Angelou Irene K, van Aswegen Heleen, Wilson Moira, Grobler Regina
Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Department of Physiotherapy, Netcare Milpark Hospital, Johannesburg, South Africa.
S Afr J Physiother. 2022 Jan 11;78(1):1543. doi: 10.4102/sajp.v78i1.1543. eCollection 2022.
Patients with major burns suffer with pain, which impacts their physical function during hospitalisation.
To describe the demographics, burn characteristics, clinical course, physical function, complications developed after major burns and to establish predictors of non-independent physical function at hospital discharge.
Records of all consecutive adult burn admissions to a Level 1 Trauma Centre between 2015 and 2017 were screened retrospectively against our study criteria, using the Trauma Bank Data Registry. Anonymised data from included records were captured on specifically designed data extraction forms. Descriptive statistics were used to summarise findings. A regression analysis was undertaken to establish predictors of non-independent function at discharge.
Males represented 87.7% ( = 64) of included records ( = 73). Median age was 38 (interquartile range [IQR]: 22). Thermal burns were most reported ( = 47, 64.4%), followed by median total body surface area (TBSA) 31% and head and arms were most affected (60.3% and 71.2%). Injury severity was high with median intensive care unit (ICU) length of stay (LOS) of 17 (IQR: 34) and hospital LOS 44 (IQR: 31) days. Wound debridement was mostly performed ( = 27, 36.9%) with limb oedema as a common complication ( = 15, 21.7%). Muscle strength and functional performance improved throughout LOS. None of the variables identified were predictors of non-independent function at hospital discharge.
Adults with major burns were predominantly male, in mid-life and sustained thermal injury with a high injury severity. Decreased range of motion (ROM) of affected areas, 'fair' muscle strength and independent function were recorded for most patients at hospital discharge.
These findings contribute to the limited body of evidence on the profile, clinical course and outcomes of South African adult burn patients.
严重烧伤患者遭受疼痛折磨，这会影响他们住院期间的身体功能。
描述严重烧伤患者的人口统计学特征、烧伤特点、临床病程、身体功能、烧伤后出现的并发症，并确定出院时身体功能不能独立的预测因素。
使用创伤数据库数据登记系统，根据我们的研究标准，对2015年至2017年间连续入住一级创伤中心的所有成年烧伤患者的记录进行回顾性筛查。从纳入记录中提取的匿名数据记录在专门设计的数据提取表格上。采用描述性统计来总结研究结果。进行回归分析以确定出院时功能不能独立的预测因素。
纳入记录的男性占87.7%（n = 64）（N = 73）。中位年龄为38岁（四分位间距[IQR]：22）。热烧伤报告最多（n = 47，64.4%），其次是中位总体表面积（TBSA）为31%，头部和手臂受影响最严重（分别为60.3%和71.2%）。损伤严重程度较高，中位重症监护病房（ICU）住院时间（LOS）为17天（IQR：34），住院LOS为44天（IQR：31）。伤口清创术最常进行（n = 27，36.9%），肢体水肿是常见并发症（n = 15，21.7%）。在整个住院期间，肌肉力量和功能表现有所改善。所确定的变量均不是出院时功能不能独立的预测因素（P>0.05）。
严重烧伤的成年人以男性为主，处于中年，遭受热损伤且损伤严重程度高。大多数患者出院时受影响部位的活动范围（ROM）减小、肌肉力量“中等”且功能独立。
这些发现为关于南非成年烧伤患者的概况、临床病程和结局的有限证据提供了补充。
