在家中氧气点火受伤后,是否需要进入烧伤中心?
Hope E Werenski1, Anju Saraswat1, James H Holmes1
1Department of Surgery, Atrium Health Wake Forest Baptist Medical Center, Wake Forest University School of Medicine, Winston-Salem, NC.
概括
意外的家庭氧气火灾并不总是需要立即输管. 这项研究发现,在烧伤中心治疗的患者与非烧伤服务的患者之间没有显著的结果差异,这表明输管治疗可能是可以避免的.
科学领域:
- 紧急医疗 紧急医疗
- 烧伤护理 烧伤护理
- 创伤外科 手术 创伤外科
背景情况:
- 家庭使用氧气增加了火灾风险,导致热伤害.
- 患有这些烧伤的患者通常最初在烧伤病房接受治疗.
- 美国烧伤协会 (ABA) 认证的专业烧伤中心对这些伤害的好处尚不清楚.
研究的目的:
- 为了确定是否入院到ABA验证的烧伤中心改善了家庭氧气相关烧伤患者的结果.
- 为了比较由燃烧服务和非燃烧服务管理的患者之间的结果.
主要方法:
- 从2016年1月到2022年5月,对2016年1月至2022年5月期间住院接受住院氧气相关烧伤的成年患者进行了回顾性审查.
- 通过燃烧服务和非燃烧服务管理的患者之间的结果 (通风器日,ICU日,停留时间,死亡率) 的比较.
- 对被直管和未被直管的患者组进行分析.
主要成果:
- 在输入管或未输入管的患者中,在燃烧和非燃烧服务之间没有观察到呼吸机日,ICU日,停留时间或死亡率的显著差异.
- 大多数被直管的患者只需要短期通风.
- 这项单一中心的审查发现,ABA验证的烧伤中心护理没有结果益处.
结论:
- 对于家庭氧气点火烧伤而言,接受ABA验证的烧伤中心似乎没有比非烧伤服务提供结果优势.
- 在这种患者群体中,输管治疗往往是可以避免的,许多患者只需要短期通风.
- 对家庭氧气相关烧伤的最佳管理途径进行进一步的研究是有必要的.
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