烧伤幸存者的初级护理附属和长期死亡率:基于人口的队列研究
Darby Little1, Elliott K Yee1, Barbara Haas1,2
1Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
概括
与初级保健提供者 (PCP) 联系的烧伤幸存者面临着类似的长期死亡风险. 仅仅依恋可能无法保证在这个人群中减少慢性疾病负担所需的定期护理.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 烧伤伤害的结果
背景情况:
- 烧伤幸存者经历癌症和慢性疾病的死亡风险较高.
- 定期的初级保健对于管理这些长期健康问题至关重要.
- 初级保健提供者 (PCP) 的依恋是持续获得医疗保健的潜在指标.
研究的目的:
- 调查PCP附着和长期死亡率在成年烧伤幸存者之间的关联.
- 为了确定是否有定期的PCP影响重大烧伤后的生存率.
- 评估初级保健准入在减轻烧伤幸存者的慢性疾病风险方面的作用.
主要方法:
- 在安大略省 (2010-2022) 的成年烧伤幸存者的回顾性基于人口的队列研究.
- 将PCP附着物分类为"附着"或"不确定附着".
- 使用卡普兰-梅尔曲线和时间分层的考克斯比例危险模型进行分析,对共变量进行调整.
主要成果:
- 在1968名烧伤幸存者中,有86%的人使用PCP.
- 与PCP结合的幸存者具有更高的并发症负担,但类似的烧伤严重程度.
- 没有发现PCP附着和退院后五年全因死亡率之间有显著的关联.
结论:
- 在烧伤幸存者中,PCP附着是常见的,但并不能显著预测长期生存.
- 孤立的依附可能不反映慢性疾病管理所需的一致的初级保健利用.
- 需要进一步的研究,以了解这种脆弱人群的有效初级保健模式.
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