Abstract
Background
Burns cause serious physical and psychological harm to patients, placing a heavy burden on the global healthcare system. Our previous study detailed the epidemiological characteristics of burn injuries in Chinese inpatients from 2009 to 2018. Interestingly, the anatomic locations of burn injuries vary by gender, age, provinces, and outcomes among different causes. Therefore, this current study aims to analyze the characteristics of burn injuries in inpatients with various burn sites by collecting data in China from 2009 to 2018. This analysis will inform future healthcare system decisions and provide effective strategies.
Methods
Burns inpatients from 196 hospitals across 31 provinces in China were included in the study, covering the period from 2009 to 2018. The data collected encompassed information on gender, age, etiology, regions, clinical outcomes, and anatomical locations of the injuries. Data analysis was conducted using Microsoft Excel 2007.
Results
From 2009 to 2018, a total of 333,995 burns inpatients were recorded. The most vulnerable parts to burns were multiple burn sites (230,090, 68.89%). Women were more susceptible to lower limb burns (15,608, 14%), while men were more prone to eye injuries (8,387, 3.37%) and hand burns (6,119, 2.75%). The age group of 0–10 years was the most vulnerable to burns across all body areas, including internal organs. In China, individuals aged 20–50 years were at a higher risk of head and neck burns compared to other age groups. The Han population showed increased vulnerability to eye injuries (2.12 times higher than minorities), respiratory tract issues (2.09 times higher than minorities), and trunk burns (1.83 times higher than minorities), while being less susceptible to internal organ injuries (0.23 times fewer than minorities) and lower limb burns (0.78 times fewer than minorities). The southwest region had the highest proportion of burns inpatients with burns affecting single body parts, whereas the eastern area had the highest rates of respiratory tract burns (0.85%) and multiple burn sites (80.64%). Scalding was identified as the most common cause of burns, while flame burns (769, 55.81%) and chemical burns (438, 47.35%) were the main causes of respiratory tract and internal organ injuries, respectively.
Conclusions
This study provides an initial description of characteristics of burns inpatients with various anatomic locations of burns in China over the past decade. Our findings will contribute to the most up-to-date clinical evidence database for healthcare planning and prevention initiatives in both China and other countries.
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Background
Burns represent a global public health problem, accounting for an estimated 180,000 deaths annually. They not only cause serious physical and psychological harm to patients but also place a heavy burden on the global healthcare system [1,2,3,4]. In develo** countries, the vast majority (96%) of deaths are from fire-related burns, making burns one of the leading causes of disability-adjusted life-years (DALYs) [5]. Moreover, the ratio of pediatric deaths caused by burns is currently over 7 times higher in develo** countries than in developed countries [4]. Although clinical treatments have improved over time such as fluid resuscitation, early enteral nutrition and aggressive surgery, the mortality rate for burns remains still high, especially in the develo** world [6, 7]. In addition, various types of work, as well as local environments and cultures, can result in different types of burn injuries among patients [8,9,10, In light of the national focus on burn injuries in our country, it is crucial to closely monitor changes in the anatomical locations of burn injuries across different demographics such as gender, age groups, and geographical regions. By doing so, we can develop more comprehensive strategies for burn prevention and treatment. Despite significant advancements in both burn prevention and treatment measures, the high number of burn patients indicates that there is still a gap between the standards of care in developed countries and our own. Therefore, it is imperative for our government to take proactive steps to enhance health promotion, child supervision, labor protection, and other relevant initiatives to reduce the incidence of burn-related hospitalizations. Establishing a national database on burns in China is essential for effectively formulating policies for burn prevention and treatment. This database would enable us to gather accurate data, identify trends, and tailor interventions to address specific needs within different populations. By leveraging this information, we can work towards narrowing the gap in burn care between our country and more developed nations.Conclusion
Data availability
All data generated or analysed during this study are included in this published article.
Abbreviations
- DALYs:
-
Disability-adjusted life-years
- GDP:
-
Gross domestic product
- SQL:
-
Structured query language
- ICD-10:
-
International classification of diseases-10
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Acknowledgements
We would like to acknowledge the reviewers for their helpful comments on this paper.
Funding
This study was supported in part by the National Nature Science Foundation of China (81801909, 92268206, 81830064), the CAMS Innovation Fund for Medical Sciences (CIFMS, 2019-I2M-5-059) and the Military Medical Research Projects (18-JCJQ-QT-020, 145AKJ260015000X, 2022-JCJQ-ZB-09600).
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Jie Yang, Jianchao Liu, Kui Ma, Huajuan Bai, Siming Yang and **aobing Fu conceived and designed the project. Jie Yang, Kui Ma, Shuxu Yang, Mingzi Ran, Hongyu Li, Guanglei Tian and Siming Yang performed all the experiments and prepared the figures. Jie Yang, Siming Yang, and **aobing Fu wrote the manuscript. All authors reviewed the manuscript.
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The research has been permitted by the institutional review boards of PLA General Hospital. As the present study using historical data, the consent of participants may induce the data selection bias. All privacies of patients were eliminated before data analyses. As a result, the present study was considered lowest risk and the waiver of consent was approved by the institutional review boards of PLA General Hospital.
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Yang, J., Liu, J., Ma, K. et al. Analysis of anatomic location of burns inpatients in China from 2009 to 2018. BMC Public Health 24, 1799 (2024). https://doi.org/10.1186/s12889-024-18910-2
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DOI: https://doi.org/10.1186/s12889-024-18910-2