| Objective:To retrospectively analyze the clinical epidemiological data of hospitalized burned children in the Burn Department of the First Affiliated Hospital of Nanchang University from January 1,2014 to December 31,2017,and established the children burn epidemic in this region.The medical database provides a reference for the development of appropriate preventive and effective interventions to provide guidance.Methods:To collect the epidemiologic data on the clinical records of 12-year-old and under hospitalized children with burns admitted to the Burns Division of the First Affiliated Hospital of Nanchang University from January 1,2014 to December 31,2017.The total number and proportion,the distribution of urban and rural areas,gender,and age were collected.,Burn causes,time,place,location,area and burn degree,post-injury treatment,admission time after injury,treatment method,length of hospitalization,and expenses;according to the physiological characteristics of children at different ages,they are divided into: infancy(0,1],early childhood(1,3],preschool age(3,7],school age(7,12] four stages;according to the month of admission is divided into: spring,summer,autumn,winter;according to the burn area is divided into: mild,moderate,severe burns,extraordinarily severe burns;statistical analysis of data.Results:1.From 2014 to 2017,the Burn Department of the First Affiliated Hospital of Nanchang University received a total of 5848 inpatients with burns,including 2517 cases of pediatric burns,accounting for 43.0% of the total number of hospitalized burns,and 1558 cases(61.9%)of children with burns.The number of children with burns was 959(38.1%)and male: female = 1.62:1.There were 688 cases(27.3%)of household registrations in hospitalized children with burns,1829 cases(72.7%)of rural household registrations,and rural areas: cities = 2.66:1.2.The main causes of children burns were hydrothermal burns,which were 2165cases(86.0%),followed by flame burns,233 cases(9.3%),electrical burns in 56cases(2.2%),and others(chemical burns,etc.)63 cases(2.5%).Occupational injury sites were mainly indoor,2302 cases(91.5%),outdoor 215 cases(8.5%).675 patients(26.8%)had no treatment before admission and 426 patients(16.9%)received cold therapy.After a simple treatment at a local hospital or clinic,most patients in our department had 1268 cases(50.4%)and used remedies(For example,149 cases(5.9%)were treated with Chinese herbs,soy sauce,and so on.There were 1651 cases(65.6%)of children admitted to hospital within 8 hours after burns,300 cases(11.9%)of children admitted to hospital for burns from 8 to 24 hours,and 566 cases(22.5%)of children admitted to hospital more than 24 hours after admission.3.The children burns were mainly infants and toddlers,with 873 cases(34.7%)and 1034 cases(41.1%)respectively.The preschool age was 375 cases(14.9%),and the school age was 235 cases(9.3%).The children burns were high in summer and autumn in 694 cases(27.6%),720 cases(28.6%),560 cases(22.2%)in spring,and543 cases(21.4%)in winter.The peak daily burn time of burned children in this group was 16:00-21:59,which was 1278 cases(50.8%);followed by 8:00-12:59,736cases(29.2%).4,In this group of children burns with moderate burns mainly 1839 cases(73.1%);132 cases of mild burns(5.2%);289 cases of severe burns(11.5%);257cases of severe burns(10.2%).There were 1184 cases of head and face burns,1375 cases of upper limbs with burns,1242 cases of children with burned lower limbs,1588 cases of children with burned torso,and children with burns in the perineum and buttocks.In 646 cases,there were 54 cases of children with oropharyngeal and respiratory tract burns.1588 cases(63.1%)were selected for surgical treatment during hospitalization,and 929(36.9%)cases were treated conservatively.In the group of children with burns,2399 cases were cured and discharged,and the cure rate was 98.9%.In the 24 hours after admission,91 cases were discharged from children and 17 cases(6.8 inches)died.The average burn area was 11.7% TBSA,the average length of hospital stay was 15.0 days,the average hospitalization cost was 22637.8yuan,and the cost per 1% TBSA was 1943.2 yuan.Conclusion:From 2014 to 2017,the proportion of children with burns in the burn department of the First Affiliated Hospital of Nanchang University was relatively high,43.0%,of which males were the main children,accounting for 61.9%;mostly concentrated in infants and young children.Most of the pediatric burn patients are from rural areas.Burns are mainly caused by hydrothermal burns.They mainly occur indoors and occur frequently in summer and autumn.They mostly focus on the 16:00-21:59 and8:00-12:59 time periods.More than 8 hours after the injury,only 34.4% of the hospitalized patients in our department were transferred to the hospital.Up to 32.7%of the patients had not been treated or treated incorrectly before admission.Therefore,in order to reduce the incidence of pediatric burns,especially for infants and children of rural areas,we should increase the prevention of burn-related knowledge,pay attention to and strengthen children's safety education and protection,and establish a complete prevention and treatment system for pediatric burns. |
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