| Background:Children related accidental injury had been recognized as an important health issue of the21st century. In the various kinds of accidental injuries relating to the hospitalized children, burns ranked No.2. The incidence of children related burns had regional differences, and was influenced by many other factors. Hence, local epidemiological research about children related burns would be helpful to establish an adequate, timely and effective system, to reduce the inevitable loss of the children related accidental injuries. In recent years, some epidemiological articles about children related burns of some provinces and cities have been found publication, however, similar research is rare in Shandong province, which has the second largest population in China.Objective:To collect and analyze the epidemiologic data of hospitalized burned children in Shandong Provincial Hospital; to provide clinical evidence for the establishment of an adequate, timely and effective system for the prevention and treatment of children related burns.Methods:Data of652cases of burned children hospitalized in the burn department of Shandong Provincial Hospital were collected admitted time January1st,2006to December31st2012, age0-14, including age, gender, burn area, depth, severity, burn area, cause of injury, time, season, location of injury, rural or urban, first aid, length of stay, surgery or conservative treatment medication, and mortality. Results:Among the1694cases of hospitalized burned patients, children accounted for38.3%(652), number of boy was much higher than that of girl (440VS212,2.075:1). Children of1to3years old accounted for the highest proportion of56.4%(368), followed by the groups of0to1(19.3%,126),3to7(16.3%,106), and7to14(8.0%,52). The average burn area was (11.2+11.4)%TBSA. Children of mild and moderate burns accounted for about73.9%(482), while severe and extremely severe burned children were about26.1%(170). About the burn area, lower limbs, trunk and upper limbs were more common, accounting for, respectively,49.4%,49.1%and45.6%, and are mostly multiple sites simultaneously burns. Among the various reasons, scald due to hot fluid accounted for88.7%(578), and the flame burn cases were9.0%(59), while the cases of other reasons were much less. Burned children from rural area were more than those from urban area (274VS198,1.4:1). During the24hours of one day, most burn accident occurred between17:00-21:00(30.7,200) and9:00-13:00(29.4%,192), followed by13:00-17:00(21.0%,137).40.7%(324) cases occurred during winter and spring, while50.3%(328) cases were during summer and autumn. Ranked by months, most cases were found during April, followed by May and September, while the. lowest was found in November. The main accident location was within home (89.4%,583), while outdoor and other places injuries accounted for10.6%(69). Merely70children (10.7%) received cold therapy with water or ice timely. Most wounds healed spontaneously, while17.9%(117) cases received surgical treatment. Through surgical or conservative treatment,65.0%(424) cases were discharged within2weeks, while35.0%(228) cases stayed longer; the mortality rate was0.46%(3)Conclusions:From January2006to December2012, the hospitalized burned children accounted for38.5%, were mainly boys, and monthly were1to3years old. The average area was (11.2+11.4)%TBSA. Most cases were mild and moderate injuries. Lower limbs, trunk and upper limbs were more vulnerable burn area. Hydrothermal scald was the main burn reason. Most cases occurred within home, and more burned children were from rural area. Most burn accidents occurred between17:00-21:00(30.7,200) and9:00-13:00(29.4%,192), and no significant seasonal differences were found in this survey. First aid was not enough. Most patients were healed by conservative treatments. |
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