BACKGROUND & AIMS:
:Burn prevention program success requires thorough evaluation of intervention outcomes. The impact of 2 engineering-specific burn prevention regulations, the Children's Gasoline Burn Prevention Act and the Standard for the Flammability of Mattress Sets, will be assessed. Records from 1997 to 2015 within the Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS) were reviewed. After identifying gas can- and mattress-involved burn injuries, injury incidence was estimated by utilizing survey sampling weights associated with each record. Logistic regression, incorporating estimated injury incidence and adjusting for gender and age, was performed to test for change in injury risk following these regulations. Within NEISS, there were 493 burns involving gas cans, yielding an estimated 19,339 injuries (95% confidence interval [CI], 15,781-22,896) during the 19-year study period. The odds of a gas can burn injury after legislation decreased by 67% for children younger than 5 years (odds ratio [OR], 0.33; 95% CI, 0.16-0.66; P = 0.0018). There was no significant change in risk for persons 5 years and older (OR, 1.07; 95% CI, 0.80-1.41; P = 0.66). During the same time, there were 219 NEISS burns involving mattresses, yielding an estimated 6864 injuries (95% CI, 5071-8658). The odds of a mattress burn injury following legislation enactment decreased by 31% for all ages (OR, 0.69; 95% CI, 0.51-0.94; P = 0.02). Both regulations decreased the odds of injury in their target populations. This study demonstrates that passive interventions involving engineering standards remain a powerful tool for burn prevention and should be the focus of future efforts to improve burn care.
背景与目标:
:烧伤预防计划的成功需要对干预结果进行全面评估。将评估2个特定于工程的防烫条例,《儿童汽油防烫法》和《床垫套件可燃性标准》的影响。审查了1997年至2015年消费品安全委员会(CPSC)国家电子伤害监视系统(NEISS)中的记录。在确定了涉及汽油罐和床垫的烧伤后,利用与每个记录相关的调查抽样权重来估计伤害发生率。进行逻辑回归分析,结合估计的伤害发生率并根据性别和年龄进行调整,以根据这些规定测试伤害风险的变化。在为期19年的研究期内,NEISS内发生了493次烧伤,涉及煤气罐,估计造成19,339人受伤(95%置信区间[CI]为15,781-22,896)。对于5岁以下的儿童,立法规例后将气体烧伤的几率降低67%(赔率[OR]为0.33; 95%CI为0.16-0.66; P = 0.0018)。 5岁及以上人群的风险没有显着变化(OR为1.07; 95%CI为0.80-1.41; P = 0.66)。在同一时间,涉及床垫的NEISS烧伤219起,估计造成6864人受伤(95%CI,5071-8658)。在所有年龄段,法规颁布后床垫烧伤的几率降低了31%(OR为0.69; 95%CI为0.51-0.94; P = 0.02)。两项法规均降低了其目标人群受伤的几率。这项研究表明,涉及工程标准的被动干预措施仍然是预防烧伤的有力工具,应成为未来改善烧伤护理工作的重点。