中国烧伤的流行病学和预后:一个元分析
Pengcheng Li1, Qingqing Zhang1, Dongjie Li2
1Department of Burns and Plastic Surgery, the Fourth Medical Center of PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing, 100048, China.
European journal of medical research
|July 5, 2025
概括
中国的烧伤伤害不成比例地影响到幼儿,当火焰引起时最致命. 这项研究强调了燃烧幸存者的关键流行病学因素和死亡率预测因素.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
背景情况:
- 烧伤是全球严重的负担,导致广泛的残疾和死亡.
- 非致命的烧伤伤害对幸存者的生活质量有深刻的,持久的影响.
- 了解中国的烧伤流行病学对于有针对性的预防和治疗策略至关重要.
研究的目的:
- 研究中国住院患者中烧伤病的流行病学特征.
- 确定与烧伤病例死亡率相关的预后因素.
- 为公共卫生干预和临床管理提供数据驱动的见解.
主要方法:
- 在多个在线数据库中进行了全面的文献搜索.
- 用比例的元分析来确定按年龄,总体表面积 (TBSA),原因和季节 (1980-2022) 的发病率.
- 聚合几率比率 (ORs) 和元回归分析确定了燃烧死亡率的显著预后因素.
主要成果:
- 该分析包括23项研究,包括465,433名患者,其中33%是女性.
- 峰值发病率发生在0-4岁和30-45岁的年龄组,夏季的发病率更高.
- 烧伤 (50%) 和火焰 (27%) 是主要的原因. 死亡率为3%,年龄,TBSA,烧伤严重程度,吸入伤害和火焰烧伤显著增加死亡风险.
结论:
- 烧伤仍然是中国的重要公共卫生问题.
- 0-4岁的儿童被确定为特别脆弱的群体,需要采取专注的安全措施.
- 与火焰有关的烧伤与其他烧伤病因相比,死亡率更高.
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