影响被烧伤儿童延迟返学的因素:一个烧伤模型系统研究
Geun-Woo Oh1, Gretchen J Carrougher1, Xinyao deGrauw2
1UW Medicine Regional Burn Center, Department of Surgery, University of Washington, Seattle, WA, USA.
概括
儿童烧伤幸存者返校 (RTS) 受几个因素的影响. 男孩,年长的孩子,以及那些严重受伤,吸入伤害或头部/部烧伤的人在回到学校之前经历了更长的恢复时间.
科学领域:
- 儿科康复儿童康复中心
- 烧伤伤害的结果
- 儿童健康 儿童健康
背景情况:
- 返回学校 (RTS) 是儿童烧伤幸存者的关键里程碑,表明康复成功.
- 之前关于RTS时间的研究受限于单一中心研究和小样本大小,阻碍了对影响因素的全面理解.
研究的目的:
- 确定影响学龄儿童烧伤损伤RTS时间的个人和损伤特异性因素.
- 为指导康复提供数据,对RTS时间表进行比较,并有效地分配资源.
主要方法:
- 一项多中心的纵向队列研究分析了来自266名美国学龄儿童 (5-17岁) 的数据,这些儿童需要进行手术以关闭烧伤.
- 从医院出院到RTS的几天数据是通过家长/监护人调查收集的.
- 多变量混合效应的Poisson回归检查了RTS与年龄,性别,烧伤大小,损伤区域,吸入损伤,手术和出院时间等因素之间的关联.
主要成果:
- 到RTS的中位时间是出院后43天.
- 与较长的RTS显著相关的因素包括:年龄12-14岁,男性性别,火/火焰伤害,≥5%的TBSA,吸入伤害,头部/部伤害,多次手术和在学期出院.
结论:
- 几种人口和临床因素对儿科烧伤幸存者显著影响RTS.
- 调查结果强调了需要量身定制的支持和资源分配,以满足从烧伤中康复的儿童的多样化需求.
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