在资源有限的环境中,医院间转移对儿科烧伤死亡率的影响
Sonam J Shah1, Jotamu Gondwe2, Selena An3
1University of North Carolina, School of Medicine, Chapel Hill, NC, USA.
World journal of surgery
|November 13, 2024
概括
马拉维的儿科烧伤患者的医院间转移增加了死亡风险. 改善当地设施的初级护理可能会减少转移患者的死亡,特别是在资源较低的环境中.
科学领域:
- 全球健康 全球健康
- 创伤外科 手术 创伤外科
- 儿科烧伤护理 儿科烧伤护理
背景情况:
- 据估计,全球每年约有18万例烧伤死亡,其中95%发生在低收入和中等收入国家 (LMICs).
- 医院间转移状态显著影响患者在烧伤后的结果.
研究的目的:
- 评估医院间转移对儿科患者烧伤死亡率的影响.
- 确定影响烧伤儿童死亡率的因素.
主要方法:
- 来自马拉维卡穆祖中央医院 (KCH) 的儿科烧伤数据库的分析.
- 进行了双变量和多变量逻辑回归分析,以评估转移状态对死亡率的影响.
主要成果:
- 总共有2301名儿科患者被分析;47.6%属于转移队列.
- 医院间转移与死亡率增加相关 (OR 2.26,p=0.01) 在控制了像时间到呈现这样的变量后.
- 根据转移状态,在20%至80%的全体表面积 (TBSA) 烧伤中观察到死亡率的显著差异.
结论:
- 医院间转移是资源有限的环境中儿科烧伤患者死亡率增加的独立风险因素.
- 在初级卫生机构加强初始烧伤复苏和护理对于降低转移患者死亡率至关重要.
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