Pompermaier Laura, Steinvall Ingrid, Fredrikson Mats, Thorfinn Johan, Sjöberg Folke
The Burn Centre, Department of Hand and Plastic Surgery, Linköping University, Region of Östergötland, Linköping, Sweden.
The Burn Centre, Department of Hand and Plastic Surgery, Linköping University, Region of Östergötland, Linköping, Sweden.
Burns. 2017 Feb;43(1):157-161. doi: 10.1016/j.burns.2016.07.018. Epub 2016 Sep 6.
As widely reported, the progress in burn care during recent decades has reduced the hospital mortality. The effect of the burns on long-term outcome has not received so much attention, and more study is indicated. The aim of this retrospective study was to investigate the long-time survival among patients who had been treated for burns.
We studied 1487 patients who were discharged alive from the Linköping University Hospital Burn Centre during the period 1993 until the end of December 2012. We used Cox's regression analysis to study the effect of burns on long-term survival after adjustment for different factors.
Age and a full-thickness burn were significantly associated with mortality after discharge (p<0.001), whereas percentage of total body surface area burned (TBSA %), need for mechanical ventilation, and gender were not. Less than 1% of the patients with burns (13/1487) died within 30 days of discharge and a total of 176/1487 (12%) died during follow-up.
Age and full-thickness burns reduce the long-time survival after discharge from the Burn Centre, whereas the effect of TBSA% and need for artificial ventilation ends with discharge.
正如广泛报道的那样，近几十年来烧伤护理的进展降低了医院死亡率。烧伤对长期预后的影响尚未得到如此多的关注，需要更多的研究。这项回顾性研究的目的是调查接受过烧伤治疗的患者的长期生存率。
我们研究了1993年至2012年12月底期间从林雪平大学医院烧伤中心存活出院的1487名患者。我们使用Cox回归分析来研究在对不同因素进行调整后烧伤对长期生存的影响。
年龄和全层烧伤与出院后的死亡率显著相关（p<0.001），而烧伤总面积百分比（TBSA%）、机械通气需求和性别则不然。不到1%的烧伤患者（13/1487）在出院后30天内死亡，共有176/1487（12%）在随访期间死亡。
年龄和全层烧伤会降低烧伤中心出院后的长期生存率，而TBSA%和人工通气需求的影响在出院时结束。
