简化烧伤严重程度指数与严重烧伤患者的死亡率的关联:元分析
Guangrong Deng1, Ling Tang1, Qian Yang1
1Department of Anesthesiology, West China Hospital, Sichuan University/West China School of Nursing Sichuan University, Chengdu, Sichuan, China.
PloS one
|February 20, 2025
概括
简称烧伤严重程度指数 (ABSI) 可靠地预测严重烧伤患者的死亡率. 较高的ABSI分数表明死亡风险显著增加,有助于患者的预后.
科学领域:
- 创伤和烧伤护理 创伤和烧伤护理
- 医学预测 医学预测
- 流行病学 流行病学
背景情况:
- 关于在严重烧伤病例中死亡率的缩写烧伤严重程度指数 (ABSI) 的预测准确性需要进一步澄清.
- 严重的烧伤代表着一个重要的全球健康挑战,死亡率高.
研究的目的:
- 进行元分析,以确定严重烧伤患者的ABSI和死亡率之间的关联.
- 评估ABSI作为预后工具在烧伤受害者管理中的实用性.
主要方法:
- 在PubMed,EMBASE和Web of Science数据库中进行了系统的文献搜索,截至2024年9月15日.
- 计算了95%置信区间 (CI) 的聚合几率比率 (OR),并结合了基于年龄,ABSI分组和OR来源的子组分析.
- 使用STATA版本15.0.0进行统计分析.
主要成果:
- 包含4011名患者的16项研究被纳入了元分析.
- 较高的ABSI与死亡风险的增加显著相关 (OR = 1.72,95% CI: 1.48-2.00,P < 0.001).
- 小组分析始终支持不同年龄组,ABSI计算方法和统计模型中较高的ABSI得分和死亡率之间的关联.
结论:
- 简称烧伤严重程度指数 (ABSI) 是严重烧伤患者可靠的预后指标.
- 较高的ABSI得分与较高的死亡概率密切相关,这凸显了其临床重要性.
相关概念视频
01:22Burn Injuries
4.4K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
4.4K
01:24Kaplan-Meier Approach
792
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
792