The Current Status And Risk Factors Analysis For Children Burns In Chang-Zhu-Tan Region

Objective:To describe the epidemiologic feature of children burns and to initially analyze the risk factors by investigation of the physiology, traumatic condition and family-social environment of the 0-14 years old burned children in several hospitals in Chang-Zhu-Tan region.Methods:The stratified cluster sampling was used in the study. We took samples from three top hospitals and three second-grade top hospitals in Chang-Zhu-Tan regio. Investigation was done among children of younger than 14 years and their parents in paediatrics and bum out--patient department(OPD)and Emergency Department from May 2010 to December 2010. The content of investigation included formation of bum children, general in formation of children's family, their socio-economic status, their knowledge ofbums, and patients' condition. Burns diagnosis standard is based on the diagnosis standard established in 1970, all the data was analyzed with SPSS 13.0 software. The statistical methods included descriptive statistic alanalysis, Chi-Square test and multiple factor condition Logistic regression analysis.Results:Among all the 66 burn children,30 cases are boys and 36cases are girls. In different age groups, the structural ratios of child patients were less than 3 years(61.2%),4～6 years(24.2%),7～14 years(13.6%), respectively. The proportion of girls deceased when the children's ages increased. The most common cause of bum is hot liquid(56.1%), and hot flame the second(30.3%), then the other causes(13.6%). The proportion of hot flame burns increased when the children's ages increased, which replaced hot liquid to be the most common cause of burns in the 7-14 years old children. Indoor burns happened more common than outdoors (83.3% vs.16.7%).Living room is the most common place where children burns happened (47.3%). Most burns happened in daytime. The constituent ratio of burn severity was moderate (56.1%), then severe (22.7%), mild (13.6%) and extremely severe (7.6%). The multi—factorial logistic regression analysis showed: status of census register, occupation of guardian, living area per capita and physical constitution of children were associated with the occurrence of children bums, and were statistically significant. Living in city, guardian having work and living area per capita are protective factors.Conclusion:0-3 years seems to be the most common period of burn happens. Hot liquid or steam is the most common burn causes. Indoor burns seem happened more common than outdoors. Flames cause more severe burns than hot liquid or steam. Status of census register, occupation of guardian, living area per capita and physical constitution of children were associated with the occurrence of children bums. It is of great significance to prevent the children bum by paying more attention to all the factors above, elevating people's knowledge of danger factors and enhancing propagate education of prevention and treatment knowledge in bum.