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在重大烧伤后恢复功能独立:系统性审查

Ali M Jawad¹, Murtaza Kadhum², Janine Evans²

¹Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, UK; Welsh Centre for Burns and Plastic Surgery, Swansea, Wales, UK.

Burns : journal of the International Society for Burn Injuries

|March 16, 2024

概括

严重烧伤的幸存者面临着长时间的康复和潜在的慢性损伤,影响独立性. 诸如年龄,性别和烧伤严重程度等因素显著影响恢复,突出了针对性康复的必要性.

科学领域:

烧伤伤害研究研究
康复医学康复医学
患者的治疗结果.

背景情况:

重度烧伤严重影响长期生活质量和社会经济地位.
尽管取得了进展,但恢复独立仍然是烧伤幸存者的关键挑战.
了解影响康复的因素对于改善患者治疗结果至关重要.

研究的目的:

探索预测重烧患者恢复独立性的因素.
确定实现功能独立的预期速度和时间.
确定用于评估烧伤幸存者的进展的常用措施.

主要方法:

在四个主要数据库 (MEDLINE,EMBASE,COCHRANE,CINAHL) 进行系统的文献搜索.
包括对成人 (>15年) 大烧伤队列 (>20%的TBSA) 在治疗后长达30年的研究.
数据提取的重点是影响功能恢复的因素和使用的结果指标.

主要成果:

年龄较大,女性性别,烧伤严重程度,长时间的重症监护室/住院,以及心理问题是缓慢康复的重要预测因素.
基于运动的康复对严重烧伤患者有明显的益处,即使是长期的.
职能独立性差异很大;回归工作率在52%至80%之间.

结论:

主要烧伤幸存者经历了长时间的恢复,持续下降于基线功能的持续损害.
非可修改的因素 (年龄,性别) 和疾病特征 (烧伤大小) 导致后果.
早期的有针对性的康复治疗,解决身体,心理和职业需求,显示出有前途的好处.

关键词:

基线的基线是基线.烧烧烧烧烧烧烧烧烧烧烧烧烧烧烧功能功能功能功能独立独立独立独立一个少校,一个少校.在这种情况下,Prom是Prom.恢复恢复恢复恢复恢复康复康复康复康复非常严重的严重.系统的系统的系统的职业职业职业是什么

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