马拉维儿童烧伤患者手术干预的时间
Dylane Davis1, Selena An2, Linda Kayange3
1Department of Surgery, University of North Carolina School of Medicine, 4006 Burnett Womack Building, Chapel Hill, NC, 27599-7228, USA.
World journal of surgery
|October 10, 2023
概括
在资源有限的环境中,儿童烧伤患者的早期手术增加了死亡风险. 延迟手术干预超过72小时可能会改善存活率,特别是在幼儿中.
科学领域:
- 儿科外科手术 儿科外科手术
- 烧伤护理 烧伤护理
- 全球卫生健康 全球卫生健康
背景情况:
- 在资源有限的环境中,对儿科烧伤患者进行手术的最佳时间尚不清楚.
- 这项研究调查了马拉维儿科烧伤患者的手术时间和死亡率之间的联系.
研究的目的:
- 描述死亡率与手术干预时间之间的关联.
- 在资源有限的环境中为儿科烧伤管理提供临床实践的信息.
主要方法:
- 从2011-2022年对儿科烧伤患者 (<18岁) 的回顾性分析.
- 基于切割和/或烧伤接种时间的结果比较.
- 后勤回归用于根据外科手术时间来确定调整后的死亡几率比率.
主要成果:
- 包括2502名患者;16.4%接受了手术.
- 总体死亡率为17.0%,在手术队列中为9.1%.
- 在3天内进行手术增加了死亡风险 (OR 5.00),特别是在年幼的儿童中.
结论:
- 儿童烧伤患者的早期手术干预 (<72小时) 与较高的死亡率有关.
- 推迟手术可能会提供生存优势,特别是在5岁以下的儿童中.
- 增加对早期复苏和监测的投资对于这一群体至关重要.
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