发展中国家烧伤患者的结果:一个单一中心的经验
1Department of Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa. kmathonsi7@gmail.com.
概括
这项研究评估了佩洛诺米三级医院的烧伤患者的结果,发现死亡率高,死亡率50 (LA50) 为37%. 关键的死亡预测因素包括年龄和全身表面积 (TBSA) 烧伤.
科学领域:
- 医学研究 医学研究
- 燃烧管理 燃烧管理
- 流行病学 流行病学
背景情况:
- 佩洛诺米三级医院是自由州省唯一一家拥有专门烧伤病房的医院.
- 缺乏官方数据来评估该机构的燃烧管理绩效.
研究的目的:
- 为佩洛诺米三级医院烧伤部门建立致命区域50 (LA50) 指数.
- 确定影响烧伤患者发病率和死亡率的因素.
- 分析烧伤病的流行病学和患者的治疗结果.
主要方法:
- 在2014年1月至2018年12月期间使用Redcap.com入院的烧伤患者的回顾性数据收集.
- 后勤回归分析,以确定患者结果的重要预测因素.
- 试管体回归分析以计算LA50基于总体表面积 (TBSA) 和生存率.
主要成果:
- 该研究包括1006名患者,平均年龄为19.4岁,男性占优势 (59.7%).
- 总体死亡率为14.63%,LA50为37%. 年龄和TBSA是死亡率的重要预测因素.
- 热水 (46.5%) 是烧伤的主要原因,其次是火灾 (38.6%). 败血症是最常见的并发症 (14.67%).
结论:
- 虽然烧伤患者的流行病学与国家趋势一致,但佩洛诺米三级医院的死亡率高于许多中心.
- 确定的LA50很低,与其他非洲烧伤单位一致.
- 确定的死亡率预测因素与国际调查结果相比,强调了针对性干预的必要性.
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