自残性烧伤、结局与成本。
Self-inflicted burns, outcome and cost.
作者信息
Ali S N, Soueid A, Rao K, Moiemen N
机构信息
Regional Burns Unit, University Hospital Birmingham, Selly Oak Hospital, Raddlebarn Road, Birmingham B29 6JD, United Kingdom.
出版信息
Burns. 2006 Jun;32(4):463-6. doi: 10.1016/j.burns.2005.11.001. Epub 2006 Apr 18.
INTRODUCTION
Self-inflicted burns represent a small number of total admissions to a burns unit, yet they constitute a major workload.
METHODS
A retrospective analysis of self-inflicted burns admitted between 1998 and 2002.
RESULTS
One thousand six hundred and fifty six patients were admitted with acute burn injuries, of these 56 were self-inflicted. 24 patients had a previous history of self-harming and 22 were unemployed. History of a psychiatric illness was found in 46 patients. Flames caused 46 out of 56 injuries. Mean total body surface area (TBSA) was 27%. Approximately 39% needed admission to intensive care unit (ICU). The mortality rate was 25%. On discharge, 29% of the patients re-self harmed.
CONCLUSION
Self-inflicted burns have a poorer outcome. Improving the psychiatric and social support can reduce the incidence of self-harming behaviour, its repetitiveness and subsequently the cost of burn care.
引言
自伤性烧伤在烧伤科的总住院人数中占比不大，但却构成了主要的工作量。
方法
对1998年至2002年间收治的自伤性烧伤患者进行回顾性分析。
结果
1656例患者因急性烧伤入院，其中56例为自伤性烧伤。24例患者有自伤史，22例失业。46例患者有精神疾病史。56例损伤中有46例由火焰导致。平均总体表面积（TBSA）为27%。约39%的患者需要入住重症监护病房（ICU）。死亡率为25%。出院时，29%的患者再次自伤。
结论
自伤性烧伤预后较差。改善精神和社会支持可降低自伤行为的发生率、重复性，进而降低烧伤护理成本。
Zotero 插件