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Faraldsfræði alvarlegra brunaáverka á Íslandi 1988-1992

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Authors
G. Steinar Guðmunsson
Sigurður Þorgrímsson
Ólafur Einarsson
Issue Date
1997-07-01

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Other Titles
The epidemiology of serious burn injuries in Iceland 1988-1992
Citation
Læknablaðið 1997, 83(7-8):503-9
Abstract
Introduction: Due to widespread access to hot water in Iceland it has been suspected that the incidence of burn injury is higher compared to other countries. The epidemiology of severe burn injury needing hospitalization was studied. Material and methods: The files of all patients who were diagnosed with burn injury and admitted to the four largest community hospitals in Iceland were retrospectively reviewed. Only those 266 patients admitted primarly because of the burn injury were included. The incidence of severe burn injury needing hospitalization was 20.5/100.000/year. Results: Scald burns were most common and children younger than five years old were more prone to such burns than older patients. Tap-water burns are considerable more common in Iceland compared to other countries. In the relatively few hot spring water burns, 72.8% of the victims were foreign tourists. The main findings are that one third of all severe burns needing hospitalization in Iceland occur in children younger than five years old. The incidence of burns seems to be similar to reported series. More than half of all burns needing hospitalization in Iceland are scald burns and the incidence of burns due to tap water is higher in this country than elsewhere. Conclusion: We conclude that it should be possible to reduce the risk of severe burn injuries in Iceland through education campaigns and also by legislating maximum temperature of the tap-water at 52-54°C.
Inngangur: Vegna mikils og frjáls aðgangs að heitu vatni hér hefur verið talið að brunaslys vegna hitaveitu- eða kranavatns séu algengari hér en í nágrannalöndunum. Tilgangur rannsóknarinnar var að skoða faraldsfræði alvarlegra brunaáverka á Íslandi á fimm ára tímabili frá 1988-1992. Efniviður og aðferðir: Farið var yfir allar sjúkraskrár sjúklinga vegna brunasára sem lágu á sjúkrahúsum á Stór-Reykjavíkursvæðinu og á Fjórðungsjúkrahúsinu á Akureyri (FSA). Einungis þeir sjúklingar sem höfðu brunasár sem aðalinnlagnarástæðu og fengu meðferð inni á sjúkrahúsi voru teknir með í rannsóknina og var fjöldi þeirra 266. Niðurstöður: Nýgengi innlagna vegna brunasára á þessu tímabili var 20,5 á 100.000 íbúa á ári. Algengast var að brunaslys orsökuðust af heitum vökvum og var hlutfall þeirra mun hærra hjá börnum fimm ára og yngri en þeim sem eldri voru. í 72,8% tilvika þar sem hveravatn orsakaði brunaáverka var um erlenda ferðamenn að ræða. Meginniðurstaða rannsóknarinnar er að um þriðjungur þeirra sem þurfa sjúkrahúsmeðferð vegna brunasára eru fimm ára og yngri. Nýgengi brunaáverka er svipað og erlendis. Rúmlega helmingur allra brunasjúklinganna brenndist á heitum vökvum og reyndist tíðni brunaáverka af völdum hitaveituvatns vera hærri hér á landi en erlendis. Ályktun: Mögulegt ætti að vera að draga úr tíðni brunaslysa hér á landi með aukinni útbreiðslu heitavatnslása á blöndunartækjum sem hindra að kranavatn verði heitara en 52-54°C og með aukinni fræðslu.
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