粮食安全作为全球儿科烧伤后死亡率的预测因素
Rafael Felix P Tiongco1, Ayman Ali2, Joseph S Puthumana1
1Departmentof Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, MD, USA.
概括
改善低收入和中等收入国家 (LMICs) 的粮食安全 (FS) 与儿童烧伤患者的更好的结果有关. 更高的FS分数预测了儿科烧伤后死亡率的降低,这为干预提供了潜在的途径.
科学领域:
- 全球健康 全球健康
- 儿科烧伤护理 儿科烧伤护理
- 营养和粮食安全 营养和粮食安全
背景情况:
- 低收入和中等收入国家 (LMICs) 的儿童面临着粮食安全 (FS) 缺乏的重大风险.
- 儿童烧伤是导致死亡的主要原因,特别是在LMICs.
- FS与儿科烧伤后死亡率之间的关系需要进一步调查.
研究的目的:
- 为了研究这样的假设,即更高的粮食安全 (FS) 预测了LMIC中儿科烧伤后死亡率的降低.
- 量化FS得分与儿科烧伤患者死亡率之间的关联.
- 为旨在改善烧伤儿童的结果的国际努力提供信息.
主要方法:
- 利用了世界卫生组织的全球烧伤登记 (GBR) 和经济学家情报部门的全球FS指数 (GFSI) 的非身份化数据.
- 包括2016年至2020年间的儿科患者 (0-19岁),不包括少于100例烧伤病例的国家.
- 使用描述性统计,双变量分析和多变量逻辑回归来评估FS得分与死亡率之间的关联,控制混因素.
主要成果:
- 分析了9个国家的2,246例儿科烧伤病例,死亡率为11.5%.
- 与幸存者 (59.8) 相比,死亡的患者年龄较大,FS中位数 (55.7) 与幸存者 (59.8) 相比显著较低.
- 每个单位增加的FS得分与后烧死亡率的几率显著降低有关 (OR 0.78,95% CI 0.73-0.83).
结论:
- 更高的粮食安全 (FS) 是一个重要的保护因素,防止LMICs的儿科后烧死亡率.
- 加强FS的国际倡议可能会大大提高烧伤儿童的生存率.
- 在资源有限的环境中,解决FS是儿童烧伤护理综合策略的关键组成部分.
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