在西班牙加泰罗尼亚因烧伤住院的患者的流行病学和死亡率
L Abarca1, P Guilabert2, N Martin3
1Anesthesia and Critical Care Department, Hospital Universitari Vall d'Hebron, 08035, Barcelona, Spain. labarcavilchez@gmail.com.
Scientific reports
|September 1, 2023
概括
25年来,烧伤流行病学发生了转变,发病率和严重程度下降,但人口老龄化和并发症增加. 烧伤仍然是主要原因,影响手最频繁.
科学领域:
- 创伤外科手术是什么
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 烧伤造成的伤害对全球的健康构成重大负担.
- 此前对该群体中烧伤患者的流行病学分析是在25年前进行的.
- 了解燃烧流行病学的当前趋势对于有效的预防和治疗策略至关重要.
研究的目的:
- 调查过去25年来住院烧伤患者流行病学概况的变化.
- 确定当前燃烧发病率,患者人口统计,损伤机制和结果的趋势.
- 将当前数据与历史数据进行比较,以告知公共卫生干预措施.
主要方法:
- 追溯队列研究的设计.
- 对2011年1月1日至2018年12月31日期间因烧伤住院的患者数据的分析.
- 包括人口统计,临床,并发症,治疗和结果数据.
主要成果:
- 烧伤发生率为3.68/10^5的人口.
- 受影响最大的人口群体是男性 (61%) 和儿童 (0-4岁,12.4%).
- 烧伤是最常见的伤害机制,影响手最频繁. 平均总体表面积 (TBSA) 的烧伤为8.3%,严重烧伤为9.7%. 肥胖是最常见的并发症 (39.5%). 住院并发症包括败血症 (16.6%) 和急性损伤 (7.9%). 总死亡率为4.3%,多器官衰竭是导致死亡的主要原因 (49.5%).
- 与25年前相比,人口年龄较大,并发症增加,烧伤发病率,严重程度和TBSA百分比下降.
结论:
- 烧伤的流行病学概况已经演变,其特点是患者人口老龄化和伴随性疾病增加.
- 尽管烧伤发生率和严重程度有所下降,但烧伤仍然是一个重要的机制,突出了针对性预防的必要性.
- 死亡的危险因素包括晚年,高的缩写烧伤严重性指数 (ABSI) 评分,吸烟,先前存在的心血管疾病,全厚烧伤和高的TBSA百分比.
相关概念视频
01:22Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
01:25Statistical Methods for Analyzing Epidemiological Data
408
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
408
01:30Pneumonia III: Complications and Assessment
261
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
261
01:08Prevalence and Incidence
623
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
623
01:29Bias in Epidemiological Studies
349
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
349
01:21Cancer Survival Analysis
381
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
381