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入住亚的斯亚贝巴烧伤急诊和创伤医院重症监护病房的患者的入院和转归模式。

Patterns of admission and outcome of patients admitted to the intensive care unit of Addis Ababa Burn Emergency and Trauma Hospital.

机构信息

Department of Emergency and Critical Care Medicine, St. Paul`S Hospital Millennium Medical College, Addis-Ababa Burn, Emergency, and Trauma Hospital, Addis-Ababa, Ethiopia.

出版信息

Sci Rep. 2023 Apr 19;13(1):6364. doi: 10.1038/s41598-023-33437-z.

Abstract

Data on patterns of intensive care unit (ICU) admission including age, and severity of illness is essential in developing better strategies for resource allocation to improve outcomes. A 2-year cross-sectional study of 268 patients using a systematic random sampling and structured questionnaire obtained from the database was conducted with the aim of examining patterns of admission among patients admitted to the ICU of Addis Ababa burn emergency and trauma (AaBET) hospital. Data were entered into Epi-Info version 3.5.3 and exported to SPSS version 24 for analysis. Bivariate and multivariate logistic regression were used for association. A P-value of 0.05 at a 95% confidence interval was declared clinically significant. Of the 268 charts reviewed, 193 (73.5%) of them were men with a mean age of 32.6 years. Trauma accounted for 163 (53.4%) of admissions. Burn admission category, Glasgow coma score of 3-8, and not receiving pre-referral treatment were found to be substantially correlated with mortality in both bivariate and multivariate analysis. Trauma constituted a sizeable cause of ICU admission. Road traffic accidents of traumatic brain injuries were the major causes of admission. Developing good pre-referral care equipped with manpower and ambulance services will improve the outcome.

摘要

有关重症监护病房(ICU)入院模式的数据,包括年龄和疾病严重程度,对于制定更好的资源分配策略以改善预后至关重要。本研究采用系统随机抽样和从数据库中获取的结构化问卷,对 268 名患者进行了为期 2 年的横断面研究,目的是研究入住亚的斯亚贝巴烧伤急救和创伤(AaBET)医院 ICU 的患者的入院模式。数据输入 Epi-Info 版本 3.5.3 并导出到 SPSS 版本 24 进行分析。使用双变量和多变量逻辑回归进行关联分析。置信区间为 95%,P 值为 0.05 被认为具有临床意义。在审查的 268 份图表中,193 份(73.5%)为男性,平均年龄为 32.6 岁。创伤占 163 例(53.4%)。在单变量和多变量分析中,烧伤入院类别、格拉斯哥昏迷评分 3-8 和未接受转诊前治疗与死亡率显著相关。创伤是 ICU 入院的主要原因。创伤性脑损伤导致的道路交通事故事故是主要入院原因。制定配备人力和救护车服务的良好转诊前护理将改善预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2312/10115772/b83f8d4d4b58/41598_2023_33437_Fig1_HTML.jpg

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