种族并没有改变烧伤复苏和第一次切割的时间
Janie Faris1, Kareem R Abdelfattah2, Audra T Clark3
1Parkland Health, 5200 Harry Hines Blvd, Dallas, TX 75235, USA.
Burns : journal of the International Society for Burn Injuries
|December 25, 2024
概括
这项研究发现,在烧伤复苏的结果中没有种族差异. 实施标准化协议可能有助于防止未来在烧伤护理方面的差异.
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
- 健康差距 研究 研究 研究 研究
背景情况:
- 健康和种族差异影响了获得预防,创伤和慢性疾病护理的机会.
- 在烧伤复苏的背景下,这些差异没有得到充分解决.
- 在烧伤中过度或过少的复苏会增加医院费用,发病率和死亡率.
研究的目的:
- 调查在烧伤后初始液体复苏中潜在的种族差异.
- 分析种族群体之间的烧伤护理和结果的差异.
主要方法:
- 对2020-2022年期间入院于安全网医院的烧伤患者 (年龄大于14岁) 的回顾性评估.
- 排除在入院后24小时内接受舒适护理的患者.
- 数据收集包括人口统计,烧伤细节,实验室参数和结果 (LOS,通风,RRT,死亡率).
主要成果:
- 研究包括105名患者:59%为白人,41%为非裔美国人-西班牙裔 (AA-HIS).
- 在烧伤严重程度,原因,吸入伤害,ICU/住院时间或机械通风率方面没有发现显著差异.
- 两组之间没有液体输入,尿液输出,实验室值或患者结局的差异;AA-HIS组的死亡率并没有显著上升 (32.6%对17.7%).
结论:
- 这项研究没有发现在初始烧伤复苏或在安全网医院的患者结果中的种族差异.
- 烧伤复苏的标准化方案对于缓解护理中的潜在种族和民族差异至关重要.
- 可能需要进一步的研究来探索烧伤护理的其他方面存在的差异.
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