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Hospitalized pediatric burns in North China: a 10-year epidemiologic review
Liqiang Zhu1, Yanqi Zhang2, Ling Liu2
1Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China; Department of Information, The 322 Hospital of the Chinese People's Liberation Army, Datong, Shanxi 037006, China.
Insights
Pediatric burns are increasing, with young children and scalds being most common. Burned surface area, surgery, and outcomes significantly impact hospital stay and cost, highlighting the need for targeted prevention and improved insurance.
Area of Science:
- Pediatric burn epidemiology
- Public health
- Health services research
Background:
- Hospitalized pediatric burns represent a significant public health concern.
- Understanding epidemiological trends and cost factors is crucial for effective prevention and resource allocation.
Purpose of the Study:
- To analyze the epidemiological characteristics of hospitalized pediatric burns in North China from 2001-2010.
- To identify factors influencing the length of hospital stay and hospitalization costs.
- To inform targeted burn prevention strategies for children.
Main Methods:
- Retrospective survey of 17,770 pediatric burn patients (<15 years) across 18 hospitals in North China.
- Analysis of epidemiological data, including age, sex, burn type, and body surface area.
- Statistical analysis to determine factors affecting length of stay and hospitalization costs.
Main Results:
- Children constituted 43.57% of hospitalized burns, with a rising trend.
- Children under three years old (69.9%) were the most affected group, predominantly with scald burns (<10% total body surface area).
- Length of stay (median 8 days) and cost (median 2469 RMB) were significantly influenced by burn severity, surgery, and treatment outcomes.
Conclusions:
- Focusing prevention efforts on very young children, boys, and mild scald burns is essential.
- Improving the medical insurance system for pediatric burn patients is urgently required.
- Burned surface area, surgical intervention, and treatment outcomes are key determinants of healthcare utilization and costs.
Abstract:
Retrospective surveys of all hospitalized pediatric burns under the age of 15 years were conducted in 18 hospitals from 5 provinces and municipal cities of North China between 2001 and 2010. A total of 17,770 patients were included in this study. The epidemiological characteristics of hospitalized pediatric burns and influencing factors of length of hospital stay and hospitalization cost were analyzed. In this study, children accounted for 43.57% of all hospitalized burns, with a gradually increasing trend (P=0.003). Among children hospitalized burns, the percentage of children younger than three years was 69.9%, with an upward trend (P<0.001). The ratio of male to female was 1.53:1. Scald burns accounted for 89.79% and 71.54% had burns of <10% total body surface area, with increasing trends (P≤0.001). The medians of length of hospital stay and hospitalization cost were eight days and 2469 RMB yuan respectively. The most important factors affecting length of hospital stay and hospitalization cost were burned surface area, surgery and treatment outcome. Children under three years of age, boys and children with a small area of mild scald burns should be made the focus of childhood burn prevention. Improving the medical insurance system for children is urgently needed.
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