英国儿童烧伤的变化:一项为期20年的流行病学研究
Lucy M S Hoade1, Thomas H Jovic1,2, Elliott N Rees3
1Welsh Centre for Burns & Plastic Surgery, Morriston Hospital, Swansea, UK.
概括
儿童烧伤病例在COVID-19封锁期间减少,尽管烧伤严重程度增加. 新的烧伤类型,如气溶闪电烧伤出现,需要更新的公共卫生策略,儿童预防烧伤.
科学领域:
- 儿科烧伤流行病学
- 公共卫生 公共卫生
- 创伤研究研究创伤研究
背景情况:
- 烧伤是儿童受伤的重要原因之一.
- 英国关于儿科烧伤流行病学的数据有限,特别是在COVID-19大流行期间.
- 在过去的二十年中,伤害模式和服务提供的变化是假设的.
研究的目的:
- 描述儿科烧伤病例的流行病学转诊和英国儿科烧伤病例单位的入院情况从2005年至2024年.
- 分析COVID-19封锁期间前,期间和之后燃烧模式的变化.
- 为了识别儿科烧伤的新兴趋势.
主要方法:
- 对被转诊到英国烧伤病房的儿科患者的回顾性分析 (2005-2024年).
- 利用国际烧伤数据库 (iBID) 来提取人口统计和伤害数据.
- 比较了封锁前,封锁期间和封锁后的数据.
主要成果:
- 包括6919名患者;1872人 (27.1%) 需要住院.
- 在COVID-19后观察到入院率的显著下降,与此同时,平均燃烧总表面积 (TBSA) 的同时增加.
- 烧伤 (44.8%) 和接触烧伤 (38.3%) 是最常见的. 老年儿童的转诊增加,随着气溶闪光烧伤,冷烧伤和跑步机摩擦烧伤在/之后的流行病期间/之后的增加.
结论:
- 该研究为制定有针对性的公共卫生倡议和调整儿科烧伤服务提供了关键的流行病学数据.
- COVID-19大流行影响了儿科烧伤流行病学,需要进一步的多中心评估.
- 燃烧机制的新兴趋势和服务重新设计的需要需要持续的研究,以告知未来的儿科燃烧护理.
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