The epidemiology of civilian inpatients' burns in Chinese military hospitals, 2001-2007
The epidemiology of civilian inpatients' burns in Chinese military hospitals, 2001-2007
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DOI：
10.1016/j.burns.2011.03.021
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发表时间：
2011-09-01
期刊：
影响因子：
2.7
通讯作者：
Shi, Jianguo
中科院分区：
文献类型：
--
作者：
Yao, Yuan;Liu, Yuncheng;Shi, Jianguo
背景：在中国，针对烧伤流行病学的大样本研究还很少。鉴于中国军队医院在国内烧伤临床实践中的领先地位，了解他们的病例有助于了解今天中国的烧伤发生率和医院护理。方法：数据来自中国军队医院信息系统，2001年至2007年包括在内。结果：共调查172,256例烧伤患者，死亡1384例，中位住院天数11.00天(四分位数6.00~19.00天)。5、6、7、8月份烧伤发生率居高不下。学龄前儿童和劳动力中的成年人受伤的风险最高。烧伤占大多数(80.5%)。损伤部位分布以多部位烧伤最多见(31.98%)。在与火灾相关的烧伤中，主要烧伤(TBSA>；30%)占很大比例。男性TBSA>；30%与火相关的烧伤导致的死亡人数最多。性别、年龄、受伤部位、烧伤面积和转归均与住院时间有关。结论：尽管由于缺乏到民用医院就诊的烧伤数据，本文无法提供烧伤人口估计的信息，但研究发现，与其他国家和地区，包括其他发展中国家和中低收入国家相比，中国的烧伤流行病学表现出明显的特征，无论中国是否被纳入该组。(C)2011年爱思唯尔有限公司和ISBI。版权所有。
Background: In China, large sample research directed at the epidemiology of burns is still scarce. Given the leading position of Chinese military hospitals in domestic clinical practice pertaining to burns, a look into their cases would help shed light on the incidence and hospital care of burns in China today.Methods: Data were collected from information systems of all the Chinese military hospitals, for the years 2001-2007 inclusive. Retrospective analyses on the epidemiology characteristics of burns from those in patients admitted to all the Chinese military hospitals within this period were conducted.Results: A total of 172,256 cases were studied, with a total number of 1384 fatalities, and the median length of hospital stay (LOS) 11.00 days (interquartile range 6.00-19.00 days). Rate of burn incidence remained high in May, June, July and August. Children of preschool aged and adults in the labor force were at the highest risk of injury. Scalds constituted the majority of injuries (80.5%). Multiple body site burns are the most commonly seen category (31.98%) in terms of injured body region distribution. In fire-related burns, major burns (TBSA > 30%) represented a significant proportion. males with TBSA > 30%, fire-related burns resulted in the greatest number of fatalities. Gender, age, site of injury, burn size and outcome are all correlated with the length of hospitalization.Conclusion: Although this paper cannot provide information on population estimates of burns due to the absence of data on burns attending civilian hospitals, it finds that the epidemiology of burns in China shows distinct characteristics compared with previous studies of other country and regions, including that of other developing or low and middle-income countries (LMICs), irrespective of China's inclusion in that group. (C) 2011 Elsevier Ltd and ISBI. All rights reserved.