A profile of adult patients with major burns admitted to a Level 1 Trauma Centre and their functional outcomes at discharge: A retrospective review.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-01-11 eCollection Date: 2022-01-01 DOI:10.4102/sajp.v78i1.1543

Irene K Angelou, Heleen van Aswegen, Moira Wilson, Regina Grobler

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引用次数: 0

Abstract

Background: Patients with major burns suffer with pain, which impacts their physical function during hospitalisation.

Objectives: To describe the demographics, burn characteristics, clinical course, physical function, complications developed after major burns and to establish predictors of non-independent physical function at hospital discharge.

Method: Records of all consecutive adult burn admissions to a Level 1 Trauma Centre between 2015 and 2017 were screened retrospectively against our study criteria, using the Trauma Bank Data Registry. Anonymised data from included records were captured on specifically designed data extraction forms. Descriptive statistics were used to summarise findings. A regression analysis was undertaken to establish predictors of non-independent function at discharge.

Results: Males represented 87.7% (n = 64) of included records (n = 73). Median age was 38 (interquartile range [IQR]: 22). Thermal burns were most reported (n = 47, 64.4%), followed by median total body surface area (TBSA) 31% and head and arms were most affected (60.3% and 71.2%). Injury severity was high with median intensive care unit (ICU) length of stay (LOS) of 17 (IQR: 34) and hospital LOS 44 (IQR: 31) days. Wound debridement was mostly performed (n = 27, 36.9%) with limb oedema as a common complication (n = 15, 21.7%). Muscle strength and functional performance improved throughout LOS. None of the variables identified were predictors of non-independent function at hospital discharge.

Conclusion: Adults with major burns were predominantly male, in mid-life and sustained thermal injury with a high injury severity. Decreased range of motion (ROM) of affected areas, 'fair' muscle strength and independent function were recorded for most patients at hospital discharge.

Clinical implications: These findings contribute to the limited body of evidence on the profile, clinical course and outcomes of South African adult burn patients.

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1级创伤中心收治的严重烧伤成年患者的概况及其出院时的功能结局:回顾性回顾。

背景:严重烧伤患者在住院期间疼痛，影响其身体功能。目的:描述人口统计学、烧伤特征、临床过程、身体功能、严重烧伤后的并发症，并建立出院时非独立身体功能的预测因素。方法:根据我们的研究标准，使用创伤银行数据登记处，对2015年至2017年期间在一级创伤中心连续住院的所有成人烧伤记录进行回顾性筛选。从包含的记录中获取匿名数据是在专门设计的数据提取表单上捕获的。描述性统计用于总结研究结果。进行回归分析以建立出院时非独立函数的预测因子。结果:73例患者中，男性占87.7% (n = 64)。年龄中位数为38岁(四分位数间距[IQR]: 22)。热烧伤报告最多(n = 47, 64.4%)，其次是中位体表面积(TBSA) 31%，头部和手臂最受影响(60.3%和71.2%)。损伤严重程度较高，重症监护病房(ICU)平均住院时间(LOS)为17天(IQR: 34)，住院时间(LOS)为44天(IQR: 31)。创面清创多见于创面清创(n = 27, 36.9%)，常见并发症为肢体水肿(n = 15, 21.7%)。肌肉力量和功能表现在整个LOS中得到改善。所有确定的变量都不是出院时非独立功能的预测因子。结论:成人严重烧伤以男性为主，中年，持续热伤，损伤严重程度高。大多数患者出院时，受影响区域的活动范围(ROM)减少，肌肉力量和独立功能“公平”。临床意义:这些发现有助于对南非成人烧伤患者的概况、临床过程和结果的有限证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.