Kathrin Orda, Georgina Lau, Lincoln M Tracy, Biswadev Mitra
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引用次数: 0
Abstract
The aim of this registry-based cohort study was to quantify the prevalence, injury characteristics, and outcomes of alcohol exposure in burn-related injuries. All patients ≥ 18 years presenting to The Alfred Emergency & Trauma Centre, a major trauma centre in Victoria, Australia between January 1, 2019 and December 31, 2022 and included in the Victorian Adult Burns Service registry were included. An explicit chart review was performed to verify retrieved data with alcohol exposure coded when documented in medical records, laboratory evidence of a blood alcohol concentration > 2mmol/L, or recorded in discharge ICD-10-AM codes. Among 1587 eligible patients, 251 (15.8%) had been exposed to alcohol prior to injury. Patients with alcohol exposure at the time of burn-related injury had higher rates of admission to the ICU (28% vs 16.4%, p < 0.001) and longer median hospital admission (10.1 vs 7.7 days, p < 0.001). The significant impact of alcohol exposure on the overall health burden of burn injuries highlight the need for standardised and robust alcohol testing protocols to support targeted strategies to reduce the burden of alcohol-related burn injuries.
这项基于登记的队列研究的目的是量化烧伤相关损伤中酒精暴露的患病率、损伤特征和结果。所有≥18岁的患者在2019年1月1日至2022年12月31日期间到澳大利亚维多利亚州的主要创伤中心阿尔弗雷德急救和创伤中心就诊,并被纳入维多利亚州成人烧伤服务登记处。对检索到的数据进行了明确的图表审查,以验证在医疗记录中记录的酒精暴露、血液酒精浓度bbb2mmol /L的实验室证据或出院ICD-10-AM代码中记录的数据。在1587例符合条件的患者中,251例(15.8%)在受伤前曾接触过酒精。烧伤相关损伤时酒精暴露患者的ICU住院率较高(28% vs 16.4%, p < 0.001),中位住院时间较长(10.1 vs 7.7天,p < 0.001)。酒精暴露对烧伤总体健康负担的重大影响突出表明,需要制定标准化和强有力的酒精测试方案,以支持有针对性的战略,以减轻酒精相关烧伤的负担。
期刊介绍:
Journal of Burn Care & Research provides the latest information on advances in burn prevention, research, education, delivery of acute care, and research to all members of the burn care team. As the official publication of the American Burn Association, this is the only U.S. journal devoted exclusively to the treatment and research of patients with burns. Original, peer-reviewed articles present the latest information on surgical procedures, acute care, reconstruction, burn prevention, and research and education. Other topics include physical therapy/occupational therapy, nutrition, current events in the evolving healthcare debate, and reports on the newest computer software for diagnostics and treatment. The Journal serves all burn care specialists, from physicians, nurses, and physical and occupational therapists to psychologists, counselors, and researchers.