UNASSIGNED: This study is a single-center retrospective study. One thousand five hundred and twenty-seven pediatric burn patients admitted to our burn center from January 2016 to December 2020 were included. Demographic and epidemiological data of included patients were extracted and analyzed. The correlations of categorical data were tested by the Chi-square tests, and differences of continuous data were tested by the Kruskal-Wallis tests. A p-value of less than 0.05 was considered to be statistically significant.
UNASSIGNED: The results showed that children under 3 years of age were most susceptible to burn and scald injuries. Burn injuries were most likely to occur in the season of winter and at the place of home. 56.6% of included patients did receive first aid measures, while 1.8% received gold-standard first aid. Clinical variables related to the severity of injuries were statistically different between patients with and without cooling measures in first aid. Linear regression models showed that emergency treatment of burns in children and adolescents was associated with outcome indicators, including number of operations, total operation duration per total burn surface area (TBSA), cost per TBSA, and length of stay per TBSA.
UNASSIGNED: This study summarized the epidemiology and outcomes of pediatric burn patients admitted to a burn center in northern China. Adopting cooling measures in first aid can reduce the severity of injuries and reduce the burden on the medical system. Education on burn prevention and first aid measures to caregivers of children, especially preschool children, should be strengthened.
■本研究为单中心回顾性研究。包括2016年1月至2020年12月在我们的烧伤中心收治的一千五百二十七名小儿烧伤患者。对纳入患者的人口统计学和流行病学资料进行提取和分析。分类数据的相关性采用卡方检验,连续数据的差异用Kruskal-Wallis检验。小于0.05的p值被认为是统计学上显著的。
■结果显示,3岁以下的儿童最容易遭受烧伤和烫伤。烧伤最有可能发生在冬季和家中。56.6%的患者确实接受了急救措施,1.8%的人接受了黄金标准的急救。在急救中有和没有降温措施的患者之间,与损伤严重程度相关的临床变量在统计学上有所不同。线性回归模型显示,儿童和青少年烧伤急诊治疗与预后指标相关,包括操作数量,每总烧伤表面积(TBSA)的总操作持续时间,每个TBSA的成本,和每个TBSA的停留时间。
■本研究总结了中国北方某烧伤中心收治的小儿烧伤患者的流行病学和转归。在急救中采取降温措施可以减轻伤害的严重程度,减轻医疗系统的负担。对儿童照顾者进行烧伤预防和急救措施教育,尤其是学龄前儿童,应该加强。