F Niyonzima, H Mboma Kamosi, J Soro, O Ntihabose, D Hehadji, E Briskin
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引用次数: 0
摘要
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。
Facteurs associés à une issue défavorable chez les brûlés hospitalisés.
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.
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.
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