肌肉损耗对烧伤患者患者结果的影响:烧伤护理质量平台研究
Elizabeth Blears1,2, Andrew Murton3, Julie Caffery1
1Department of Plastic Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA.
概括
烧伤患者的肌肉损耗被低诊断,但与更长的住院时间和更多的手术有关,尽管死亡率没有增加. 准确的数据收集对于理解这种情况至关重要.
科学领域:
- 烧伤护理研究研究
- 临床结果 临床结果
- 营养支持 营养支持
背景情况:
- 燃烧后的超能代谢会导致肌肉消耗,导致并发症.
- 肌肉消耗率在烧伤中心并没有很好地建立.
- 关于烧伤患者肌肉消耗的流行率和影响的数据有限.
研究的目的:
- 为了确定燃烧患者肌肉消耗的发生率.
- 分析肌肉消耗和患者结果之间的关联.
- 为了确定肌肉消耗作为燃烧护理的危险因素.
主要方法:
- 使用烧伤护理质量平台 (BCQP) 数据集 (2000年至2018年84 438名患者).
- 使用相关的ICD代码定义的肌肉消耗 (肉类消耗症,缓解症,营养不良).
- 采用二项式和逻辑回归来进行结果分析,控制共变量.
主要成果:
- 只有2.6%的患者被诊断患有肌肉衰竭.
- 肌肉消耗独立预测无法释放到独立生活.
- 与更长的住院时间和平均10次额外的外科手术相关.
- 没有观察到对死亡率的统计学显著影响.
结论:
- 肌肉消耗是烧伤患者不良结果的独立风险因素,不包括死亡率.
- 肌肉消耗的诊断不足或报告不足很可能.
- 需要改进数据收集,以准确评估肌肉消耗的影响.
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