Gender differences in burns: A study from emergency centres in the Western Cape, South Africa
Gender differences in burns: A study from emergency centres in the Western Cape, South Africa
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DOI：
10.1016/j.burns.2016.05.003
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发表时间：
2016-11-01
期刊：
影响因子：
2.7
通讯作者：
Hasselberg, Marie
中科院分区：
文献类型：
--
作者：
Blom, Lisa;Klingberg, Anders;Hasselberg, Marie
简介：鲜为人知的是，性别差异的病因学和管理的急性烧伤在资源有限的设置在SouthAfrica.Method：这一横断面研究是基于烧伤病例报告（n = 1915）从8个急救中心在西开普省，南非（2012年6月至2013年5月）。编制了城市和农村地区按年龄组和年龄特异性发病率划分的男性/女性比率，沿着儿童和成人在损伤病因、烧伤严重程度、住院时间和患者分布方面的性别差异。城市地区0-4岁儿童的烧伤发病率最高，但只有成年人中男性的烧伤发病率超过女性，火烧伤在20-39岁的男性中更常见，热液体烧伤在55岁以上的男性中更常见。男性在周末因人际暴力和疑似使用酒精/其他物质而烧伤的比例更高，热液体烧伤的差异更明显。尽管类似的缩写伤害量表（AIS）的分数，男性更经常被转移到更高层次的护理和妇女更经常治疗和discharged.Conclusion：烧伤是更常见的儿童，虽然性别差异只出现在成年人。男性遭受更多的损伤，有些不同的病因，并提到更高层次的护理更经常可比的伤口严重程度。结果表明，尽管AIS评分相似，但男性和女性之间的处置不同。然而，需要进一步的研究，更全面的信息，对严重程度和其他护理和患者相关的因素，进一步探讨这些结果。(C)2016作者（S）爱思唯尔有限公司出版
Introduction: Little is known about gender differences in aetiology and management of acute burns in resource-constrained settings in South Africa.Method: This cross-sectional study is based on burn case reports (n = 1915) from eight emergency centres in Western Cape, South Africa (June 2012 -May 2013). Male/female rate ratios by age group and age-specific incidence rates were compiled for urban and rural areas along with gender differences in proportions between children and adults for injury aetiology, burn severity, length of stay and patient disposition.Results: Children 0-4 years in urban areas had the highest burn incidence but only among adults did male rates surpass females, with fire burns more common among men 20-39 years and hot liquid burns among men 55+ years. Men had a higher proportion of burns during weekends, from interpersonal violence and suspected use of alcohol/other substances, with more pronounced differences for hot liquid burns. Despite similar Abbreviated Injury Scale (AIS) scores, men were more often transferred to higher levels of care and women more often treated and discharged.Conclusion: Burns were far more common among children although gender differences arose only among adults. Men sustained more injuries of somewhat different aetiology and were referred to higher levels of care more often for comparable wound severity. The results suggest different disposition between men and women despite similar AIS scores. However, further studies with more comprehensive information on severity level and other care- and patient-related factors are needed to explore these results further. (C) 2016 The Author(s). Published by Elsevier Ltd.