• Hao Tian, LiangXi Wang, WeiGuo Xie, ChuanAn Shen, GuangHua Guo, JiaQi Liu, ChunMao Han, LiCheng Ren, Yi Liang, Jie Liu, YanLing Lv, Yuan Wang, JiaPing Zhang, and YueSheng Huang.
• Institute of Orthopedics, General Hospital of Northern Theater Command, PLA, Shenyang, Liaoning, 110016, China; Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Southwest Hospital, Army Military Medical University, Chongqing, China. Electronic address: tianhao108@126.com.
• Burns. 2020 May 1; 46 (3): 718-726.

BackgroundThe head and neck regions are frequent sites of burns, but few studies have analysed and reported the epidemiology of facial burns. As the face is the centre of one's identity and persona, facial injuries often result in physical and psychological morbidity. The aim of this article is to describe the epidemiology and outcome of facial burns in China and to suggest future preventive strategies.MethodsThis retrospective analysis included all patients with facial burns in a database at eight institutions from 2011-2015. The data collected included sex, age, month distribution, aetiology, location, presence of inhalation injury, total burn surface area, burn surface area with full-thickness and outcome including Post-traumatic stress disorder Checklist-Civilian Version scores and mortality. SPSS 19.0 software was used to analyse the data.ResultsA total of 1126 patients were included; 65.63% (739) had facial burns, of which 546 (73.88%) were male patients and 193 (26.12%) were female patients. Predictors of facial burns were being of male sex, working-related place, flame burns, total body surface area, and full-thickness burns. In addition, total body surface area and full-thickness burns increased the risk of poor prognosis for post-traumatic stress disorder and mortality.ConclusionsFacial burns benefit not only the healing of wound, but also the prevention of their incidence and PTSD symptom. This study may contribute to the elaboration of strategies to prevent facial burns and the establishment of a nationwide burn database in China.Copyright © 2019 Elsevier Ltd and ISBI. All rights reserved.

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