在与烧伤相关的伤害中,酒精暴露的发生率
Kathrin Orda1, Georgina Lau2, Lincoln M Tracy2
1Emergency and Trauma Centre, The Alfred, Melbourne, Australia.
概括
酒精暴露影响烧伤,其中15.8%的患者显示先前使用过酒精. 与酒精有关的烧伤导致了更多的重症监护室入院和更长的住院时间,突出显示了对测试的需求.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 饮酒是各种伤害的一个重要因素.
- 烧伤是严重的公共卫生问题,患病率和死亡率很高.
- 了解酒精在烧伤中的作用对于有效的预防和治疗至关重要.
研究的目的:
- 为了确定成年烧伤患者中酒精暴露的流行率.
- 分析与酒精相关的烧伤相关的损伤特征和结果.
- 评估酒精对医疗保健资源利用在烧伤管理中的影响.
主要方法:
- 基于注册表的队列研究利用了阿尔弗雷德急救和创伤中心的数据.
- 纳入标准:在2019年1月1日至2022年12月31日期间入院的18岁或以上的患者.
- 根据医疗记录定义的酒精暴露,血液中酒精度> 2mmol/L,或ICD-10-AM代码.
主要成果:
- 符合条件的患者中有15.8% (1587人中有251人) 在烧伤之前记录了酒精暴露.
- 暴露于酒精的患者在重症监护室 (ICU) 的入院率显著更高 (28%与16.4%,p < 0.001).
- 暴露于酒精的患者的入院时间中位数较长 (10.1天 vs 7.7天,p < 0.001).
结论:
- 酒精暴露在烧伤中普遍存在,并与较差的结果相关.
- 越来越多的ICU入院和长时间住院强调了与酒精有关的烧伤的严重性.
- 需要标准化酒精测试和有针对性的干预措施来减轻与酒精有关的烧伤伤害的负担.
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