加拿大的常规收集的烧伤临床数据:确定知识差距
Eduardo Gus1, Sabrina M Wang2, Claudia Malic3
1Division of Plastic, Reconstructive & Aesthetic Surgery, The Hospital for Sick Children, Toronto, Canada; Department of Surgery, Temerty Faculty of Medicine, University of Toronto, Canada.
概括
加拿大缺乏国家烧伤登记,依靠有限的数据. 这项研究突出了重大知识差距,并支持制定一个国家系统,以更好地监测烧伤.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 创伤护理 创伤护理
背景情况:
- 与其他发达国家不同,加拿大缺乏国家烧伤登记处.
- 目前的监控依赖于分散的单中心二次数据集和行政数据库.
- 这种方法限制了对烧伤和护理的全面监测.
研究的目的:
- 确定加拿大缺乏专门的烧伤登记处所所造成的知识差距.
- 评估来自加拿大的二次数据来源的现有烧伤文献.
主要方法:
- 从二次数据集中对加拿大烧伤文献进行了全面的范围审查.
- 包括所有设计的研究,不包括案例报告和案例系列.
- 基于国家燃烧登记册的国家数据,制定了一个主题框架.
主要成果:
- 包括88项研究;只有12项使用国家数据集,18项使用省级数据库.
- 大多数研究 (58%) 使用非协作,单中心的二次数据集.
- 研究集中在特定的省份,许多研究已经过时,一些地区缺乏公布的数据.
结论:
- 由于缺乏国家注册表,加拿大烧伤和护理监测存在重大差距.
- 目前的数据来源是分散的和未充分利用的,阻碍了全面的研究.
- 制定全国性烧伤登记册对于解决这些知识差距和改善加拿大的烧伤护理监测至关重要.
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