区域性分析从焚烧垃圾和院子垃圾中遭受的潜在可预防的伤害
David M Hill1, Abigail J Rath2, Tina Boam3
1Department of Pharmacy, Regional One Health, Memphis, Tennessee, USA.
概括
庭院和垃圾焚烧导致严重的烧伤,特别是在南方. 改善垃圾处理的准入和教育可以预防这些昂贵的伤害,并改善患者的治疗结果.
科学领域:
- 公共卫生 公共卫生
- 烧伤伤害研究研究
- 伤害预防 预防伤害
背景情况:
- 庭院和垃圾焚烧事件很普遍,特别是在南部地区.
- 了解烧伤模式,医疗负担和成本对于预防至关重要.
研究的目的:
- 分析受伤模式,医疗负担和与燃烧院子和垃圾碎片的开放火焰烧伤相关的成本.
- 确定影响患者结果和死亡率的因素.
主要方法:
- 一个5年的回顾性,单中心研究.
- 包括136名患有因燃烧的刷子或垃圾而受开放火焰烧伤的患者.
- 分析患者的人口统计数据,受伤严重程度 (身体表面总面积 - TBSA),治疗,功能状态和成本.
主要成果:
- 56%的患者可以获得免费的城市垃圾处理;18%的患者无法获得.
- 平均年龄为50岁,中位数的TBSA烧伤率为5%,36%的人经历了全厚伤害.
- 患有受伤前功能限制的患者面临更长的住院时间 (3 倍增加) 和更高的死亡率 (4 倍增加).
- 总的医院费用超过了3260万美元.
- 9人死亡,在那些受伤前功能性较低的人群中死亡率更高.
结论:
- 缺乏废弃物处理和先前存在的功能限制与废弃物燃烧造成的烧伤伤害的更糟糕结果有关.
- 建议针对性推广,重点是教育和资源的可用性,以预防伤害.
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