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弥合虚弱与烧伤:将急性烧伤定义为导致长期虚弱的原因。

Bridging frailty and burns: Defining acute burn injury as a cause of long-term frailty.

机构信息

Department of Hand-, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany; Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Joseph Still Burn Research Foundation, USA.

出版信息

Maturitas. 2024 Sep;187:108061. doi: 10.1016/j.maturitas.2024.108061. Epub 2024 Jun 26.

Abstract

Although our understanding of frailty has evolved and multiple indices have been developed, the impact of burn injuries on long-term health has been overlooked. With over 11 million annual cases globally, burns affect all demographics, although socioeconomic disparities are evident. With survival rates improved, morbidity among survivors is becoming more evident, and shows similarity to predictors of frailty. Some of the chronic effects of burns, including mental health issues and increased risks of disease, mirror frailty markers. Studies show burn survivors have lower life expectancy, independent of burn severity. Integrating burn history into frailty assessments and establishing specialized long-term care can mitigate this frailty risk. Improved interdisciplinary follow-up and research are vital for enhancing burn survivors' quality of life and longevity.

摘要

尽管我们对虚弱的认识已经发展,并且已经开发出多种指标,但烧伤对长期健康的影响一直被忽视。全球每年有超过 1100 万例烧伤,烧伤影响所有人群,但社会经济差异明显。随着生存率的提高,幸存者的发病率越来越明显,并且与虚弱的预测因素相似。烧伤的一些慢性影响,包括心理健康问题和疾病风险增加,与虚弱的标志物相似。研究表明,烧伤幸存者的预期寿命较低,与烧伤严重程度无关。将烧伤史纳入虚弱评估并建立专门的长期护理可以降低这种虚弱风险。改善跨学科随访和研究对于提高烧伤幸存者的生活质量和延长寿命至关重要。

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