烧伤受害者的地理分布和进入专门治疗单位的机会:一个横截面研究
Wilson Falco Neto1, Pedro Henrique Domingos1, Gabriel Sanchez Okida1
1Centro Universitário Padre Albino - Faculdade de Medicina de Catanduva - Catanduva (SP) - Brazil.
Acta cirurgica brasileira
|October 22, 2025
概括
前往烧伤治疗单位 (BTU) 的患者年轻,烧伤严重. 这项研究强调了巴西各地区在专业烧伤护理获得的差异.
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
- 地理流行病学地理流行病学
背景情况:
- 烧伤治疗单位 (BTU) 为烧伤伤提供专业护理.
- 了解患者的地理分布对于评估获得医疗保健的机会至关重要.
- 在获得医疗保健方面的区域差异可能会影响患者的治疗结果.
研究的目的:
- 分析在巴西圣保罗州Catanduva的烧伤治疗单位 (BTU) 治疗的患者的地理分布.
- 检查地理变量 (距离,旅行时间) 和临床变量 (年龄,TBSA%) 之间的关系.
主要方法:
- 在2018年1月至2022年5月期间住院的1,164名烧伤患者的横截面研究.
- 从医疗记录中收集的数据,包括居住地,年龄和%的总体表面积烧伤 (%TBSA).
- 使用QGIS和R计算旅行距离和时间的地理空间分析;统计分析包括二变量和相关性测试.
主要成果:
- 大多数患者 (1,164) 居住在卡坦杜瓦以外,来自277个不同的城市,平均179.37公里和140.94分钟的行程时间.
- 与当地患者相比,来自Catanduva以外的患者显著年轻,TBSA%更高.
- 年龄和距离之间的弱负相关性 (ρ = -0.14),%TBSA和距离之间的弱正相关性 (ρ = 0.21),两者都具有统计学意义 (p < 0.05).
结论:
- 在获得专门的烧伤护理方面存在显著的区域差异.
- 研究结果表明,往BTU行驶较长距离的患者会出现更严重的烧伤,并且年轻.
- 这项研究可以为政策制定提供信息,以减少在专业烧伤治疗中获得医疗保健的差异.
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