补充家庭氧气治疗伤害-烧伤护理质量平台分析的国家估计和结果
Clifford Sheckter1, Eloise Stanton2, Karla Klas3
1Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA. Division of Burn/Plastic Surgery. Santa Clara Valley Medical Center, San Jose, CA, USA.
家庭氧气疗法与美国日益增加的烧伤和吸入伤害有关. 这些伤害通常是由吸烟引起的,导致死亡率更高,住院时间更长.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 预防伤害的预防.
背景情况:
- 补充家庭氧气疗法是各种疾病的常见病例.
- 与家庭氧气疗法相关的伤害没有得到充分的记录.
- 需要了解这些伤害的范围和影响.
研究的目的:
- 估计与家庭氧气治疗相关的烧伤和吸入伤害的全国发病率和结果.
- 为了确定这些伤害的预测因素和趋势.
- 为了告知有针对性的预防战略.
主要方法:
- 美国烧伤协会烧伤护理质量平台 (BCQP) 数据库 (2013-2022) 的分析.
- 文本字符串提取以识别与家庭氧气使用相关的案例.
- 逻辑和波松回归用于评估预测因素和发病率.
主要成果:
- 3.0% (2,360例) 的烧伤病例与家庭氧气治疗有关.
- 这些伤害的调整后发生率为每年3.6%,有显著的上升趋势.
- 患者年龄较大,主要是男性和白人,吸烟是主要的点火源.
- 吸入损伤发生在11.4%的患者中,住院患者死亡率为6.1%.
- 烧伤患者的死亡率是全国平均水平的两倍,幸存者不太可能出院.
结论:
- 补充家庭氧气治疗相关的伤害代表了美国日益严重的公共卫生问题.
- 这些伤害有严重的后果,包括增加死亡率和降低退院的可能性.
- 有针对性的预防策略对于减少这些伤害的发生率和影响至关重要.
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