Hospitalized pediatric burns in North China: a 10-year epidemiologic review.
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.
Department 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.
Liqiang
L
Zhu
Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China.
Yanqi
Y
Zhang
Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China.
Ling
L
Liu
Department of Orthopaedics, Beijing Military Region General Hospital, Beijing 100853, China.
Jingcheng
J
Jiang
Admin Office, The 322 Hospital of the Chinese People's Liberation Army, Datong, Shanxi 037006, China.
Yong
Y
Liu
Department of Burn, The 322 Hospital of the Chinese People's Liberation Army, Datong, Shanxi 037006, China.
Fusheng
F
Shi
Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China. Electronic address: yd_house@hotmail.com.
Dong
D
Yi
D000293:Adolescent; D017677:Age Distribution; D002056:Burns / Q000191:economics / Q000453:epidemiology* / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D005260:Female; D017721:Hospital Costs; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data / Q000639:trends; D006801:Humans; D007223:Infant; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution