影响烧伤死亡率的因素分析:2007-2021年巴基斯坦国家烧伤中心的经验。

Annals of burns and fire disasters Pub Date : 2023-12-31 eCollection Date: 2023-12-01
M Rehan, T Iqbal, M Sarwar, M S Khan, M H Tariq, U Waheed
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引用次数: 0

摘要

烧伤是一个公共卫生问题,给全球的医疗保健系统带来了沉重负担。死亡率是烧伤后的重要结果参数。本研究旨在分析本院烧伤护理中心收治的患者的特征,并确定与烧伤患者死亡率相关的因素。这是一项横断面单中心研究,对 2007 年 7 月至 2021 年 12 月这 15 年间烧伤患者的死亡率进行了回顾性分析。研究期间,烧伤护理中心的重症监护室共收治了 7866 名烧伤患者。将死亡患者[第一组]与幸存者组(对照病例[第二组])进行比较,以确定可能预示高死亡率风险的诱因。计算得出的死亡率为 23.16%(1,822/7,866)。大多数患者(两组)的总体表面积(TBSA)大于 50%(P 0.001)。幸存者组(第 2 组)在烧伤护理中心的平均住院时间为 15.5 天,而在治疗过程中死亡的患者(第 1 组)的平均住院时间为 11.4 天。在所有入院患者中,约有 23.16% 的患者主要死于火焰烧伤,而败血症是最常见的死亡原因。有危险因素的患者在进入重症监护室时就应被列为死亡高危人群。有必要启动教育和宣传计划,提高人们对预防烧伤的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of Factors Affecting Burns Mortality: A National Burn Centre Experience From Pakistan 2007-2021.

Burns are a public health concern burdening the healthcare delivery system across the globe. Mortality rates are significant outcome parameters after a burn injury. The objective of the current study was to analyze the characteristics of the patients admitted to our burn care center and identify the factors related to mortality in the burn patients. This was a cross-sectional single-center study involving a retrospective analysis of mortality rates in burn patients over a period of 15 years from July 2007 to December 2021. During the study period, 7,866 burn patients were admitted to the ICU of the burn care center. Patients who died [Group 1] were compared to the group of survivors (control cases [Group 2]) to ascertain the contributing factors that might forecast a high risk for mortality. The mortality rate was calculated as 23.16% (1,822/7,866). The majority of the patients (both groups) had a total body surface area (TBSA) of >50% (p 0.001). The average duration of stay at the burn care center was 15.5 days for the survivors' group (Group 2) while it was 11.4 days for the patients who died (Group 1) during the course of their treatment. About 23.16% of all admitted patients died mostly from flame burns, and sepsis was the commonest cause of death. Patients with risk factors should be classified as high risk for mortality at the time of ICU admission. It is necessary to initiate educational and awareness programs for sensitization related to the prevention of burn injuries.

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