北印度烧伤登记试点研究的经验:患者概况和实施视角
Vikash Ranjan Keshri1,2, Santosh Kumar Sharma3, Pratishtha Singh4
1Senior Research Fellow, The George Institute for Global Health, India, New Delhi, India.
概括
印度 印度 印度
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 流行病学 流行病学
背景情况:
- 烧伤在印度是一个重要的公共卫生问题,导致高死亡率和残疾率.
- 国家烧伤登记处对于改善烧伤预防和管理至关重要.
- 这项研究详细介绍了印度第一个试点燃烧注册表.
研究的目的:
- 报告来自印度第一个试点烧伤注册表的患者个人资料.
- 分析燃烧伤害的决定因素,死亡率因素和恢复不良的预测因素.
- 为实现燃烧注册表提供洞察力.
主要方法:
- 在印度北部的五个烧伤中心实施了前性的多中心烧伤登记.
- 从2020年8月到2022年3月,招募908名烧伤患者.
- 使用了描述性,双变量和二进制物流回归分析.
主要成果:
- 火焰 (37%),热液体 (28%) 和电气 (28%) 的烧伤是最常见的.
- 严重烧伤 (≥20%的全体表面积 [TBSA]) 影响了48%的患者.
- 较高的死亡率和较差的康复率与TBSA>40%,电烧伤和非意外烧伤有关,特别是在女性中.
结论:
- 试点烧伤注册提供了关于印度烧伤患者个人资料和受伤模式的宝贵数据.
- 死亡率和恢复不良的主要预测因素包括高TBSA,电烧伤和非意外机制.
- 建议扩大注册表的范围,以加强烧伤护理的规划和交付.
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