Murhula Gauthier Bahizire, Musole Patrick Bugeme, Kafupi Nama Bienfait, Tshibwid Florent A Zeng, Mayeri Garhalangwamuntu Daniel, Cikomola Fabrice Gulimwentuga, Pompermaier Laura
Faculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of Congo.
Department of Surgery, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
J Burn Care Res. 2022 Jan 5;43(1):85-92. doi: 10.1093/jbcr/irab051.
In low-income countries, the incidence of burns is high and severe burns are frequently managed at peripheral facilities. Outcome after burn care is poorly studied although it might help identify risk-group and improve treatment strategies. This study aimed to study factors associated with in-hospital outcomes in a burn cohort in the Democratic Republic of Congo. In this retrospective study, we included burn patients admitted to the surgical department at the Hôpital Provincial Général de Référence de Bukavu between January 2013 and December 2018. Differences between groups were tested using χ 2 test or Fisher's exact tests or Wilcoxon rank sum test, as appropriate. Multivariate logistic regression was used to analyze the effect of patients and of burn characteristics on in-hospital mortality, prolongated length of stay (=LOS ≥ 25 days), and occurrence of complications. The study population consisted of 100 patients, mainly young males with the rural origin, moderate-sized but deep burns. Of them, 46 developed complications, 12 died. Median LOS was 25 days (IQR: 15-42). In-hospital death was independently associated with Total Burn Surface Area percentage "TBSA%" (OR = 3.96; 95% CI = 1.67-9.40) and Full-thickness Burns (FTB) (10.68; 1.34-84.74); prolongated LOS with FTB (3.35; 1.07-10.49), and complication with rural origin (5.84; 1.51-22.53), TBSA% (3.96; 1.67-9.40), FTB (4.08; 1.19-14.00), and burns on multiple sites (4.38; 1.38-13.86). In-hospital death was associated with TBSA% and FTB, prolongated LOS with FTB, and complications with burns characteristics and rural origin of the patients. Additional studies are necessary to investigate the effect of provided burn care on outcomes.
在低收入国家，烧伤发生率很高，严重烧伤患者常常在基层医疗机构接受治疗。尽管烧伤护理后的结果可能有助于识别风险群体并改进治疗策略，但这方面的研究却很少。本研究旨在探讨刚果民主共和国一个烧伤队列中与住院结局相关的因素。在这项回顾性研究中，我们纳入了2013年1月至2018年12月期间在布卡武省综合参考医院外科住院的烧伤患者。根据情况，使用χ²检验、Fisher精确检验或Wilcoxon秩和检验来检验组间差异。采用多因素logistic回归分析患者因素和烧伤特征对住院死亡率、延长住院时间（=住院时间≥25天）和并发症发生情况的影响。研究人群包括100名患者，主要是农村出身的年轻男性，烧伤面积中等但深度较深。其中，46例出现并发症，12例死亡。中位住院时间为25天（四分位间距：15 - 42天）。住院死亡与烧伤总面积百分比“TBSA%”（比值比=3.96；95%置信区间=1.67 - 9.40）和三度烧伤（FTB）（10.68；1.34 - 84.74）独立相关；延长住院时间与三度烧伤（3.35；1.07 - 10.49）相关，并发症与农村出身（5.84；1.51 - 22.53）、TBSA%（3.96；1.67 - 9.40）、三度烧伤（4.08；1.19 - 14.00）以及多处烧伤（4.38；1.38 - 13.86）相关。住院死亡与TBSA%和三度烧伤相关，延长住院时间与三度烧伤相关，并发症与烧伤特征及患者的农村出身相关。需要进一步研究来调查所提供的烧伤护理对结局的影响。
