南亚的烧伤:来自南亚烧伤登记处 (SABR) 的结果
Fasih Ali Ahmed1, Nukhba Zia2, Sameer Ahmad Khan3
1Centre for Patient Safety, The Aga Khan University, Karachi, Pakistan; University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
概括
在南亚接受血液制品或营养支持的烧伤患者面临更高的死亡率. 长期使用抗生素与死亡率的降低有关,突出了改善低收入和中等收入国家烧伤护理的关键因素.
科学领域:
- 医学研究 医学研究
- 临床结果 临床结果
- 烧伤护理管理管理
背景情况:
- 南亚地区承担着严重的全球烧伤相关死亡率负担 (59%).
- 在低收入和中等收入国家 (LMICs) 中,关于烧伤患者结果的研究显著缺乏.
- 南亚烧伤登记处 (SABR) 有助于收集住院患者烧伤护理数据.
研究的目的:
- 确定与烧伤患者死亡率相关的因素.
- 确定影响烧伤患者住院时间的因素.
- 评估影响烧伤患者在出院时功能状态的因素.
主要方法:
- 从孟加拉国和巴基斯坦的两个专门的公共部门烧伤中心收集的前景数据 (2014年9月 - 2015年1月).
- 分析了883名烧伤患者的数据.
- 多变量逻辑,线性和顺序逻辑回归模型的应用.
主要成果:
- 增加的死亡率与血液制品的使用 (OR:3) 和营养支持 (OR:4.32) 有关.
- 超过8天的抗生素疗程与死亡率降低相关 (OR:0.1).
- 较长的住院时间与创伤,发作,血液制品和氧气管理有关. 败血症和血液制品的使用预测出院时功能状况不佳.
结论:
- 多种因素显著影响南亚烧伤患者的临床结果.
- 了解这些因素对于制定有针对性的干预措施来提高LMIC中烧伤护理质量至关重要.
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