Abstract：
BACKGROUND: The epidemiology, care, and outcomes of perineal and genital burns (PG) in high-income countries have been previously described, but an analysis of this topic in LMICs has yet to be performed. We use the World Health Organization\'s Global Burn Registry to fill this gap.
METHODS: The GBR was searched from inception to November 2023 to identify all burn patients, excluding cases from high-income countries. Demographics and mechanism of injury were retrieved. Primary outcomes were length of hospital stay (LOHS), surgical intervention, discharge with physical impairment, and mortality. A multivariate regression analysis was performed controlling for burnt total body surface area (TBSA), age, sex, inhalation injury, mechanism of burn and care center characteristics.
RESULTS: Of 9041 patients identified, 1213 (13.4 %) had PG burns with 136 (1.6 %) isolated to the PG region. PG patients had higher TBSA (p < 0.001) and more inhalation injury (p < 0.001). They had better access to rehabilitation and lower access to theater space for burns (p < 0.001). Multivariable analysis showed that PG patients had longer LOHS (p = 0.001), greater mortality (p < 0.001), were less likely to undergo surgery (p = 0.01) or be discharged home with physical impairment (p = 0.03).
CONCLUSIONS: Similarities and differences exist between high- and low/middle-income countries in terms of the patterns of injury, care, and recovery in patients with PG burns. The longer LOHS and higher mortality among PG patients, previously reported in high-income countries, are verified. This highlights the importance of greater vigilance when caring for such patients.
METHODS: The GBR was searched from inception to November 2023 to identify all burn patients, excluding cases from high-income countries. Demographics and mechanism of injury were retrieved. Primary outcomes were length of hospital stay (LOHS), surgical intervention, discharge with physical impairment, and mortality. A multivariate regression analysis was performed controlling for burnt total body surface area (TBSA), age, sex, inhalation injury, mechanism of burn and care center characteristics.
RESULTS: Of 9041 patients identified, 1213 (13.4 %) had PG burns with 136 (1.6 %) isolated to the PG region. PG patients had higher TBSA (p < 0.001) and more inhalation injury (p < 0.001). They had better access to rehabilitation and lower access to theater space for burns (p < 0.001). Multivariable analysis showed that PG patients had longer LOHS (p = 0.001), greater mortality (p < 0.001), were less likely to undergo surgery (p = 0.01) or be discharged home with physical impairment (p = 0.03).
CONCLUSIONS: Similarities and differences exist between high- and low/middle-income countries in terms of the patterns of injury, care, and recovery in patients with PG burns. The longer LOHS and higher mortality among PG patients, previously reported in high-income countries, are verified. This highlights the importance of greater vigilance when caring for such patients.
摘要：
背景：流行病学，care,先前已经描述了高收入国家会阴和生殖器烧伤（PG）的结果，但是尚未对LMIC中的这一主题进行分析。我们使用世界卫生组织的全球烧伤登记处来填补这一空白。
方法：从开始到2023年11月对GBR进行搜索，以识别所有烧伤患者，排除来自高收入国家的病例。恢复了人口统计学和损伤机制。主要结果是住院时间（LOHS），手术干预,身体损害出院，和死亡率。对烧伤总表面积(TBSA)进行了多元回归分析，年龄,性别,吸入性损伤,烧伤的机制和护理中心的特点。
结果：在确定的9041名患者中，1213（13.4％）的PG烧伤与PG区域隔离136（1.6％）。PG患者有更高的TBSA（p<0.001）和更多的吸入性损伤（p<0.001）。他们有更好的康复机会和更低的烧伤剧院空间（p<0.001）。多变量分析表明，PG患者的LOHS时间较长（p=0.001），死亡率更高（p<0.001），不太可能接受手术（p=0.01）或因身体损伤出院回家（p=0.03）。
结论：高收入国家和低收入/中等收入国家在伤害模式方面存在异同，care,和PG烧伤患者的恢复。PG患者的LOHS越长，死亡率越高，先前在高收入国家报告，已验证。这凸显了在照顾此类患者时提高警惕性的重要性。
方法：从开始到2023年11月对GBR进行搜索，以识别所有烧伤患者，排除来自高收入国家的病例。恢复了人口统计学和损伤机制。主要结果是住院时间（LOHS），手术干预,身体损害出院，和死亡率。对烧伤总表面积(TBSA)进行了多元回归分析，年龄,性别,吸入性损伤,烧伤的机制和护理中心的特点。
结果：在确定的9041名患者中，1213（13.4％）的PG烧伤与PG区域隔离136（1.6％）。PG患者有更高的TBSA（p<0.001）和更多的吸入性损伤（p<0.001）。他们有更好的康复机会和更低的烧伤剧院空间（p<0.001）。多变量分析表明，PG患者的LOHS时间较长（p=0.001），死亡率更高（p<0.001），不太可能接受手术（p=0.01）或因身体损伤出院回家（p=0.03）。
结论：高收入国家和低收入/中等收入国家在伤害模式方面存在异同，care,和PG烧伤患者的恢复。PG患者的LOHS越长，死亡率越高，先前在高收入国家报告，已验证。这凸显了在照顾此类患者时提高警惕性的重要性。
