烧伤儿童住院时间及与烧伤面积关系的系统评价-东南大学学报医学版

烧伤儿童住院时间及与烧伤面积关系的系统评价

单位：1. 遵义医学院公共卫生学院流行病与卫生统计学教研室, 贵州遵义 563006;
2. 遵义医学院附属医院烧伤整形外科, 贵州遵义 563099;
3. Center for Injury Research and Policy & Center for Pediatric Trauma Research, The Research Institute at Nationwide Childre

关键词：烧伤儿童住院时间 TBSA

分类号：R179

出版年·卷·期（页码）：2017·36·第二期（246-253）

摘要：

目的：综合评价国内外烧伤儿童的MLoS（Mean of length of stay，MLoS），探讨MLoS与MTBSA（Mean of total burn surface area，MTBSA）的关系，为预防儿童烧伤提供理论依据。方法：在维普、万方、中国知网（CNKI）、Pubmed及Science Direct等中英文数据库中系统检索1990年至今含有烧伤儿童住院时间的文献，用Meta分析方法汇总结果，并分析MLoS与MTBSA的关系。结果：纳入合格文献71篇，Meta汇总的平均住院时间为15.86天，95%CI=13.76-17.96。MLoS与MTBSA成正相关（r=0.680，P<0.01）。结论：儿童烧伤越严重，住院时间越长，其MLoS超过2周。因此，卫生与行政部门均应重视儿童烧伤的预防工作，提高对严重烧伤儿童的救治水平，减少烧伤儿童住院时间，节约医疗成本。

Objective: To provide a theoretical basis for the prevention of childhood burns, we evaluate the mean of length of stay(MLoS) and explore the relation between MLoS and total burn surface area(TBSA) in burned children. Methods: Studies which contained the hospital stays of burned children published since 1990 were searched from CNKI, Weipu, Wanfang,PubMed and Science Direct databases. The MLoS was pooled by Meta-analysis, and correlation analysis between MLoS and TBSA was also conducted. Results: 71 studies met the criteria of enrolling, the pooled MLoS were 15.86 days(95%CI=13.76-17.96), and the MLoS was positively correlated with mean TBSA(r=0.680, P<0.01). Conclusion: The pooled MLoS for burned children was over 2 weeks, and the more serious the burn was, the longer hospital stay would be, and the more medical costs were consumed. Therefore, every country should pay attention to the prevention of childhood burns and improve the level of treatment of severely burned children, so as to reduce hospital stays and save medical costs.

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