{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T00:22:20Z","timestamp":1720225340090},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Nature Science Foundation of China","doi-asserted-by":"crossref","award":["81801909","92268206"],"award-info":[{"award-number":["81801909","92268206"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Military Medical Research Projects","award":["18-JCJQ-QT-020","145AKJ260015000X"],"award-info":[{"award-number":["18-JCJQ-QT-020","145AKJ260015000X"]}]},{"name":"CAMS Innovation Fund for Medical Sciences","award":["CIFMS, 2019-I2M-5-059"],"award-info":[{"award-number":["CIFMS, 2019-I2M-5-059"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>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\u201310 years was the most vulnerable to burns across all body areas, including internal organs. In China, individuals aged 20\u201350 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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12889-024-18910-2","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T16:02:02Z","timestamp":1720195322000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of anatomic location of burns inpatients in China from 2009 to 2018"],"prefix":"10.1186","volume":"24","author":[{"given":"Jie","family":"Yang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianchao","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kui","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huajuan","family":"Bai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingzi","family":"Ran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guanglei","family":"Tian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siming","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaobing","family":"Fu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,5]]},"reference":[{"issue":"2","key":"18910_CR1","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.burns.2016.08.013","volume":"43","author":"C Smolle","year":"2017","unstructured":"Smolle C, Cambiaso-Daniel J, Forbes A, Wurzer P, Hundeshagen G, Branski L, Huss F, Kamolz L. Recent trends in burn epidemiology worldwide: a systematic review. Burns: J Int Soc Burn Injuries. 2017;43(2):249\u201357.","journal-title":"Burns: J Int Soc Burn Injuries"},{"issue":"3","key":"18910_CR2","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/S0305-4179(02)00030-X","volume":"28","author":"R Anlatici","year":"2002","unstructured":"Anlatici R, Ozerdem OR, Dalay C, Kesikta\u015f E, Acart\u00fcrk S, Seydao\u011flu G. A retrospective analysis of 1083 Turkish patients with serious burns. Part 2: burn care, survival and mortality. Burns: J Int Soc Burn Injuries. 2002;28(3):239\u201343.","journal-title":"Burns: J Int Soc Burn Injuries"},{"key":"18910_CR3","doi-asserted-by":"publisher","first-page":"106","DOI":"10.4103\/2277-9531.145892","volume":"3","author":"S Ajami","year":"2014","unstructured":"Ajami S, Lamoochi P. Comparative study on National burn Registry in America, England, Australia and Iran. J Educ Health Promotion. 2014;3:106.","journal-title":"J Educ Health Promotion"},{"key":"18910_CR4","unstructured":"WHO Media Center Fact Sheets. Burns [Internet] 2018. http:\/\/wwwwhoint\/mediacentre\/factsheets\/fs365\/en\/."},{"issue":"1","key":"18910_CR5","doi-asserted-by":"publisher","first-page":"1269","DOI":"10.1186\/s12889-020-09372-3","volume":"20","author":"N Forbinake","year":"2020","unstructured":"Forbinake N, Ohandza C, Fai K, Agbor V, Asonglefac B, Aroke D, Beyiha G. Mortality analysis of burns in a developing country: a CAMEROONIAN experience. BMC Public Health. 2020;20(1):1269.","journal-title":"BMC Public Health"},{"issue":"3","key":"18910_CR6","first-page":"213","volume":"34","author":"NN Lam","year":"2021","unstructured":"Lam NN, Hung NT, Duc NM, Luong NV. Epidemiology and risk factors for death of Pediatric Burns in a developing country. An experience from the National burn Hospital. Annals Burns fire Disasters. 2021;34(3):213\u20137.","journal-title":"Annals Burns fire Disasters"},{"key":"18910_CR7","doi-asserted-by":"crossref","unstructured":"Global regional. and National age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990\u20132013: a systematic analysis for the global burden of Disease Study 2013. Lancet (London, England) 2015, 385(9963):117\u201371.","DOI":"10.1016\/S0140-6736(14)61682-2"},{"key":"18910_CR8","doi-asserted-by":"crossref","unstructured":"Gurbuz K, Demir M. Comparison of work- and non-work-related lower extremity burn injuries: a retrospective analysis. Journal of burn care & research: official publication of the American Burn Association 2022.","DOI":"10.1093\/jbcr\/irac034"},{"key":"18910_CR9","doi-asserted-by":"publisher","first-page":"S86","DOI":"10.1016\/j.apmr.2017.10.022","volume":"101","author":"J Schneider","year":"2020","unstructured":"Schneider J, Shie V, Espinoza L, Shapiro G, Lee A, Acton A, Marino M, Jette A, Kazis L, Ryan C. Impact of work-related burn Injury on Social Reintegration outcomes: a life impact burn recovery evaluation (LIBRE) study. Arch Phys Med Rehabil. 2020;101:S86\u201391.","journal-title":"Arch Phys Med Rehabil"},{"issue":"5","key":"18910_CR10","doi-asserted-by":"publisher","first-page":"1009","DOI":"10.1093\/jbcr\/iraa105","volume":"41","author":"K Nurczyk","year":"2020","unstructured":"Nurczyk K, Chrisco L, Di Corpo M, Nizamani R, Sljivic S, Calvert C, Jones S, Cairns B, Williams F. Work-related burn injuries in a Tertiary Care burn Center, 2013 to 2018. J burn care Research: Official Publication Am Burn Association. 2020;41(5):1009\u201314.","journal-title":"J burn care Research: Official Publication Am Burn Association"},{"key":"18910_CR11","unstructured":"Jin Y, Ye P, Deng X, Yang L, Wang Y, Er Y, Wang W, Gao X, Ji C, Duan L. [Burn-related burden among Chinese population from 1990 to 2013]. Zhonghua Liu Xing Bing Xue Za Zhi\u2009=\u2009Zhonghua liuxingbingxue zazhi 2017, 38(6):767\u201371."},{"key":"18910_CR12","doi-asserted-by":"publisher","first-page":"tkac039","DOI":"10.1093\/burnst\/tkac039","volume":"10","author":"J Yang","year":"2022","unstructured":"Yang J, Tian G, Liu J, Bai H, Yang S, Ran M, Li H, Ma K, Yang S, Fu X. Epidemiology and clinical characteristics of burns in mainland China from 2009 to 2018. Burns Trauma. 2022;10:tkac039.","journal-title":"Burns Trauma"},{"issue":"2","key":"18910_CR13","first-page":"166","volume":"40","author":"A Mohammadi","year":"2015","unstructured":"Mohammadi A, Pakyari M, Seyed Jafari S, Tavakkolian A, Tolide-Ie H, Moradi Z, Kherad M. Effect of burn sites (upper and lower body parts) and gender on extensive burns\u2019 mortality. Iran J Med Sci. 2015;40(2):166\u20139.","journal-title":"Iran J Med Sci"},{"key":"18910_CR14","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1186\/s41038-017-0095-7","volume":"5","author":"A Dhopte","year":"2017","unstructured":"Dhopte A, Bamal R, Tiwari V. A prospective analysis of risk factors for pediatric burn mortality at a tertiary burn center in North India. Burns Trauma. 2017;5:30.","journal-title":"Burns Trauma"},{"issue":"1","key":"18910_CR15","doi-asserted-by":"publisher","first-page":"9374","DOI":"10.1038\/s41598-021-88507-x","volume":"11","author":"L Chen","year":"2021","unstructured":"Chen L, He X, Xian J, Liao J, Chen X, Luo Y, Wang Z, Li N. Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes. Sci Rep. 2021;11(1):9374.","journal-title":"Sci Rep"},{"key":"18910_CR16","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1186\/s12995-016-0144-3","volume":"11","author":"Y Zhang","year":"2016","unstructured":"Zhang Y, Zhang J, Jiang X, Ni L, Ye C, Han C, Sharma K, Wang X. Hydrofluoric acid burns in the western Zhejiang Province of China: a 10-year epidemiological study. J Occup Med Toxicol (London England). 2016;11:55.","journal-title":"J Occup Med Toxicol (London England)"},{"issue":"6","key":"18910_CR17","doi-asserted-by":"publisher","first-page":"1006","DOI":"10.1093\/jbcr\/iry032","volume":"39","author":"Y Wang","year":"2018","unstructured":"Wang Y, Yu X, Qian W, Zhou D, Yang T, Wang S, He W, Luo G. Epidemiologic Investigation of Chemical Burns in Southwestern China from 2005 to 2016. J burn care Research: Official Publication Am Burn Association. 2018;39(6):1006\u201316.","journal-title":"J burn care Research: Official Publication Am Burn Association"},{"key":"18910_CR18","doi-asserted-by":"publisher","first-page":"751615","DOI":"10.3389\/fpubh.2022.751615","volume":"10","author":"D Han","year":"2022","unstructured":"Han D, Wei Y, Li Y, Zha X, Li R, Xia C, Li Y, Yang H, Xie J, Tian S. Epidemiological and clinical characteristics of 5,569 Pediatric Burns in Central China from 2013 to 2019. Front Public Health. 2022;10:751615.","journal-title":"Front Public Health"},{"key":"18910_CR19","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s41038-018-0125-0","volume":"6","author":"L Pompermaier","year":"2018","unstructured":"Pompermaier L, Elmasry M, Abdelrahman I, Fredrikson M, Sj\u00f6berg F, Steinvall I. Are there any differences in the provided burn care between men and women? A retrospective study. Burns Trauma. 2018;6:22.","journal-title":"Burns Trauma"},{"key":"18910_CR20","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/s41038-017-0083-y","volume":"5","author":"K Karimi","year":"2017","unstructured":"Karimi K, Faraklas I, Lewis G, Ha D, Walker B, Zhai Y, Graves G, Dissanaike S. Increased mortality in women: sex differences in burn outcomes. Burns Trauma. 2017;5:18.","journal-title":"Burns Trauma"},{"key":"18910_CR21","doi-asserted-by":"publisher","first-page":"35445","DOI":"10.1038\/srep35445","volume":"6","author":"S Shi","year":"2016","unstructured":"Shi S, Yang H, Hui Y, Zhou X, Wang T, Luo Y, Xiang H, Shi X. Epidemiologic characteristics, knowledge and risk factors of unintentional burns in rural children in Zunyi, Southwest China. Sci Rep. 2016;6:35445.","journal-title":"Sci Rep"},{"key":"18910_CR22","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1186\/s41038-016-0057-5","volume":"4","author":"M Chiwaridzo","year":"2016","unstructured":"Chiwaridzo M, Zinyando V, Dambi J, Kaseke F, Munambah N, Mudawarima T. Perspectives of caregivers towards physiotherapy treatment for children with burns in Harare, Zimbabwe: a cross-sectional study. Burns Trauma. 2016;4:31.","journal-title":"Burns Trauma"},{"issue":"5","key":"18910_CR23","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1136\/archdischild-2016-311644","volume":"102","author":"A Emond","year":"2017","unstructured":"Emond A, Sheahan C, Mytton J, Holl\u00e9n L. Developmental and behavioural associations of burns and scalds in children: a prospective population-based study. Arch Dis Child. 2017;102(5):428\u201383.","journal-title":"Arch Dis Child"},{"key":"18910_CR24","doi-asserted-by":"crossref","unstructured":"Moolji J, Gill I, Varughese R, Adam B, Halloran K, Weinkauf J, Lien D, Mullen J, Hirji A. Successful long-term outcome after transplantation of lungs affected by smoke inhalation injury. The Annals of thoracic surgery 2021.","DOI":"10.1016\/j.athoracsur.2021.09.045"},{"key":"18910_CR25","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1186\/s41038-019-0152-5","volume":"7","author":"K Klifto","year":"2019","unstructured":"Klifto K, Quiroga L, Hultman C. Substance use and inhalation injury in adult burn patients: retrospective study of the impact on outcomes. Burns Trauma. 2019;7:15.","journal-title":"Burns Trauma"},{"issue":"4","key":"18910_CR26","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1055\/s-2000-10543","volume":"216","author":"M J\u00e4hne","year":"2000","unstructured":"J\u00e4hne M. [25 years Cardona keratoprosthesis after severe chemical eye burns\u2013long-term outcome of 4 eyes]. Klin Monatsbl Augenheilkd. 2000;216(4):191\u20136.","journal-title":"Klin Monatsbl Augenheilkd"},{"issue":"17","key":"18910_CR27","doi-asserted-by":"publisher","first-page":"2125","DOI":"10.4103\/0366-6999.239312","volume":"131","author":"T Wang","year":"2018","unstructured":"Wang T, Nie C, Zhang H, Zeng X, Yu H, Shi S, Wei Z, Shi X. Epidemiological Characteristics and Disease Burden of Burns in Children in Northern Guizhou, China. Chin Med J. 2018;131(17):2125\u20137.","journal-title":"Chin Med J"},{"key":"18910_CR28","unstructured":"Mo Y, Li X, Wang J, Chen C, He W, Guan H, Luo G, Liang G. [Summary of the 16th Chinese Symposium on Burn Medicine and the 2021 Congress of Burn Medicine Branch of China International Exchange and Promotion Association for Medical and Healthcare and the 2021 International Summit Forum of Burns in Chongqing]. Zhonghua shao shang za zhi\u2009=\u2009Zhonghua shaoshang zazhi\u2009=\u2009Chinese journal of burns 2021, 37(6):596\u2013600."},{"key":"18910_CR29","unstructured":"National Bureau of Statistics of. the People\u2019s Republic of China. Available at: http:\/\/wwwstatsgovcn."},{"issue":"3","key":"18910_CR30","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1016\/j.burns.2005.10.026","volume":"32","author":"S Arshi","year":"2006","unstructured":"Arshi S, Sadeghi-Bazargani H, Mohammadi R, Ekman R, Hudson D, Djafarzadeh H, Delavari A, Sezavar H. Prevention oriented epidemiologic study of accidental burns in rural areas of Ardabil, Iran. Burns: J Int Soc Burn Injuries. 2006;32(3):366\u201371.","journal-title":"Burns: J Int Soc Burn Injuries"},{"issue":"5","key":"18910_CR31","doi-asserted-by":"publisher","first-page":"1004","DOI":"10.1016\/j.burns.2012.12.014","volume":"39","author":"L Zhu","year":"2013","unstructured":"Zhu L, Zhang Y, Liu L, Jiang J, Liu Y, Shi F, Yi D. Hospitalized pediatric burns in North China: a 10-year epidemiologic review. Burns: J Int Soc Burn Injuries. 2013;39(5):1004\u201311.","journal-title":"Burns: J Int Soc Burn Injuries"},{"issue":"6","key":"18910_CR32","doi-asserted-by":"publisher","first-page":"1140","DOI":"10.1097\/SLA.0b013e3181e01270","volume":"251","author":"A Ritenour","year":"2010","unstructured":"Ritenour A, Blackbourne L, Kelly J, McLaughlin D, Pearse L, Holcomb J, Wade C. Incidence of primary blast injury in US military overseas contingency operations: a retrospective study. Ann Surg. 2010;251(6):1140\u20134.","journal-title":"Ann Surg"}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-024-18910-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12889-024-18910-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-024-18910-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T16:02:35Z","timestamp":1720195355000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-024-18910-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,5]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["18910"],"URL":"https:\/\/doi.org\/10.1186\/s12889-024-18910-2","relation":{},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,5]]},"assertion":[{"value":"10 October 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"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.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1799"}}