Epidemiology of burns and scalds in children presenting to the emergency department of a regional burns unit: a 7-year retrospective study
Epidemiology of burns and scalds in children presenting to the emergency department of a regional burns unit: a 7-year retrospective study
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DOI：
10.1186/s41038-016-0047-7
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发表时间：
2016-06-21
期刊：
影响因子：
5.3
通讯作者：
Evans, Phillip Adrian
中科院分区：
文献类型：
--
作者：
Battle, Ceri Elisabeth;Evans, Vanessa;Evans, Phillip Adrian
背景：据报道，儿童不同年龄段的热损伤的发生率和发生机制存在差异。本研究旨在报告区域烧伤中心急诊科(ED)7年间所有烧伤的发病率、发病机制和环境因素。方法：对南威尔士一家区域烧伤中心急诊科的所有烧伤报告进行回顾性、图表回顾研究。所有被记录为遭受烧伤或烫伤的儿童，年龄在16岁以下，都包括在分析中。采用描述性统计方法对受试者的人口学特征进行分析，并对5岁以下患者与5~16岁患者进行卡方检验和Mann-Whitney U检验。结果：共1387例患者进入最终分析。烫伤是最常见的热损伤，共569例(41.0%)，其次是接触性烧伤563例(40.6%)。需要住院的患者明显更年轻(2比3岁；P<；0.001)，非意外伤害的比率更高(10比4；P<；0.001)。结论：烫伤和接触性烧伤是16岁以下儿童最常见的热损伤。常见的损伤机制是热饮料、滚筒和直发器，强调需要进一步的烧伤预防策略和高质量的前瞻性研究，以调查这些策略的有效性。
Background: Variation in the incidence and mechanism of thermal injury has been reported in different age groups in children. The aim of this study was to report the incidence, mechanisms, and environmental factors of all burns presentations to the emergency department (ED) of a regional burns centre over a 7-year period.Methods: A retrospective, chart review study of all burns presentations to the ED of a regional burns centre in South Wales was conducted. All children recorded as having sustained a burn or scald, aged less than 16 years were included in the analysis. Subjects' demographics were analysed using descriptive statistics, and comparisons were made between patients aged less than 5 and patients aged 5-16 using chi-square test and Mann-Whitney U test.Results: A total of 1387 cases were included in the final analysis. Scalds were the most common thermal injury with 569 (41.0 %) reported, followed by contact burns in 563 (40.6 %) patients. The patients requiring hospitalisation were significantly younger (2 vs 3 years; p < 0.001) and had a higher rate of non-accidental injury (10 vs 4; p < 0.001). The most commonly injured site in both age groups was a hand or digit.Conclusions: Scalds and contact burns were the most commonly reported thermal injury in children aged less than 16. Common mechanisms were hot beverages, hobs and hair straighteners, highlighting further burn prevention strategies are needed and good-quality prospective studies that investigate the effectiveness of such strategies.