Facteurs associés à une issue défavorable chez les brûlés hospitalisés.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2023-08-01 DOI:10.5588/pha.23.0007

F Niyonzima, H Mboma Kamosi, J Soro, O Ntihabose, D Hehadji, E Briskin

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Abstract

Background: In 2015, Médecins Sans Frontières opened the Arche Kigobe Trauma Centre in Bujumbura, Burundi, to treat victims of violence, and in 2016 extended the admission criteria to burns, without a specialised unit to treat these.

Objective: To study the factors associated with an unfavourable outcome (death, referrals and discharges against medical advice) in burn patients hospitalised at this centre.

Method: This is a retrospective descriptive and analytical study of hospitalised burn patients.

Results: From 2016 to 2020, 477 patients were hospitalised at the Centre for burns, of whom 301 (63%) were less than 5 years old, 169 (35%) were female, and 48 (10%) had an unfavourable outcome. Anaemia (OR 11, 95% CI 2.7-48), infection (OR 11, 95% CI 5.7-22), and smoke inhalation (OR 28, 95% CI 7-111) were among the main factors associated with an unfavourable outcome.

Conclusion: To minimise adverse outcomes related to inhalation and infection in burn patients, a septic isolation circuit, training, a bacteriology service and continuous positive airway pressure could be implemented even in resource-limited settings.

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与住院烧伤患者不良结局相关的因素。

背景:2015年，无国界医生组织在布隆迪布琼布拉开设了基戈贝拱门创伤中心，治疗暴力受害者，并于2016年将入院标准扩大到烧伤，但没有专门的治疗单位。目的:研究在本中心住院的烧伤患者出现不良结果(死亡、转诊和不遵医嘱出院)的相关因素。方法:对住院烧伤患者进行回顾性、描述性和分析性研究。结果:2016年至2020年，该中心共收治477例烧伤患者，其中301例(63%)为5岁以下儿童，169例(35%)为女性，48例(10%)预后不良。贫血(OR 11, 95% CI 2.7-48)、感染(OR 11, 95% CI 5.7-22)和烟雾吸入(OR 28, 95% CI 7-111)是与不利结果相关的主要因素。结论:为了尽量减少烧伤患者吸入和感染相关的不良后果，即使在资源有限的情况下，也可以实施化粪池隔离、培训、细菌学服务和持续气道正压通气。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.