•  
  •  
 

Rehabilitation Practice and Science

Translated Title

中重度燒傷患童的年齡、發生原因與場所之探討

Abstract

The purposes of this study were to investigate the circumstances of occurrences in 53 patients with moderate to severe burns under 12 years of age, who were admitted to the burn center of the Armed Forces Tsoying Hospital in Kaohsiung from June 1998 to May 2000. The subjects were further divided into three age groups: 0-3 years, 3-6 years, and at least six but less than twelve years old for pairwise comparisons purpose.The results showed that the overall ratio of male to female was 2.3. Scalds accounted for 75.5% of all burns, whereas the remaining 24.5% were ascribed to flame burns. The majority of childhood burn injuries happened to children under 3. Hot liquids were the most frequent cause of scalds, explaining 57.5% of all scalds, and that hot water was the next highest. In terms of flame burns, alcohol burning stove (46.2%) was the commonest agent followed by firecrackers (30.8%) and fires (23.0%). Most burn injuries (62.3%) occurred at home, while the remaining 37.7% of injuries occurred outside the home. The living room (39.4%) was the commonest room where scalding was the mode of injury, followed by bedroom (30.3%) and kitchen (21.2%). Accidents outside the home most commonly took place in restaurants (40%) and backyard (30%). 71.7% of burns were self-induced out of ignorance, whereas 28.3% of burns were caused by others unintentionally. There was a statistically significant difference in the age groups according to the places in which the burn injury occurred, with children aged 3-12 years burned more frequently outside the home compared with 0-3 years age group. Likewise, significant differences emerged in the age groups as a function of the types of burn, with 0-3 years age group suffered more from scalds than flame burns in comparison to children aged 3-12. Besides, burn accidents in age group 0-3 were self-induced out of ignorance, whereas children aged 6-12 were most likely to be burned due to unintentional ignorance by others. Finally, burn area and burn types were the two significant predictors of length of hospital stay, together accounting for 70.8% of the variance. Our results were valuable in that the professionals working with the burned children, the parents or the primary caregivers can better understand the risk factors in relation to burns, and implement programs to prevent burn injury.

Language

Traditional Chinese

First Page

147

Last Page

154

Download

Share

COinS