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吉马医疗中心烧伤科收治烧伤患者的临床特征及治疗结果

Clinical Profiles and the Outcomes of Burn Patients Admitted to the Burn Unit of Jimma Medical Center.

作者信息

Mulugeta Temesgen, Alemayehu Henock, Gerema Urge

机构信息

Jimma University, Institute of Health, School of Pharmacy, Department of Clinical Pharmacy, Jimma, Oromia, Ethiopia.

Jimma University, Institute of Health, School of Biomedical Sciences, Anatomy Course Unit, Jimma, Oromia, Ethiopia.

出版信息

Clin Cosmet Investig Dermatol. 2021 Jul 12;14:859-866. doi: 10.2147/CCID.S322486. eCollection 2021.

Abstract

BACKGROUND

Burn is a serious public health problem and a leading cause of disability and disfigurement. However, there was no published study from our Hospital Burn Unit that assessed the clinical profiles and the outcomes of burn patients.

OBJECTIVE

This study was aimed to assess the clinical profiles and the outcomes of patients admitted with burn injuries.

METHODS

Hospital-based retrospective cross-sectional study was conducted at the Burn Unit of JMC. Systematic random sampling was used to include the burn patients. Data were analyzed using SPSS version 25. Descriptive statistics, chi-square ( ), and student--test were performed to describe and assess the relationships between the variables. Multivariate logistic regression was performed to determine the factors affecting the length of hospital stays.

RESULTS

One hundred twenty-four burn patients (51.6% female) were included. The majority (79.84%) of the patients were in the age category of less than 29 years. Scalds (47.6%) were the most common cause of burns with three times in females. The extremities (93.5%) were the most frequently affected areas. Patients with second-degree superficial burns accounted for 61.3% of all patients. In 95.88% of the patients, the total body surface area burn (TBSA) was below 20%. Lactated ringers (69.4%) and tramadol (71.0%) were the most frequently used IV fluid for resuscitation and analgesic agent for pain, respectively. Patients who undergo any of the surgical procedures stayed in the hospital for greater than 30 days more than 4 times likely (OR = 4.8, 95% CI 2.08-11.2, P < 0.001).

CONCLUSION

Scalds are the most common cause of burn injury, particularly in patients aged less than 14 years. Educating the community about the risk groups, household safety precautions, and early seeking medical care may reduce the incidence and morbidity of burn injuries.

摘要

背景

烧伤是一个严重的公共卫生问题,也是导致残疾和毁容的主要原因。然而,我院烧伤科尚无已发表的研究评估烧伤患者的临床特征和预后。

目的

本研究旨在评估烧伤患者的临床特征和预后。

方法

在JMC烧伤科进行基于医院的回顾性横断面研究。采用系统随机抽样纳入烧伤患者。使用SPSS 25版软件进行数据分析。进行描述性统计、卡方检验和学生t检验来描述和评估变量之间的关系。进行多因素逻辑回归以确定影响住院时间的因素。

结果

共纳入124例烧伤患者(女性占51.6%)。大多数患者(79.84%)年龄小于29岁。烫伤(47.6%)是最常见的烧伤原因,女性发生率是男性的三倍。四肢(93.5%)是最常受累部位。浅二度烧伤患者占所有患者的61.3%。95.88%的患者烧伤总面积(TBSA)低于20%。乳酸林格液(69.4%)和曲马多(71.0%)分别是复苏最常用的静脉输液和止痛最常用的镇痛药。接受任何手术治疗的患者住院时间超过30天的可能性是未接受手术患者的4倍多(OR = 4.8,95%CI 2.08 - 11.2,P < 0.001)。

结论

烫伤是烧伤的最常见原因,尤其是在14岁以下的患者中。对社区进行危险人群、家庭安全预防措施和早期就医教育,可能会降低烧伤的发生率和发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef8/8285515/23982c8b8275/CCID-14-859-g0001.jpg

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