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加纳烧伤中心烧伤患者的流行病学研究:有预防的线索吗?

Epidemiological studies of burn patients in a burn center in Ghana: any clues for prevention?

机构信息

Reconstructive Plastic Surgery & Burns Unit, Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.

Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science & Technology, Kumasi, Ghana.

出版信息

Burns Trauma. 2016 Jul 11;4:21. doi: 10.1186/s41038-016-0041-0. eCollection 2016.

DOI:10.1186/s41038-016-0041-0
PMID:27574690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4963955/
Abstract

BACKGROUND

Burn injuries are a serious problem worldwide, with most occurrences in low- and middle-income countries. Depending on the extent of injury, burn victims are faced with the challenges of fitting into society due to complications such as extensive scarring and contractures. The current study seeks to determine whether epidemiological studies of burn patients can provide guidelines to enhance burn prevention among the Ghanaian population.

METHODS

Data from the Burns Registry of the Burns Intensive Care Unit (BICU) of Komfo Anokye Teaching Hospital (KATH) was obtained. Data on sex, age, aetiology, % total body surface area (TBSA), and admission outcomes from May 1, 2009, to April 30, 2013, were retrieved for a total of 487 patients during this period.

RESULTS

Data on burn admissions comprising 263 (54.0 %) males and 224 (46.0 %) females were obtained from the Burns Registry. Children 0-10 years were the most affected age group. The yearly mean % TBSA ranged from 24.74 % to 35.07 %. The majority of burns was caused by scalding. Mortality rates ranged from 8.4 % to 32.0 % during the period under review.

CONCLUSIONS

The study shows that children of 10 years old and below are the most affected group; this may be due to inattention to these children by parents/caretakers. Safety and safe working environments should be provided at home and workplaces, and promotion of education on burn prevention should be intensified.

摘要

背景

烧伤是一个全球性的严重问题,大多数发生在中低收入国家。根据受伤程度的不同,烧伤患者由于广泛的疤痕和挛缩等并发症,面临着融入社会的挑战。本研究旨在确定烧伤患者的流行病学研究是否可以为加纳人口的烧伤预防提供指导。

方法

从 Komfo Anokye 教学医院(KATH)烧伤重症监护病房(BICU)的烧伤登记处获取数据。检索了 2009 年 5 月 1 日至 2013 年 4 月 30 日期间共 487 名患者的性别、年龄、病因、%总体表面积(TBSA)和入院结局的数据。

结果

从烧伤登记处获得了 263 名(54.0%)男性和 224 名(46.0%)女性的烧伤入院数据。0-10 岁的儿童是受影响最严重的年龄组。每年平均 TBSA 范围为 24.74%-35.07%。大多数烧伤是由烫伤引起的。在审查期间,死亡率范围从 8.4%到 32.0%。

结论

该研究表明,10 岁以下的儿童是受影响最严重的群体;这可能是由于父母/照顾者对这些孩子的不注意。应在家中和工作场所提供安全和安全的工作环境,并加强预防烧伤的教育宣传。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e3c/4963955/f77afd7fe1b1/41038_2016_41_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e3c/4963955/9c87b048e174/41038_2016_41_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e3c/4963955/9fe4eb7ab920/41038_2016_41_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e3c/4963955/f77afd7fe1b1/41038_2016_41_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e3c/4963955/9c87b048e174/41038_2016_41_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e3c/4963955/9fe4eb7ab920/41038_2016_41_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e3c/4963955/f77afd7fe1b1/41038_2016_41_Fig3_HTML.jpg

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