Epidemiological characteristics and factors affecting length of hospital stay for children and adults with burns in Zunyi, China: a retrospective study.
Epidemiological characteristics and factors affecting length of hospital stay for children and adults with burns in Zunyi, China: a retrospective study.
复制标题
遵义市儿童和成人烧伤流行病学特征及影响住院时间的因素：回顾性研究
作者：
Wang T;Nie C;Zhang H;Zeng X;Yu H;Wei Z;Yang C;Shi X
烧伤是一个全球性的公共卫生问题，每年都有大量的人员伤亡是由烧伤引起的。在这项研究中，我们探讨了与烧伤相关的流行病学特征和影响儿童和成人烧伤住院时间（LOS）的因素。检索2014年1月1日至2016年8月31日在遵义医学院附属医院就诊的烧伤患者记录。从医院病历中提取有关人口统计学特征、烧伤机制、首次接受治疗、烧伤临床详情和LOS的信息。在大约2.5年的时间里，共有465名儿童和327名成年人被烧伤。儿童烧伤的男女比例为1.6，成人为2.3。儿童和成人烧伤的流行病学特征，包括性别、季节、部位、病因、程度和部位，存在差异。使用的外部补救措施存在差异（例如，传统中药粉）和伤口保护（毛巾覆盖伤口）在儿童和成人之间存在差异，但少数患者既保护了伤口又不使用外用药物。LOS随年龄（风险比[HR] = 0.993）和植皮（HR = 0.339）而降低。男性（HR = 1.234）、深二度烧伤（HR = 3.128）和三度烧伤（HR = 1.791）患者的LOS均显著增加。当烧伤总体表面积（TBSA）达到10%~ 29%时（HR = 3.978），当TBSA大于30%时（HR = 1.787），热烧伤与非热烧伤相比（HR = 1.497），LOS增加。通过对遵义市儿童和成人烧伤流行病学特征的分析，有助于开展有针对性的宣传教育，提高对烧伤急救和创面处理的认识。
Burn wounds are a global public health problem, and a large number of casualties are caused by burns each year. In this study, we explored the epidemiological characteristics associated with burns and the factors affecting the length of hospital stay (LOS) in children and adults with burn wounds. Records of patients with burns in the Affiliated Hospital of Zunyi Medical University from January 1, 2014 to August 31, 2016 were retrieved. Information on demographic characteristics, mechanism of burns, first treatment received, clinical details of burns, and LOS were extracted from hospital medical records. A total of 465 children and 327 adults with burns were identified over about 2.5 years. The ratio of male to female children with burn wounds was 1.6 and 2.3 in adults. The epidemiological characteristics of burns, including gender, season, location, etiology, degree and site, differed between children and adults. There were differences in external remedies used (e.g., traditional Chinese medicine powder) and wound protection (towels covering wounds) between children and adults, but few patients had both protected wounds and did not use external remedies. LOS was reduced with age (hazard ratio [HR] = 0.993) and skin grafting (HR = 0.339). LOS increased with the male gender (HR = 1.234), deep partial thickness burns (HR = 3.128), and full-thickness burns (HR = 1.791). LOS was increased when total body surface area (TBSA) of burns reached from 10% to 29% (HR = 3.978), when TBSA was greater than 30% (HR = 1.787), and heat vs. non-heat etiologies (HR = 1.497). Our findings for the epidemiological characteristics of burns in children and adults in Zunyi will help with a targeted awareness campaign and improve knowledge of first-aid and wound treatment.
登录
查看更多内容
影响因子：
2.7
作者：
Latifi, Noor-Ahmad;Karimi, Hamid
通讯作者：
Karimi, Hamid
DOI：
10.3760/cma.j.issn.0254-6450.2017.06.016
发表时间：
2017-06-10
影响因子：
--
作者：
Jin, Y;Ye, P P;Duan, L L
通讯作者：
Duan, L L
影响因子：
2.7
作者：
Ortiz-Prado, Esteban;Armijos, Luciana;Lucia Iturralde, Ana
通讯作者：
Lucia Iturralde, Ana
影响因子：
2.7
作者：
Yao, Yuan;Liu, Yuncheng;Shi, Jianguo
通讯作者：
Shi, Jianguo
影响因子：
2.7
作者：
Akita, S;Nakagawa, H;Hirano, A
通讯作者：
Hirano, A