Epidmiological investigation of 1043 critical and severe burn patients in 25 years
- VernacularTitle:25年1043例危重烧伤住院患者调查分析
- Author:
Shujun WANG
;
Jiake CHAI
;
Zhiyong SHENG
- Publication Type:Journal Article
- Keywords:
critical illness,burns;
epidemiologic studies;
accident prevention
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the etiological and epidemiological factors of critical and severe burn injuries,in tending to provide a theoretical basis for the prevention of critical and severe burn injury.Methods The clinical data of a total of 1 043 patients with critical and severe burn injury hospitalized from 1982 to 2006 were retrospectively analyzed,and the sex ratio,age distribution,etiological factors,injury sites,seazonal distribution,duration before hospitalization,complications and fatality of these patients were statistically analyzed.Results From 1982 to 2006,the number of burn patients admitted to our hospital presented an increasing trend,and the number of critical and severe burn patients increased obviously.The sex ratio(male/female) was 3.3∶1,and it obviously declined during the last 5 years.The proportion of infant and childhood patients presented a significantly increasing trend,occupying 41.2% of critical and severe burn patients in the last 5 years.Summer was the predominating season for occurrence of burn injury(40.3%),followed by spring(23.5%),autumn(22.4%) and winter(13.8%).54.8% of burn injury occurred in daily life,the remaining 45.2% of patients got burn injury in work,but the former reached 63.3% in the last 5 years.Heat was the main etiological factor,occupying 85.5%,of which flame was the most important cause,and hot fluid scald was increasing in recent years.Only 51.2% of the patients went to visit doctor within 6h after injury.21.0% of the patients were complicated with inhalation injury,and 17.7% was in shock when they came to the hospital.The fatality rate of critical and severe burns was reduced from 16.3 %(1982-1986) to 4.2%(2002-2006).Conclusions It is urgent to prevent critical and severe burns,especially in the youth and childhood.Information regarding prevention,self-aid and self-protection in fire accident should be actively spread among both the workers in industrial and mining enterprises and community inhabitants.The methods easy to use for shock prevention before hospitalization should be explored as early as possible.
