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预测烧伤患者的死亡率:烧伤死亡率危险因素的文献综述及其在评分系统中的应用

Predicting Mortality in Burn Patients: Literature Review of Risk Factors for Burn Mortality and Application in Scoring Systems.

作者信息

Wardhana A, Wibowo J

机构信息

Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

出版信息

Ann Burns Fire Disasters. 2023 Mar 31;36(1):3-10. eCollection 2023 Mar.

Abstract

Despite advances in medical technology, mortality due to burn injuries remains significant. Scoring systems are aimed at allowing physicians to effectively and accurately predict the mortality of a given patient. Patients at a higher risk of death from burns include older patients over the age of 65, high-severity burn, presence of co-morbidities, and presence of inhalation injury. Constructing a burn prediction model also needs its own methodological standards. Hence, choosing a prediction model for predicting burn mortality requires careful analysis of its methodology. Attention towards mortality risk factors should be taken when treating burn patients. Tools such as burn prediction models prove helpful in aiding physicians to accurately and effectively predict a patient's mortality, stratify patient severity, and allocate resources appropriately, especially in settings where resources are scarce, such as natural disasters. Additionally, prediction models are used to monitor patient care and for research purposes.

摘要

尽管医学技术不断进步,但烧伤所致的死亡率仍然很高。评分系统旨在让医生能够有效且准确地预测特定患者的死亡率。烧伤死亡风险较高的患者包括65岁以上的老年患者、严重烧伤、存在合并症以及存在吸入性损伤。构建烧伤预测模型也需要其自身的方法标准。因此,选择用于预测烧伤死亡率的预测模型需要仔细分析其方法。在治疗烧伤患者时应关注死亡风险因素。诸如烧伤预测模型之类的工具被证明有助于帮助医生准确有效地预测患者的死亡率、对患者严重程度进行分层以及合理分配资源,尤其是在资源稀缺的情况下,如自然灾害。此外,预测模型还用于监测患者护理情况和研究目的。

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Prognostic scoring systems in burns: a review.烧伤预后评分系统:综述。
Burns. 2011 Dec;37(8):1288-95. doi: 10.1016/j.burns.2011.07.017. Epub 2011 Sep 21.

本文引用的文献

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Ethics of Burn Wound Care in a Low-Middle Income Country.低收入和中等收入国家烧伤伤口护理的伦理学
AMA J Ethics. 2018 Jun 1;20(1):575-580. doi: 10.1001/journalofethics.2018.20.6.msoc1-1806.
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The measured effect magnitude of co-morbidities on burn injury mortality.共病对烧伤死亡率的测量效应量。
Burns. 2016 Nov;42(7):1433-1438. doi: 10.1016/j.burns.2016.03.007. Epub 2016 Sep 1.

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