A population-based study of the epidemiology of acute adult burns in Ecuador from 2005 to 2014
A population-based study of the epidemiology of acute adult burns in Ecuador from 2005 to 2014
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DOI：
10.1016/j.burns.2014.08.012
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发表时间：
2015-05-01
期刊：
影响因子：
2.7
通讯作者：
Lucia Iturralde, Ana
中科院分区：
文献类型：
--
作者：
Ortiz-Prado, Esteban;Armijos, Luciana;Lucia Iturralde, Ana
目的：使用国家数据描述厄瓜多尔成人烧伤的人口统计学、危险因素、职业、发病率和死亡率特征。这些数据来自厄瓜多尔唯一一家拥有12个床位的烧伤科的公立专科医院。方法：国家统计和普查研究所提供了基多Eugenio Espejo医院烧伤科的数据。三个不同的数据集有关烧伤死亡，烧伤病房住院，出院进行了分析。结果：10年间收治烧伤病人1106例，其中男性768例，占69.37%，女性337例，占30.62%，平均每年收治烧伤病人123例;平均年龄为33-34岁，16 - 96岁不等。热烧伤占65.78%，其次是电烧伤占30.53%，摩擦烧伤占2.06%，化学烧伤占1.62%。家庭甲烷气体是造成热烧伤的最常见因素，受影响最大的职业群体是建筑工人和呆在家里的人。总死亡率为10.2%，平均住院时间为23d.Conclusions：热烧伤是更常见的烧伤比任何其他原因。根据我们的研究，厄瓜多尔的电烧伤比其他任何地方都要频繁，这意味着对工作场所安全、城市规划和家庭安全的控制和预防是稀缺的。受影响最大的群体是那些致力于劳动工作的人。最后，与发达国家相比，住院患者的死亡率较高。(C)2014 Elsevier Ltd和ISBI。All rights reserved.
Objectives: To describe the demographic, risk factor, occupational, and morbidity and mortality characteristics of burns in adults in Ecuador using national data. These data are from the only specialized public hospital in Ecuador that has a 12-bed burn unit.Methods: The National Institute of Statistics and Census provided data from the burn unit of the Hospital Eugenio Espejo, in Quito. Three different datasets pertaining to burn deaths, burn unit inpatient admissions, and hospital discharge were analyzed. Patients who died or were discharged before entering the burn unit were not included in this analysis.Results: During the 10-year period, 1106 patients were admitted to the burn unit, men represent 69.37% with 768 cases and women represent 30.62% with 337 patients; the number of patients per year was on average 123 cases; the average age was 33-34 years old, with a range between 16 and 96 years old. Heat (thermal) burns represent 65.78% followed by electrical with 30.53%, friction burns with 2.06%, and chemical burns with 1.62%. Domestic methane gas was the most frequent agent causing thermal burns and the most affected occupational groups are construction workers and people who stay at home. The overall mortality is 10.2% and the average length of stay was 23 days.Conclusions: Thermal burns are more frequent than any other cause of burns. Electrical burns are more frequent in Ecuador than anywhere else according to our research, meaning that control and prevention of workplace safety, urban planning, and home safety are scarce. The most affected groups are those dedicated to labor work. Finally, mortality in hospitalized patient is higher when compared with developed countries. (C) 2014 Elsevier Ltd and ISBI. All rights reserved.