Abstract：
Genital burns are unique and complex injuries that impact patients physically and emotionally. This study investigates the specific impact of genital burns on psychosocial and physical outcomes. A retrospective cohort study was conducted using the TriNetX database, encompassing over 117 million patients from U.S. healthcare institutions. Patients with genital burns were identified and categorized into sub-cohorts based on TBSA and burn degree. Propensity score matching and cohort balancing were performed based on age, gender, race, and ethnicity. Outcomes were analyzed both short-term (1 month) and long-term (5 years), focusing on psychiatric and physical aspects. This study identified 3,496 genital burn patients over a 15-year period. Analyses revealed that genital burns significantly increased short-term risk of death (RR: 2.8), anxiety (RR: 2.656), hospitalization (RR: 2.167), and any anxiety, PTSD, or depression (RR: 2.363), and long-term risk of death (RR: 1.658) and pruritus (RR: 1.58) (all p<0.05). Interestingly, genital burn patients showed a lower risk of chronic joint pain compared to other burn injuries (RR: 0.815) (p<0.05). These results occurred independently of the extent of TBSA. Genital burns have a distinctive impact on patients, leading to higher rates of certain psychiatric morbidities and physical complications. This study highlights the need for tailored care and consideration of the unique challenges faced by patients with genital burns, both in the immediate aftermath and in the long term. Understanding the specific impacts of genital burns is vital for healthcare practitioners to develop care strategies and better support for patients recovering from such injuries.
摘要：
生殖器烧伤是影响患者身体和情感的独特和复杂的损伤。这项研究调查了生殖器烧伤对心理社会和身体结果的具体影响。使用TriNetX数据库进行了一项回顾性队列研究，包括来自美国医疗机构的1.17亿患者。根据TBSA和烧伤程度确定生殖器烧伤患者并将其分类为子队列。根据年龄进行倾向评分匹配和队列平衡，性别,种族,和种族。结果分析了短期(1个月)和长期(5年)，专注于精神和身体方面。这项研究在15年内确定了3,496名生殖器烧伤患者。分析显示，生殖器烧伤显著增加了短期死亡风险（RR：2.8），焦虑（RR：2.656），住院（RR：2.167），和任何焦虑，创伤后应激障碍,或抑郁（RR：2.363），和长期死亡风险（RR：1.658）和瘙痒（RR：1.58）（均p<0.05）。有趣的是,与其他烧伤相比，生殖器烧伤患者发生慢性关节痛的风险较低（RR：0.815）（p<0.05）。这些结果的发生与TBSA的程度无关。生殖器烧伤对患者有独特的影响，导致某些精神病发病率和身体并发症的发生率更高。这项研究强调了需要量身定制的护理和考虑生殖器烧伤患者面临的独特挑战，无论是在近期还是在长期。了解生殖器烧伤的具体影响对于医疗保健从业人员制定护理策略和更好地支持患者从此类伤害中恢复至关重要。
