在第三级烧伤病房的儿科救护车烧伤护理治疗
T W Rensburg1, H Rode1, V Chidambaram2
1Red Cross War Memorial Children's Hospital, University of Cape Town, South Africa.
概括
撒哈拉以南非洲的门诊儿科烧伤护理显示了季节性趋势和挑战. 财政和运输问题阻碍了后续工作,导致远程医疗解决方案.
科学领域:
- 儿科急诊医学 儿科急诊医学
- 全球公共卫生全球公共卫生
- 烧伤流行病学 烧伤流行病学
背景情况:
- 烧伤是全球主要的健康问题,特别是在低至中等收入国家 (LMICs).
- 撒哈拉以南非洲地区面临着18岁以下儿童烧伤的高负担.
- 了解门诊烧伤管理对于改善儿童健康结果至关重要.
研究的目的:
- 评估作为门诊患者管理的儿童的烧伤结局.
- 为了评估儿童烧伤的父母健康寻求行为.
- 确定儿童烧伤患者的后续护理方面的挑战.
主要方法:
- 红十字战争纪念儿童医院对儿科烧伤患者的回顾性审计.
- 对人口统计,伤口管理和门诊病例的结果的审查.
- 评估遵守省级烧伤转诊指南的情况.
主要成果:
- 1,191名儿童因烧伤而接受治疗;289名 (24%) 儿童在门诊治疗.
- 大多数门诊患者是男性 (54%),平均年龄为32.5个月,平均TBSA为2.5%.
- 烧伤是占主导地位的烧伤类型 (87%);由于运输和财务问题,51%的后续违约.
结论:
- 在这个LMIC环境中,儿科烧伤损伤模式与国际数据一致.
- 推标准的遵守率很高,但财政限制显著影响了后续出席率.
- 已经实施了远程医疗计划,以应对后续挑战.
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