Facteurs associés à une issue défavorable chez les brûlés hospitalisés.

IF 1.3 Q4 RESPIRATORY SYSTEM

Public Health Action Pub Date : 2023-08-01 DOI:10.5588/pha.23.0007

F Niyonzima, H Mboma Kamosi, J Soro, O Ntihabose, D Hehadji, E Briskin

{"title":"Facteurs associés à une issue défavorable chez les brûlés hospitalisés.","authors":"F Niyonzima, H Mboma Kamosi, J Soro, O Ntihabose, D Hehadji, E Briskin","doi":"10.5588/pha.23.0007","DOIUrl":null,"url":null,"abstract":"Background: In 2015, Médecins Sans Frontières opened the Arche Kigobe Trauma Centre in Bujumbura, Burundi, to treat victims of violence, and in 2016 extended the admission criteria to burns, without a specialised unit to treat these.Objective: To study the factors associated with an unfavourable outcome (death, referrals and discharges against medical advice) in burn patients hospitalised at this centre.Method: This is a retrospective descriptive and analytical study of hospitalised burn patients.Results: From 2016 to 2020, 477 patients were hospitalised at the Centre for burns, of whom 301 (63%) were less than 5 years old, 169 (35%) were female, and 48 (10%) had an unfavourable outcome. Anaemia (OR 11, 95% CI 2.7-48), infection (OR 11, 95% CI 5.7-22), and smoke inhalation (OR 28, 95% CI 7-111) were among the main factors associated with an unfavourable outcome.Conclusion: To minimise adverse outcomes related to inhalation and infection in burn patients, a septic isolation circuit, training, a bacteriology service and continuous positive airway pressure could be implemented even in resource-limited settings.","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":"13 2 Suppl 1","pages":"25-29"},"PeriodicalIF":1.3000,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380414/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Action","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5588/pha.23.0007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}

引用次数: 0

Abstract

Background: In 2015, Médecins Sans Frontières opened the Arche Kigobe Trauma Centre in Bujumbura, Burundi, to treat victims of violence, and in 2016 extended the admission criteria to burns, without a specialised unit to treat these.

Objective: To study the factors associated with an unfavourable outcome (death, referrals and discharges against medical advice) in burn patients hospitalised at this centre.

Method: This is a retrospective descriptive and analytical study of hospitalised burn patients.

Results: From 2016 to 2020, 477 patients were hospitalised at the Centre for burns, of whom 301 (63%) were less than 5 years old, 169 (35%) were female, and 48 (10%) had an unfavourable outcome. Anaemia (OR 11, 95% CI 2.7-48), infection (OR 11, 95% CI 5.7-22), and smoke inhalation (OR 28, 95% CI 7-111) were among the main factors associated with an unfavourable outcome.

Conclusion: To minimise adverse outcomes related to inhalation and infection in burn patients, a septic isolation circuit, training, a bacteriology service and continuous positive airway pressure could be implemented even in resource-limited settings.

Abstract Image

查看原文本刊更多论文

与住院烧伤患者不良预后相关的因素。

背景：2015年，无国界医生组织在布隆迪布琼布拉开设了Arche Kigobe创伤中心，以治疗暴力受害者，并于2016年将入院标准扩大到烧伤，但却没有专门治疗烧伤的科室：目的：研究在该中心住院的烧伤患者出现不良预后（死亡、转诊和违反医嘱出院）的相关因素：这是一项针对住院烧伤患者的回顾性描述和分析研究：从2016年到2020年，共有477名烧伤患者在该中心住院治疗，其中301人（63%）的年龄小于5岁，169人（35%）为女性，48人（10%）的治疗效果不佳。贫血（OR 11，95% CI 2.7-48）、感染（OR 11，95% CI 5.7-22）和吸入烟雾（OR 28，95% CI 7-111）是与不良预后相关的主要因素：结论：为了最大限度地减少烧伤患者因吸入和感染而导致的不良后果，即使在资源有限的情况下，也可以通过脓毒症隔离回路、培训、细菌学服务和持续气道正压等措施来实现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Public Health Action RESPIRATORY SYSTEM-

自引率

0.00%

发文量

期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.