Epidemiological And Clinical Characteristics Of Hospitalized Pediatric Burns In A Hospital Of Gansu Province

Objective Retrospective analysis of epidemiological and clinical characteristics of children with burns admitted to the Department of Burns,Gansu Provincial Hospital from August 2014 to July 2019.To provide a basis for the formulation of burn prevention and treatment measures for children in this area.Methods To collect the data of burn cases of hospitalized children(0~14 years old)in the Department of Burns of Gansu Provincial Hospital from August 2014 to July 2019,including demographic information(age,sex,etc.),burn characteristics(cause,time,area,etc.),therapeutic measures,length of stay,cost and occurrence of four kinds of complications.The data were analyzed by sex and age.Related factors were analyzed for hypoproteinemia,infection,and hospitalization costs.Results 1.A total of 1398 children were included in this study,with a male-to-female ratio of 1.6 to 1.0.The most children were in early childhood(64%).The ratio of countryside to town is 2.7 to 1.0.2.The main causes of burns were scalds(89.3%),followed by flame burns(9.2%),and fewer electrical and chemical burns.The majority of people were burned in summer(30.9%)and spring(25.6%).It was more common during the day than at night,with a high incidence during lunch and dinner.3.Burns often occur in the upper limbs,torso and lower extremities,mainly moderate burns(59.8%),followed by severe and extra severe burns and mild burns.4.42.8% of the children visited our hospital within 6 hours,and 41.7% of the children did not undergo any treatment before coming to the hospital.More patients were cured(78.8%)and improved(15.7%)after treatment in our hospital.During hospitalization,hypoproteinemia(37.8%,anemia(33.4%)occurred in more children,and infection was less.5. Post-traumatic hypoproteinemia is related to burns area,degree,third-degree burns and hospitalization time after injury.Burn infection is related to hospitalization time,burns area,surgical treatment and other complications.The cost of hospitalization is related to the area and degree of burns,third-degree burns,operation and complications.Conclusion 1.Burns of children in this region are mostly in infancy,male and rural areas,and scalds are the main cause of burns,which occur in spring and summer,indoor and during meals.Children with deep ?° and moderate burns,wound after treatment in the majority.94.5% of the children were cured or improved after treatment in our department,and the main complication during hospitalization was hypoproteinemia.2.The publicity and education of burn prevention in children's families should be strengthened,and the popularization education of first aid measures after injury should be strengthened,and the specialized treatment level of severe burns in children should be improved,so as to establish a perfect preventive,first-aid,referral and specialized treatment system.