烧伤负担:对公共卫生措施的分析
Anastasiya Ivanko1, Anna E Garbuzov1, Jonathan E Schoen1,2
1Louisiana State University Health and Sciences Center, New Orleans, LA 70112, USA.
概括
估计美国的烧伤发生率揭示了显著的数据差异. 我们的分析表明,每年大约有60万个人需要因烧伤而紧急护理.
科学领域:
- 公共卫生 公共卫生
- 伤害流行病学 伤害流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 烧伤死亡率有所下降,但对幸存者的社会影响和长期后果仍未得到充分研究.
- 为烧伤幸存者提供有限的研究资金阻碍了对终身后果的理解.
- 准确的伤害数据对于有效地分配预防,研究,教育和政策方面的资源至关重要.
研究的目的:
- 为了比较报告美国烧伤发病率的国家数据来源.
- 来自各种报告机构的烧伤统计数据中发现差异.
- 为了更准确地估计每年需要紧急护理的烧伤病例的发生率.
主要方法:
- 来自多个国家来源的数据被查询到2020年或最新的可用年份.
- 这些来源包括美国烧伤协会 (ABA) 报告,疾病控制和预防中心 (CDC) 数据库 (WISQARS,NHAMCS) 和国家住院/急诊部样本 (NIS,NEDS).
- 还分析了商业上可用的索赔数据库和ICD-10烧伤代码.
主要成果:
- 在不同数据库中报告的烧伤发生率中观察到显著的变化.
- 估计范围从30135个入院 (ABA-BISR, 2022) 到超过698,555个索赔 (ICD-10代码).
- 疾病预防控制中心的WISQARS报告说,在2020年,有3,529例致命和287,926例非致命的烧伤.
结论:
- 在美国主要数据来源中,报告的烧伤发生率存在很大的差异.
- 目前的国家估计可能低估了真正的烧伤负担.
- 据估计,在美国,每年约有60万人经历烧伤,需要紧急医疗护理.
相关概念视频
01:22Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:25Statistical Methods for Analyzing Epidemiological Data
364
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
364
01:25Strategies for Assessing and Addressing Confounding
95
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
95
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
126
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
126
01:28Criteria for Causality: Bradford Hill Criteria - II
301
The Bradford Hill criteria serve as guidelines for establishing causative links in epidemiological research. Beyond Strength, Consistency, Specificity, and Temporality, key criteria also include Biological Gradient, Plausibility, Coherence, Experiment, and Analogy. These principles assist scientists in assessing the likelihood of causation in complex biological contexts. Below is a summary of these concepts:
301