烧伤患者死亡的时间
Kazuhiro Yoneda1, Akinori Osuka1,2, Shinya Ohnishi1
1Department of Traumatology and Acute Critical Medicine Osaka University Suita Osaka Japan.
Acute medicine & surgery
|July 1, 2024
概括
烧伤患者即使在急性康复后也面临死亡风险,其中很大一部分在烧伤后30天内死亡. 老年人和严重烧伤 (>20%) 的患者的预后较差,这凸显了长期护理计划的必要性.
科学领域:
- 创伤外科 手术 创伤外科
- 关键护理医学 关键护理医学
- 燃烧管理 燃烧管理
背景情况:
- 尽管在急性烧伤治疗方面取得了进展,但慢性期的死亡率仍然令人担忧.
- 了解死亡的时间模式和原因对于改善患者的治疗结果至关重要.
研究的目的:
- 调查住院烧伤患者死亡的时间和原因.
- 为了确定与烧伤幸存者的死亡率相关的风险因素.
主要方法:
- 对2015年1月至2019年12月期间入院的烧伤患者的医疗记录进行了回顾性分析.
- 数据收集包括患者人口统计,死亡时间和死亡原因的记录.
主要成果:
- 在342名入院患者中,49人死亡. 死亡率呈现双模分布,死亡发生在3天内和60天后.
- 早期死亡 (3天内) 与缺氧脑病变,严重烧伤,热中风和急性冠状动脉综合征有关.
- 晚期死亡 (3天后) 主要归因于败血症,肺炎,肠道缺血症,胰腺炎和慢性疾病的恶化. 65岁以上的患者和烧伤>20%的患者的TBSA死亡率显著增加.
结论:
- 烧伤患者的死亡率显示出双模模式,其中很大一部分人在受伤后的30天内死亡.
- 老年患者和烧伤面积大的人面临着特别高的死亡风险.
- 烧伤护理策略必须包括长期预后和管理,超越急性复苏阶段.
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