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烧伤患者的严重程度、人口统计学特征、瘢痕挛缩与康复治疗时间对患者预后的影响:ACT研究

Burn Patient Acuity Demographics, Scar Contractures, and Rehabilitation Treatment Time Related to Patient Outcomes: The ACT Study.

作者信息

Richard Reg, Santos-Lozada Alexis R

机构信息

From the *U.S. Army Institute of Surgical Research Burn Center, JBSA Fort Sam Houston, Texas; †Oak Ridge Institute for Science and Education, San Antonio, Texas; and ‡Pennsylvania State University, State College.

出版信息

J Burn Care Res. 2017 Jul/Aug;38(4):230-242. doi: 10.1097/BCR.0000000000000490.

Abstract

In 2008, the U.S. Department of Defense funded a rehabilitation study through the American Burn Association titled "Burn patient acuity demographics, scar contractures, and rehabilitation treatment time related to patient outcomes," commonly known at the ACT study. The ACT was a multi-institutional, prospective, observational, and quasirandomized investigation of the acute hospital course of 307 patients. The ACT specifically emphasized the capture of factors that may impact the physical outcome of patients with burn injury including burn severity, daily rehabilitation interventions such as mobility and splinting, and detailed skin grafting episodes. In particular, the effect that the amount of daily rehabilitation time patients received as it related to range of motion measured at the time of acute hospital discharge of areas affected by the burn injury was analyzed. The information contained herein is intended to give the interested reader an overview of the extent and breadth of the ACT dataset in terms of parameters available for further investigation. This information is also intended to be used as a basic reference for conduct of the ACT study in future reports.

摘要

2008年,美国国防部通过美国烧伤协会资助了一项名为“烧伤患者严重程度人口统计学、瘢痕挛缩以及与患者预后相关的康复治疗时间”的康复研究,通常称为ACT研究。ACT是一项针对307例患者急性住院病程的多机构、前瞻性、观察性和半随机调查。ACT特别强调收集可能影响烧伤患者身体预后的因素,包括烧伤严重程度、日常康复干预措施(如活动能力和夹板固定)以及详细的植皮情况。特别是,分析了患者接受的每日康复时间与烧伤损伤部位急性出院时测量的活动范围之间的关系。本文所包含的信息旨在让感兴趣的读者了解ACT数据集在可用于进一步研究的参数方面的范围和广度。这些信息也旨在作为未来报告中进行ACT研究的基本参考。

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