Pediatric burn injury at home over 30 years: A road to future prevention

IF 3.2 3区医学 Q2 CRITICAL CARE MEDICINE

Burns Pub Date : 2024-11-12 DOI:10.1016/j.burns.2024.107317

Ryo Yamamoto , Yukio Sato , Junichi Sasaki

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引用次数: 0

Abstract

Introduction

Injury prevention is valuable for pediatric burns at home. To develop future target of prevention, we aimed to elucidate characteristics and chronological changes of pediatric burn injuries at home in urban areas.

Patients and Methods

We conducted a retrospective observational study using the database of the Tokyo Burn Unit Association, which comprises 14 tertiary burn centers, the Tokyo Fire Department, Tokyo Medical Association, and the Tokyo city government. We included pediatric patients aged ≤ 15 years who had a burn injury at home in the last 30 years and divided them into five groups at 6-year intervals. We compared the mechanism, severity, and outcome of burn injuries between the groups.

Results

We included 1092 pediatric patients, with no significant chronological changes in the incidence of burn injuries at home (approximately 200 patients in each 6-year period). The median age was 1 year in all the groups. Flame burns decreased from 7.7 % to 1.6 %, whereas scald burns remained at > 80 %. The burn area decreased from 10 (5−16) % total body surface area (%TBSA) to 7 (3−11) %TBSA. The length of hospital stay was reduced from 6 to 2 days, and in-hospital mortality was 0.4–0.5 % in the last decade.

Conclusions

The incidence of flame burns and burn area decreased over time with improving clinical outcomes in pediatric burns. The number of scald burns remained the same over time; thus, further social intervention is needed to prevent scald burns.

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30年以上儿童居家烧伤：通往未来预防之路

在家中预防儿童烧伤是很有价值的。为了制定未来的预防目标，我们旨在阐明城市地区家庭儿童烧伤的特征和时间变化。患者和方法我们使用东京烧伤科协会的数据库进行了一项回顾性观察研究，该数据库包括14个三级烧伤科中心、东京消防局、东京医学会和东京市政府。我们纳入了年龄≤15岁且在过去30年内在家中有过烧伤的儿童患者，并将他们每隔6年分为5组。我们比较了两组之间烧伤的机制、严重程度和结果。结果我们纳入了1092名儿科患者，在家中烧伤的发生率没有明显的时间变化（每6年约有200名患者）。所有组的中位年龄均为1岁。火焰烧伤从7.7%下降到1.6%，而烫伤烧伤则保持在7%。80%。烧伤面积从10(5 ~ 16)%体表面积（%TBSA）减少到7 (3 ~ 11)%TBSA。住院时间从6天减少到2天，住院死亡率在过去十年中为0.4 - 0.5%。结论随着时间的推移，小儿烧伤的火焰烧伤发生率和烧伤面积减少，临床预后改善。随着时间的推移，烫伤的数量保持不变；因此，需要进一步的社会干预来防止烫伤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Burns 医学-皮肤病学

CiteScore

4.50

自引率

18.50%

发文量

304

审稿时长

72 days

期刊介绍： Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.