Petridou E, Trichopoulos D, Mera E, Papadatos Y, Papazoglou K, Marantos A, Skondras C
Dept of Hygiene and Epidemiology, Athens University Medical School, Greece.
Burns. 1998 Mar;24(2):123-8. doi: 10.1016/s0305-4179(97)00095-8.
During a 12-month period 239 children who presented with a burn injury at the Emergency Department of a teaching children's hospital in Athens, with city-wide coverage, and 239 gender- and age-matched controls with minor non-injury ailments were interviewed. The questionnaire covered sociodemographic characteristics of the children and their families, information allowing the construction of a burn avoidance index in their homes and items from the Achenback scale that were synthesized into a child activity score. The data were analyzed through conditional logistic regression. In general, socio-demographic variables were not of overwhelming importance, although some of the findings indicate that supervision lapses and barefoot walking of gypsy children increase the risk of burn injuries. The kitchen in an inherently high risk place for injuries and the powerful inverse association of the burn avoidance index with burn injury risk points towards steps that could be easily taken and impart substantial protection. There was no evidence in this study of burn injury proneness or that hyperactivity of the child increased the risk of burn injury; indeed, the results point in the opposite direction. Our results strongly support the view that childhood burn injuries are largely environmentally conditioned and, accordingly, easily preventable.
在为期12个月的时间里，我们对雅典一家具有全市服务范围的儿童教学医院急诊科收治的239名烧伤儿童，以及239名年龄和性别匹配、患有轻微非创伤性疾病的对照儿童进行了访谈。问卷涵盖了儿童及其家庭的社会人口学特征、有助于构建其家庭烧伤预防指数的信息，以及从阿肯巴克量表中选取的、综合成儿童活动得分的项目。数据通过条件逻辑回归进行分析。总体而言，社会人口学变量并非至关重要，尽管一些研究结果表明，吉普赛儿童监管疏忽和赤脚行走会增加烧伤风险。厨房本身就是一个高风险的受伤场所，烧伤预防指数与烧伤风险之间存在强烈的负相关，这表明可以轻松采取一些措施并提供实质性的保护。本研究没有证据表明儿童易发生烧伤或儿童多动会增加烧伤风险；事实上，结果指向相反的方向。我们的结果有力地支持了这样一种观点，即儿童烧伤在很大程度上受环境因素影响，因此很容易预防。
