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影响烧伤死亡率的因素分析:巴基斯坦一家国家烧伤中心2007 - 2021年的经验

Analysis of Factors Affecting Burns Mortality: A National Burn Centre Experience From Pakistan 2007-2021.

作者信息

Rehan M, Iqbal T, Sarwar M, Khan M S, Tariq M H, Waheed U

机构信息

Department of Burn and Reconstructive Surgery, Burn Care Centre, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan.

出版信息

Ann Burns Fire Disasters. 2023 Dec 31;36(4):286-292. eCollection 2023 Dec.

Abstract

Burns are a public health concern burdening the healthcare delivery system across the globe. Mortality rates are significant outcome parameters after a burn injury. The objective of the current study was to analyze the characteristics of the patients admitted to our burn care center and identify the factors related to mortality in the burn patients. This was a cross-sectional single-center study involving a retrospective analysis of mortality rates in burn patients over a period of 15 years from July 2007 to December 2021. During the study period, 7,866 burn patients were admitted to the ICU of the burn care center. Patients who died [Group 1] were compared to the group of survivors (control cases [Group 2]) to ascertain the contributing factors that might forecast a high risk for mortality. The mortality rate was calculated as 23.16% (1,822/7,866). The majority of the patients (both groups) had a total body surface area (TBSA) of >50% (p 0.001). The average duration of stay at the burn care center was 15.5 days for the survivors' group (Group 2) while it was 11.4 days for the patients who died (Group 1) during the course of their treatment. About 23.16% of all admitted patients died mostly from flame burns, and sepsis was the commonest cause of death. Patients with risk factors should be classified as high risk for mortality at the time of ICU admission. It is necessary to initiate educational and awareness programs for sensitization related to the prevention of burn injuries.

摘要

烧伤是一个全球范围内困扰医疗保健系统的公共卫生问题。死亡率是烧伤后的重要结果参数。本研究的目的是分析入住我们烧伤护理中心的患者特征,并确定与烧伤患者死亡率相关的因素。这是一项横断面单中心研究,对2007年7月至2021年12月期间15年的烧伤患者死亡率进行回顾性分析。在研究期间,7866名烧伤患者入住了烧伤护理中心的重症监护病房。将死亡患者[第1组]与存活组(对照病例[第2组])进行比较,以确定可能预示高死亡风险的影响因素。死亡率计算为23.16%(1822/7866)。大多数患者(两组)的全身表面积(TBSA)>50%(p<0.001)。存活组(第2组)在烧伤护理中心的平均住院时间为15.5天,而死亡患者(第1组)在治疗过程中的平均住院时间为11.4天。所有入院患者中约23.16%主要死于火焰烧伤,败血症是最常见的死亡原因。有危险因素的患者在入住重症监护病房时应被归类为高死亡风险。有必要启动教育和提高认识计划,以提高对预防烧伤的认识。

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