Epidemiological and clinical characteristics of burns in the older person: a seven-year retrospective analysis of 693 cases at a burn center in south-west China
Epidemiological and clinical characteristics of burns in the older person: a seven-year retrospective analysis of 693 cases at a burn center in south-west China
复制标题
西南地区烧伤中心693例老年人烧伤流行病学及临床特征7年回顾性分析
DOI：
10.1093/burnst/tkz005
复制
发表时间：
2020-01-01
期刊：
影响因子：
5.3
通讯作者：
Luo, Gaoxing
中科院分区：
文献类型：
--
作者：
Qian, Wei;Wang, Song;Luo, Gaoxing
背景：烧伤是影响老年人的主要创伤之一。方法：本研究于2010-2016年间在陆军医科大学西南医院烧伤研究所进行，收集的病历资料包括入院日期、年龄、性别、病前疾病、烧伤病因、损伤解剖部位、烧伤面积及深度、吸入性损伤、手术次数、住院时间(LOS)、临床转归及医疗费用。伯恩斯在12月-3月和6月达到顶峰。火焰是最常见的烧伤原因，占烧伤总数的51.95%，60~69岁的烧伤患者也以火焰为主。四肢是最常见的烧伤解剖部位(69.41%)，中位数总体表面积(TBSA)为5%(四分位数范围[IQR]：2%~15%)。接触性烧伤、低龄化和全层烧伤患者的手术比例和手术次数显著增加。死亡6例，死亡率为0.9%。中位LOS为16天(IQR：8-29天)，主要危险因素是更多的手术、更好的结果和深度烧伤。中位费用为20,228元(IQR：10,457-46,581.5元)，主要危险因素包括较长的LOS，较大的TBSA和更多的手术。此外，与我们中心早期的数据相比，老年人在所有烧伤中的比例(7.50%比4.15%)，火焰烧伤的比例(51.95%比33.90%)，平均年龄(69.05岁比65.10岁)明显更高，而发病前的比例(16.9%比83.9%)，死亡率(0.9%比7.5%)和TBSA中位数(5%比21%)显著降低。结论：本研究建议应密切关注60-69岁老年人，特别是男性，在夏季和冬季发生的烧伤事件和火焰烧伤的预防。此外，应特别考虑基于相关风险因素的有针对性的干预策略。
Background: Burns are one of the major traumas that may affect older individuals. The purpose of this study was to investigate the epidemiological and clinical characteristics of geriatric burns at a major center in south-west China.Methods: This retrospective study was conducted at the Institute of Burn Research, Southwest Hospital of Army Medical University between 2010 and 2016, and the data collected from medical records included admission date, age, gender, premorbid disease, burn etiology, injured anatomical location, burn area and depth, inhalation injury, number of surgeries, length of stay (LOS), clinical outcome, and medical cost.Results: Of the 693 older burn patients included, 60.75% were male and 56.85% were aged 6069 years. Burns peaked in December-March and June. Flame was the most common cause of burns, making up 51.95% of all cases, and also dominated in the burn patients aged 60-69 years. Limbs were the most common anatomical sites of burns (69.41%), and the median total body surface area (TBSA) was 5% (interquartile range [IQR]: 2%-15%). The percentage of the patients who underwent surgeries and number of surgeries significantly increased in the cases of contact burns, younger age and full-thickness burns. Six deaths resulted in a mortality of 0.9%. The median LOS was 16 days (IQR: 8-29 days), and the main risk factors were more surgeries, better outcomes, and full-thickness burns. The median cost was 20,228 CNY (IQR: 10,457-46,581.5 CNY), and major risk factors included longer LOS, larger TBSA, and more surgeries. Furthermore, compared to the earlier data from our center, the proportion of older adults among all burns (7.50% vs. 4.15%), proportion of flame burns (51.95% vs. 33.90%), and mean age (69.05 years vs. 65.10 years) were significantly higher, while the proportion of premorbidities (16.9% vs. 83.9%), mortality (0.9% vs. 7.5%) and median TBSA (5% vs. 21%) were significantly lower.Conclusions: This study suggested that closer attention should be paid to prevent burn injuries in older people aged 60-69 years, especially males, regarding incidents in the summer and winter, and flame burns. Moreover, tailored intervention strategies based on related risk factors should be under special consideration.