Abstract：
Children are particularly vulnerable to scald injuries, and hot beverages/foods are often implicated in this subset of pediatric burns. Burns from instant noodles are common and thus an attractive target for burn prevention. The purpose of this study is to characterize the frequency, demographics, outcomes, and circumstances of pediatric instant noodle burns to guide future educational and prevention efforts.
This is a retrospective review of all pediatric patients (<18 years) admitted to the University of Chicago Burn Center with a diagnosis of scald injury between 2010 and 2020. Burns caused by instant noodles were identified and compared to all other scald burns over this period.
Among 790 pediatric scald burns, 245 (31.0 %) were attributed to instant noodles. Compared to other scalds, patients with instant noodle burns were older (5.4 vs. 3.8 years, p < 0.001), equally likely to be male (51 % vs. 54 %, p = 0.488), and more likely to be Black/African American (90.6 % vs. 75.2 %, p < 0.001). Patients with instant noodle burns lived in zip codes with a lower average childhood opportunity index score (9.9 vs. 14.6, p < 0.001). In terms of circumstances, children with instant noodle burns were more likely to be unsupervised at the time of injury (37 % vs 21 %, p < 0.001). Instant noodle burns were smaller (3.6 % total body surface area (TBSA) vs. 5.8 % TBSA, p < 0.001) and less likely to require operative intervention (29 % vs. 41 %, p < 0.001). Instant noodle burns had a shorter length of stay (4.2 days vs. 6.4 days, p < 0.001), but similar adjusted length of stay (1.7 days/%TBSA vs. 1.5 days/%TBSA, p = 0.18) and experienced similar complication rates (10 % vs. 15 %, p = 0.06).
Instant noodle burns comprised nearly one-third of all pediatric scald burn admissions at our institution, a higher proportion than previously reported. While less severe than other scald burns in this series, instant noodles injuries still demonstrated a need for hospitalization and operative intervention. Instant noodle burns disproportionately affected Black/African American patients, as well as from neighborhoods with lower socioeconomic status. These findings suggest that focused burn prevention efforts may be successful at reducing the incidence of these common, but serious injuries.
This is a retrospective review of all pediatric patients (<18 years) admitted to the University of Chicago Burn Center with a diagnosis of scald injury between 2010 and 2020. Burns caused by instant noodles were identified and compared to all other scald burns over this period.
Among 790 pediatric scald burns, 245 (31.0 %) were attributed to instant noodles. Compared to other scalds, patients with instant noodle burns were older (5.4 vs. 3.8 years, p < 0.001), equally likely to be male (51 % vs. 54 %, p = 0.488), and more likely to be Black/African American (90.6 % vs. 75.2 %, p < 0.001). Patients with instant noodle burns lived in zip codes with a lower average childhood opportunity index score (9.9 vs. 14.6, p < 0.001). In terms of circumstances, children with instant noodle burns were more likely to be unsupervised at the time of injury (37 % vs 21 %, p < 0.001). Instant noodle burns were smaller (3.6 % total body surface area (TBSA) vs. 5.8 % TBSA, p < 0.001) and less likely to require operative intervention (29 % vs. 41 %, p < 0.001). Instant noodle burns had a shorter length of stay (4.2 days vs. 6.4 days, p < 0.001), but similar adjusted length of stay (1.7 days/%TBSA vs. 1.5 days/%TBSA, p = 0.18) and experienced similar complication rates (10 % vs. 15 %, p = 0.06).
Instant noodle burns comprised nearly one-third of all pediatric scald burn admissions at our institution, a higher proportion than previously reported. While less severe than other scald burns in this series, instant noodles injuries still demonstrated a need for hospitalization and operative intervention. Instant noodle burns disproportionately affected Black/African American patients, as well as from neighborhoods with lower socioeconomic status. These findings suggest that focused burn prevention efforts may be successful at reducing the incidence of these common, but serious injuries.
摘要：
背景：儿童特别容易受到烫伤，和热饮料/食物通常与小儿烧伤的这一子集有关。方便面的烧伤是常见的，因此是预防烧伤的重要目标。这项研究的目的是表征频率，人口统计，结果，和小儿方便面烧伤的情况，以指导今后的教育和预防工作。
方法：这是对2010年至2020年期间在芝加哥大学烧伤中心住院并诊断为烫伤的所有儿科患者（<18岁）的回顾性研究。确定了方便面引起的烧伤，并将其与在此期间的所有其他烫伤进行了比较。
结果：在790例小儿烫伤中，245(31.0%)归因于方便面。与其他烫伤相比，方便面烧伤患者年龄较大(5.4vs.3.8年,p<0.001)，同样可能是男性(51%vs.54%,p=0.488),更有可能是黑人/非洲裔美国人(90.6%对75.2%,p<0.001)。方便面烧伤患者生活在邮政编码中，平均儿童机会指数得分较低（9.9与14.6，p<0.001）。就情况而言,方便面烧伤的儿童在受伤时更有可能无人监督(37%vs21%，p<0.001)。方便面烧伤较小(3.6%的总身体表面积(TBSA)与5.8%TBSA,p<0.001)，并且不太可能需要手术干预(29%与41%,p<0.001)。方便面烧伤的住院时间较短（4.2天vs.6.4天,p<0.001)，但调整后的住院时间相似(1.7天/%TBSA与1.5天/%TBSA,p=0.18），并且经历了相似的并发症发生率（10%与15%,p=0.06)。
结论：即时面条烧伤占我们机构所有小儿烫伤住院人数的近三分之一，比以前报道的比例更高。虽然没有这个系列中的其他烫伤严重，方便面受伤仍然需要住院治疗和手术干预。方便面烧伤不成比例地影响黑人/非洲裔美国患者，以及社会经济地位较低的社区。这些发现表明，集中的烧伤预防工作可能会成功地减少这些常见的发病率，但是严重的伤害。
方法：这是对2010年至2020年期间在芝加哥大学烧伤中心住院并诊断为烫伤的所有儿科患者（<18岁）的回顾性研究。确定了方便面引起的烧伤，并将其与在此期间的所有其他烫伤进行了比较。
结果：在790例小儿烫伤中，245(31.0%)归因于方便面。与其他烫伤相比，方便面烧伤患者年龄较大(5.4vs.3.8年,p<0.001)，同样可能是男性(51%vs.54%,p=0.488),更有可能是黑人/非洲裔美国人(90.6%对75.2%,p<0.001)。方便面烧伤患者生活在邮政编码中，平均儿童机会指数得分较低（9.9与14.6，p<0.001）。就情况而言,方便面烧伤的儿童在受伤时更有可能无人监督(37%vs21%，p<0.001)。方便面烧伤较小(3.6%的总身体表面积(TBSA)与5.8%TBSA,p<0.001)，并且不太可能需要手术干预(29%与41%,p<0.001)。方便面烧伤的住院时间较短（4.2天vs.6.4天,p<0.001)，但调整后的住院时间相似(1.7天/%TBSA与1.5天/%TBSA,p=0.18），并且经历了相似的并发症发生率（10%与15%,p=0.06)。
结论：即时面条烧伤占我们机构所有小儿烫伤住院人数的近三分之一，比以前报道的比例更高。虽然没有这个系列中的其他烫伤严重，方便面受伤仍然需要住院治疗和手术干预。方便面烧伤不成比例地影响黑人/非洲裔美国患者，以及社会经济地位较低的社区。这些发现表明，集中的烧伤预防工作可能会成功地减少这些常见的发病率，但是严重的伤害。
