Author/Editor		Mohar, Janez; Ahčan, Uroš
Title		Epidemiologija opeklinskih poškodb pri otrocih in pomen sodobnega opeklinskega centra
Translated title		The epidemiology of burn injuries of children and the importance of a modern burn centre
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 46, št. 1
Publication year		2007
Volume		str. 3-10
Language		slo
Abstract		Burns represent the major percentage of injuries to children. Their incidence level, injury mechanisms and treatment often differ from the burn injuries of adults. From the medical records of the Department for Plastic and Reconstructive Surgery of the Ljubljana Medical Centre we gathered, analyzed and compared the burn injuries of children up to the age of IS who were admitted to hospital in the year 2003 to those who were treated as outpatients. Moreover, we compared the burn injuries of hospitalized children at the same department in the years 2003, 1993 and 1983 respectively. We compared their gender, age, the total body surface area of burns, the depth of burns, frequency of the mechanisms of injury, the affected parts of the body and the length and mode of treatment. Finally, we compared our results with the results of similar studies from other burn centres. The number of children treated for burns at the department has declined. In all the years studied, the injured children were younger than S and the majority of them were boys. The number of children admitted with substantial total body surface areas of burns was also declining. However, there was an increase in the number of children admitted with burns less than 10 % of their total body surface area. The number of burns treated by surgery slightly increased over the years studied. There was a similar sex and age distribution among the hospitalized children and those treated as outpatients. (Abstract truncated at 2000 characters)
Summary		Znaten delež vseh poškodb pri otrocih predstavljajo opeklinske rane. Incidenca, način poškodovanja in zdravljenje se pogosto razlikujejo od opeklinskih poškodb pri odraslih. Iz zdravstvene dokumentacije Kliničnega oddelka za plastično kirurgijo in opekline Kliničnega centra v Ljubljani (KOPKO) smo zbrali, analizirali in primerjali opeklinske poškodbe bolnišnično in ambulantno zdravljenih otrok, starih do 15 let v letu 2003, bolnišnično zdravljene otroke v letu 2003 pa primerjali z bolnišnično zdravljenimi otroki v letih 2993 in 1983. Primerjali smo spol, starost, površino in globino opeklinske rane, pogostnost pojavljanja različnih načinov poškodovanja, prizadetost funkcionalnih mest na telesu, ležalno dobo ter način zdravljenja. Rezultate smo primerjali z rezultati podobnih raziskav drugih opeklinskih centrov. Število opečenih otrok, ki smo jih zdravili v KOPKO, je upadalo. V vseh opazovanih letih so bili poškodovani otroci v povprečju mlajši od 5 let med njimi je bilo največ dečkov. Število sprejetih otrok z veliko površino opeklinske rane je upadalo, pogostejši so bili sprejemi otrok s površino opeklinske rane pod 10 % skupne telesne površine (STP). V obravnavanih letih je število operativno zdravljenih opeklin rahlo naraščalo. Primerjava med ambulantno obravnavanimi in bolnišnično zdravljenimi otroki je pokazala podobno zastopanost po spolu in starosti. Število bolnišnično zdravljenih otrok z opeklinskimi ranami se znižuje. Med deleži operativno in konzervativno zdravljenih otrok v letih 1983, 1993 in 2003 ni bilo statistično pomembne razlike (P = 0,247). Opeklinski center KOPKO, ki s svojim delovanjem skupaj z opeklinskim oddelkom Splošne bolnišnice Maribor skrbi za populacijo dveh milijonov prebivalcev, je v večini protokolov sprejemanja in zdravljenja bolnikov primerljiv z ostalimi opeklinskimi centri v svetu.
Descriptors		BURNS BURN UNITS CHILD