control and Prevention, Atlanta, Ga.
Arch Pediatr Adolesc Med. 1994 Apr;148(4):394-7. doi: 10.1001/archpedi.1994.02170040060010.
To examine the variation by age in the rates and causes of burn injury requiring hospitalization during early childhood.
Hospital discharge data and a burn unit admission log were used to identify all children in the Denver (Colo) metropolitan area younger than 5 years who sustained burn injuries and were hospitalized in 1989 and 1990. Patients' medical records were reviewed.
One hundred twenty-two children were identified with burn injuries that required hospitalization, an annual incidence of 40.5 per 100,000 children younger than 5 years. Children aged 6 months through 2 years accounted for 88% of all cases and were seven times more likely to be hospitalized for a burn injury than were children outside this age range. Scalding and contact with hot objects accounted for 64% and 20% of cases, respectively, and occurred primarily in the 6-month through 2-year age group.
The findings underscore the importance of developmental stage as a determinant of risk and type of burn injury. Children aged 6 months through 2 years are at increased risk of severe burn injury and should be targeted for prevention efforts.
研究幼儿期因烧伤需住院治疗的发生率及原因随年龄的变化情况。
利用医院出院数据和烧伤科入院记录，确定1989年和1990年科罗拉多州丹佛市都会区所有5岁以下因烧伤住院的儿童。查阅了患者的病历。
确定了122名因烧伤需住院治疗的儿童，5岁以下儿童的年发病率为每10万人40.5例。6个月至2岁的儿童占所有病例的88%，因烧伤住院的可能性是该年龄范围以外儿童的7倍。烫伤和接触热物体分别占病例的64%和20%，主要发生在6个月至2岁年龄组。
研究结果强调了发育阶段作为烧伤风险和类型决定因素的重要性。6个月至2岁的儿童严重烧伤风险增加，应作为预防工作的重点对象。
