烧伤病人的院前和急诊数据分析:五年来的死亡率预测因素和响应时间。

Bensu Bulut, Murat Genc, Medine Akkan Oz, Ramiz Yazici, Huseyin Mutlu, Ekrem Taha Sert, Kamil Kokulu, İsmail Borazan, Omer Faruk Turan, Fatih Ahmet Kahraman, Serden Ay
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引用次数: 0

摘要

背景:本研究旨在回顾性检查烧伤病例的院前和急诊科流程,以评估流程有效性,建立区域数据,并确定影响烧伤患者死亡率的因素。方法:研究纳入2019年1月1日至2023年12月31日期间在安卡拉112紧急卫生服务中心治疗并转至安卡拉比尔肯特市医院急诊科的784例烧伤病例。回顾性分析了112例急诊医疗服务的人口统计数据、烧伤特征、反应时间和患者结局。结果:纳入研究的患者平均年龄为23.4±20.7岁,女性占36.7%。最常见的烧伤类型是热液体烧伤(49.9%),73.7%的病例涉及二度烧伤。总死亡率为5%。Logistic回归分析确定高龄(优势比[OR]: 1.02)、吸入性烧伤(OR: 3.33)和烧伤百分比是死亡率的独立危险因素。受试者工作特征(ROC)分析显示,年龄> ~ 44岁(敏感性38.5%,特异性83.8%)和烧伤表面> ~ 16%(敏感性89.7%,特异性77.5%)是死亡率的预测阈值。结论:高龄、大面积烧伤、居住在农村和吸入性损伤是烧伤患者死亡的关键预测因素。加强院前急救服务,实施社区教育计划,采用多学科方法对预防和有效管理烧伤至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prehospital and emergency data analysis in burn patients: Mortality predictors and response times over five years.

Background: This study aimed to retrospectively examine the prehospital and emergency department processes of burn cases to evaluate process effectiveness, establish regional data, and identify factors affecting mortality in burn patients.

Methods: The study included 784 burn cases treated by Ankara 112 Emergency Health Services and transferred to Ankara Bilkent City Hospital Emergency Department between January 1, 2019 and December 31, 2023. Demographic data, burn characteristics, response times of 112 emergency health services, and patient outcomes were retrospectively analyzed.

Results: The mean age of the patients included in the study was 23.4+-20.7 years, with 36.7% being female. The most common type of burn was hot liquid burns (49.9%) and 73.7% of cases involved second-degree burns. The overall mortality rate was 5%. Logistic regression analysis identified advanced age (odds ratio [OR]: 1.02), presence of inhalation burns (OR: 3.33), and burn percentage as independent risk factors for mortality. Receiver operating characteristic (ROC) analysis showed that age >44 years (38.5% sensitivity, 83.8% specificity) and burn surface >16% (89.7% sensitivity, 77.5% specificity) were predictive thresholds for mortality.

Conclusion: Advanced age, extensive burn surface area, residence in rural areas, and inhalation injuries are key predictors of mortality in burn patients. Enhancing prehospital emergency services, implementing community education programs, and adopting a multidisciplinary approach are critical for preventing and effectively managing burn injuries.

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