烧伤患者的自我伤害:芬兰患者记录 (2011-2020) 的分析
Lotta Purola1, Jyrki Vuola2, Raimo Palmu3
1Department of Plastic Surgery, Oulu University Hospital, PO. Box 21, 90029 Oulu, Finland; Department of Plastic Surgery, Helsinki Burn Centre, Helsinki University Hospital, University of Helsinki, P.O. Box 800 FIN - 00029 HUCH, Helsinki, Finland.
概括
自伤烧伤患者比其他烧伤患者年轻,需要更长的住院时间. 自伤烧伤的男性遭受的伤害更严重,死亡率更高,这凸显了早期识别有风险的人的必要性.
科学领域:
- 创伤外科 手术 创伤外科
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 自伤灼伤是一个重大的临床挑战.
- 了解自我伤害烧伤患者的特征对于有针对性的干预至关重要.
研究的目的:
- 收集芬兰自伤烧伤患者的国家级数据.
- 分析患者的人口统计,损伤特征和结果.
主要方法:
- 利用了国家医疗保健登记处 (Hilmo) 的数据 (2011-2015年) 和国家烧伤中心 (NBC) 的记录 (2011-2020年).
- 包括燃烧和自我伤害ICD10代码的成年患者.
- 将自我伤害烧伤患者与非自我伤害烧伤患者进行比较.
主要成果:
- 自伤烧伤患者更年轻 (平均年龄为41岁相比54岁),住院时间更长 (18天相比6天).
- 显著比例的自我伤害烧伤患者有精神病治疗史 (66%) 或之前的自我伤害/自杀企图 (33%).
- 与女性相比,男性的烧伤严重程度更高 (平均TBSA为46%vs.14%),48小时内死亡率更高.
结论:
- 自伤烧伤患者表现出明显的特征,包括年轻的年龄和长时间住院治疗.
- 性别显著影响自我伤害患者中烧伤严重程度和死亡率.
- 早期识别高风险个体对于有效的预防策略至关重要.
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