Burns open : an international open access journal for burn injuries最新文献_第7页

Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facility 成人油脂烫伤与非油脂烫伤的处理注意事项：一家三级烧伤护理机构的回顾性队列研究

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-11-03 DOI: 10.1016/j.burnso.2024.100376

William Rice , Hemasree Yeluru , Miles Reese , Ricardo Rendel , Alexa Soult , Jessica Burgess

Introduction

Scald burns are challenging to manage due to their evolutionary nature and nuanced injury pattern. Different mediums, such as hot water, steam, or grease, each have unique physical properties that may inflict more damage and incite a different inflammatory response. While pediatric patients are often the focus of scald burn research, a significant number of adults still suffer from scald burns, especially while cooking with hot grease. Our study aimed to analyze differences in injury pattern and management between grease versus non-grease scald burns.

Materials and Methods

A retrospective chart review was done on all scald burn patients at a tertiary burn care center from January 2020 to December 2022. The primary outcomes were admission and length of stay with the primary exposure being grease versus non-grease scald burns. Secondary outcomes included rates of surgical excision and changes in surgical management plans. Multivariate regressions were employed to control for sex, age, total body surface area (TBSA), and burn thickness.

Results

Of 165 patients with scald burns, 41 out of 91 (45.1 %) with grease burns and 43 out of 74 (58.1 %) with non-grease burns were admitted. No statistically significant difference in length of hospital stay existed between admitted grease and non-grease burns (p = 0.45). Additionally, no differences were observed for surgical excision (p = 0.63) and changes in surgical management plans (p = 0.47)

Conclusion

The mechanism of scald burn caused by either a grease or non-grease source is not associated with any differences in admission, length of hospital stay, or surgical management. Scald burn management should still focus on patient age, TBSA, and burn thickness regardless of the causative agent.

导言烫伤由于其进化性质和细微的损伤模式，在处理上具有挑战性。不同的介质（如热水、蒸汽或油脂）都具有独特的物理特性，可能会造成更大的伤害并引发不同的炎症反应。虽然小儿患者通常是烫伤研究的重点，但仍有大量成年人遭受烫伤，尤其是在使用热油脂烹饪时。我们的研究旨在分析油脂烫伤与非油脂烫伤在损伤模式和处理方法上的差异。材料与方法我们对一家三级烧伤护理中心 2020 年 1 月至 2022 年 12 月期间的所有烫伤患者进行了回顾性病历审查。主要结果是入院时间和住院时间，主要暴露是油脂烫伤和非油脂烫伤。次要结果包括手术切除率和手术管理计划的变化。结果在 165 例烫伤患者中，91 例油脂烫伤患者中有 41 例（45.1%）入院治疗，74 例非油脂烫伤患者中有 43 例（58.1%）入院治疗。入院的油脂烧伤和非油脂烧伤患者的住院时间没有明显的统计学差异（P = 0.45）。此外，手术切除（p = 0.63）和手术管理计划变更（p = 0.47）方面也未观察到差异。无论致病因素如何，烫伤处理仍应关注患者年龄、总热膨胀系数和烫伤厚度。

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引用次数: 0

Microbial profile of burn wound injuries in the Northern West Bank − A retrospective cohort study 约旦河西岸北部烧伤创面的微生物特征--一项回顾性队列研究

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-11-03 DOI: 10.1016/j.burnso.2024.100379

Sameh Natsha , Hester Lacey , Souad Belkebir , Ann Attili , Aya Atatra , Rawand Daragmeh , Anas Abu-Safa , Baljit Dheansa , Rasha Khayyat

Background

Determining frequently colonizing microorganisms and typical demographics affected by burns in the West Bank is essential to aid timely and effective injury management.

Methods

This study included n = 435 patients with burn injuries between January 2018-December 2021 at a tertiary center in Nablus. Eligible medical records were reviewed, and relevant data extracted.

Results

n = 244 males and n = 191 females, average age 14.5 years were included. n = 227 had wound swab cultures, n = 80 which were positive. Scald injuries were the most common mechanism of injury (n = 314, n = 162 in males (p < 0.001), average age of 10.5 years). The most common organisms isolated were Pseudomonas aeruginosa (n = 17) and Staphylococcus aureus (n = 18). n = 17 multidrug resistant (MDR) organisms were cultured, MRSA most commonly (n = 9), followed by K. pneumoniae (ESBL) (n = 5). Overall length of stay (LOS) was 17.27 days in all patients and 28.2 days in those with MDR, with increasing LOS significantly associated with positive culture and MDR development of MDR (p < 0.001).

Conclusions

Younger male demographics and longer hospital admission increase the risk of burn wound colonization and MDR development in the Northern West Bank. Pseudomonas aeruginosa and Staphylococcus aureus were prevalent organisms isolated. MDR development represents a significant challenge in the effective management of injuries in an immunologically vulnerable cohort.

背景确定约旦河西岸烧伤患者中经常定植的微生物和典型的人口统计学特征对于帮助及时有效地进行伤情管理至关重要。方法本研究纳入了纳布卢斯一家三级中心 2018 年 1 月至 2021 年 12 月期间的 n = 435 名烧伤患者。结果男性244人，女性191人，平均年龄14.5岁，其中227人进行了伤口拭子培养，80人呈阳性。烫伤是最常见的受伤机制（n = 314，男性 n = 162（p < 0.001），平均年龄 10.5 岁）。最常见的分离菌是铜绿假单胞菌（n = 17）和金黄色葡萄球菌（n = 18）。培养出的耐多药（MDR）菌有 n = 17 种，其中 MRSA 最常见（n = 9），其次是肺炎双球菌（ESBL）（n = 5）。所有患者的总住院时间（LOS）为 17.27 天，MDR 患者的总住院时间为 28.2 天，住院时间的延长与培养阳性和 MDR 的发展显著相关（p < 0.001）。铜绿假单胞菌和金黄色葡萄球菌是主要的分离菌。MDR 的产生是对免疫力脆弱的人群进行有效治疗的重大挑战。

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引用次数: 0

Outcomes of burn patients presenting with hypotension within 48 hrs of admission to a level 1 Burn Centre 一级烧伤中心收治的 48 小时内出现低血压的烧伤患者的治疗结果

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-11-01 DOI: 10.1016/j.burnso.2024.100377

C.M. Burns , K.D. Boffard , M.S. Moeng

<div><h3>Introduction</h3><div>Burns is one of the important presentations in trauma surgery in both first and third-world countries. Hypotension is often seen in the clinical presentation of a burn injury. Hypotension is the strongest independent predictor of an adverse outcome, according to a study done on emergency departments’ hospital outcomes; the lower the systolic, the worse the outcome. No direct study shows that presenting with or developing hypotension within 48hrs of admission and burn injury will have a worse outcome in our low-middle income setting.</div></div><div><h3>Objectives</h3><div>To determine the outcomes of burn patients who developed hypotension within 48hrs of arrival at a Burn Centre in Johannesburg. In a singled time event.</div></div><div><h3>Methods</h3><div>A retrospective descriptive study was conducted at a Level 1 Trauma Centre Burn unit in Johannesburg from 01 Jan 2019 to 31 Dec 2020. Patients who had a hypotensive episode at any point during the 48 h period were recruited. Hypotension was defined as a systolic blood pressure of less than 90mmhg. The patients were then divided into two groups: those who presented with or developed hypotension within 48hrs and those who did not. After that, the in-hospital mortality of both groups was to be determined. The study included all the patients who presented to the Burn Centre. Those younger than 18, or requiring readmission in the same study or delayed admissions of more than 24 h were excluded. Demographics, burn information, resuscitation data, outcomes and disposition status were evaluated. The STATA Statistics/Data Analysis version 16.0 was used to analyse the data. The level of significance was set at a p-value < 0.05. Ethical approval was obtained from the Human Research Ethics Committee (HREC) (medical) of the University of the Witwatersrand with the clearance number: M220132.</div></div><div><h3>Results</h3><div>Of the 132 patients seen, only 105 met the study inclusion criteria. Most patients were male: 91/105 (86.6 %). Flame burns accounted for the majority of the burns, 64/105 (60.95 %), followed by electrical burns, 26/105 (24.76 %). Hot water and chemical burns only accounted for 11/105 (10.48 %) and 4 (3.81 %) cases. Hypotension within 48hrs was noted in 37/105(35 %) of the cases. Hypotensive patients had an increased burn depth (p = 0.03), higher inhalation rate component (p = <0.001), greater lactate levels(p = 0.00001), higher baux score(p = 0.00001) and more likelihood of being placed on the ventilator (p = <0.00001) or dialysis (p = 0.008). Mortality was noted in 16 (43 %) of the patients who developed hypotension compared to 5 (7.4 %) patients of non-hypotensive patients (p < 0.001). The mortality of patients who presented with or developed hypotension was 9.59 times (95 % CI 3.1–29.4; p = 0.00001) higher than those who did not develop hypotension. Age and TBSA affected by burn, were found to have significant predictive value for mortali

导言烧伤是第一世界和第三世界国家创伤外科的重要病症之一。烧伤的临床表现中经常出现低血压。根据一项针对急诊科住院结果的研究，低血压是预示不良预后的最强独立指标；收缩压越低，预后越差。没有任何直接研究表明，在我们这个中低收入国家，入院 48 小时内出现或发展为低血压的烧伤患者的预后会更差。目的确定在抵达约翰内斯堡烧伤中心 48 小时内发展为低血压的烧伤患者的预后。方法于2019年1月1日至2020年12月31日在约翰内斯堡的一级创伤中心烧伤科进行了一项回顾性描述性研究。研究招募了在 48 小时内任何时间点发生低血压的患者。低血压的定义是收缩压低于 90mmhg。然后将患者分为两组：在 48 小时内出现或发展为低血压的患者和未出现低血压的患者。之后，确定两组患者的院内死亡率。这项研究包括所有到烧伤中心就诊的患者。小于18岁、需要在同一研究中再次入院或延迟入院超过24小时的患者不在研究范围内。研究评估了人口统计学、烧伤信息、复苏数据、结果和处置状态。数据分析采用 STATA 统计/数据分析 16.0 版。显著性水平设定为 p 值为 0.05。该研究获得了威特沃特斯兰德大学人类研究伦理委员会（HREC）（医学）的伦理批准，批准号为 M220132：结果在接诊的 132 位患者中，只有 105 位符合研究纳入标准。大多数患者为男性：91/105（86.6%）。大多数烧伤是火焰烧伤，占 64/105 例（60.95%），其次是电烧伤，占 26/105 例（24.76%）。热水和化学烧伤仅占 11/105 例（10.48%）和 4 例（3.81%）。37/105（35%）例患者在 48 小时内出现低血压。低血压患者的烧伤深度增加（p = 0.03），吸入率增加（p = 0.001），乳酸水平升高（p = 0.00001），baux 评分升高（p = 0.00001），更有可能使用呼吸机（p = 0.00001）或进行透析（p = 0.008）。出现低血压的患者中有 16 人（43%）死亡，而未出现低血压的患者中只有 5 人（7.4%）死亡（p = 0.001）。出现或发展为低血压的患者的死亡率是未发展为低血压患者的 9.59 倍 (95 % CI 3.1-29.4; p = 0.00001)。年龄和受烧伤影响的总热稳定性面积分别对死亡率具有显著的预测价值（p = 0.0001）。由于样本量的原因，倾向匹配受到了限制。结论在专科重症监护病房收治的烧伤患者中出现了低血压。低血压与较高的 TBSA % 和年龄增长有关。就特征而言，低血压患者更有可能使用通气、肌注和透析等器官支持。低血压患者的住院时间缩短。低血压患者的死亡几率要高得多，而年龄和 TBSA 是重要的变量。

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引用次数: 0

Editorial Board Page 编辑委员会页面

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-11-01 DOI: 10.1016/S2468-9122(24)00055-5

引用次数: 0

Enhancing burn management outcomes through family support: A literature review of current evidence and best practices 通过家庭支持提高烧伤管理效果：当前证据和最佳实践文献综述

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-10-18 DOI: 10.1016/j.burnso.2024.100375

Deni Alia Yadi , Chandra Isabella Hostanida Purba , Tuti Pahria , Bejo Ropii , Maulidwina Bethasari , Arif Tri Prasetyo

Burns are identified as damage to the skin and organs, commonly resulting from contact with fire, electrical currents, radiation, heated liquids or surfaces, or chemical agents. It is considered as a challenging medical condition both physically and psychologically with significant morbidity and fatality rates. Optimal wound healing required not only extensive medical care such as fluid resuscitation, wound care, infection prevention, pain control, surgical interventions, but also strong emotional and social support from family member. This article presented and discussed the burden, the role of family, the challenges and strategy in improving the healing process and enhancing treatment outcomes through family engagement. Family involvement could minimize complication rates, enhance therapy adherence, and speed up patient rehabilitation. This review provide an overview of the value of family support in burn therapy while also adding fresh insights to the existing research on the role of family in improving burn patient outcomes.

烧伤是指皮肤和器官受损，通常是由于接触火、电流、辐射、加热的液体或表面或化学制剂造成的。烧伤在生理和心理上都是一种具有挑战性的医疗状况，发病率和死亡率都很高。最佳的伤口愈合不仅需要大量的医疗护理，如液体复苏、伤口护理、感染预防、疼痛控制、手术干预，还需要家人强有力的情感和社会支持。本文介绍并讨论了家庭的负担、家庭的角色、挑战以及通过家庭参与改善愈合过程和提高治疗效果的策略。家庭参与可以最大限度地降低并发症发生率，提高治疗依从性，加快患者康复。这篇综述概述了家庭支持在烧伤治疗中的价值，同时也为现有关于家庭在改善烧伤患者预后中的作用的研究增添了新的见解。

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引用次数: 0

Assessing a tertiary surgical units readiness to offer a fellowship in burn care in Africa 评估一家三级外科医院是否准备好在非洲提供烧伤护理奖学金

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-10-11 DOI: 10.1016/j.burnso.2024.100374

T. Netshiongolwe , S. Znamerovskyi , A. Muganza

The number of patients presenting with burn injuries in Africa is increasing [1,2], and these injuries can have devastating outcomes [3,4]. One contributing factor to these outcomes is the lack of adequately trained staff in providing expert burn wound care. There is little emphasis on training staff in caring for burn patients in Africa. Our goal was to assess the services offered at a specialized burn unit in South Africa and compare them to the recommendations of the American Burn Association for providing fellowship training in burn care. Establishing such a fellowship program will help train experts who can improve burn care services across Africa.

在非洲，烧伤患者的人数正在不断增加[1,2]，而这些烧伤可能会造成毁灭性的后果[3,4]。造成这些后果的一个因素是缺乏训练有素的人员来提供专业的烧伤创面护理。非洲很少重视对员工进行烧伤病人护理方面的培训。我们的目标是评估南非一家专业烧伤科提供的服务，并将其与美国烧伤协会关于提供烧伤护理研究金培训的建议进行比较。建立这样一个研究金项目将有助于培训专家，从而改善整个非洲的烧伤护理服务。

引用次数: 0

Cases of burns reported to health facilities in the Volta Region of Ghana, 2019–2023 2019-2023 年向加纳沃尔特地区医疗机构报告的烧伤病例

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-10-10 DOI: 10.1016/j.burnso.2024.100373

Maxwell Afetor , Samuel Adolf Bosoka , Williams Azumah Abanga , Victor Zeng , Christopher Sunkwa Tamal , Gyesi Razak Issahaku , Clement Tetteh Narh , Frank Baiden , Chrysantus Kubio

Introduction

Burn injuries represent a significant public health challenge in Ghana, highlighting the need for an improved surveillance system to improve the quality of epidemiological data for an informed decision making. This study aimed to present the incidence, trends, and distribution of burns in the Volta region of Ghana from 2019 to 2023.

Method

A retrospective secondary data analysis of burns data from the District Health Information Management System (DHIMS-2) was conducted from 2019 to 2023. Burn injuries were retrieved from the OPD morbidity report form whiles deaths from burns were retrieved from the cause of death report. Data was analysed descriptively with Microsoft Excel and Quantum Geographical Information System (QGIS), with results presented in tables and graphs.

Results

A total of 4,441 cases of burn injuries were reported between 2019 and 2023 with 20 cases resulting in death. Nearly 59 % of burns involved females. About a third (33.9 %) of cases involved persons aged 0–4 years. The overall average incidence of burn injuries was 51 per 100,000 population, with the highest incidence of 80 per 100,000 population reported in 2019.

Conclusion

Burns are an important cause of morbidity and mortality in the Volta Region of Ghana. There is however scanty data on the epidemiology of the condition in the region.

导言烧伤是加纳公共卫生面临的一项重大挑战，突出表明需要改进监测系统，以提高流行病学数据的质量，从而做出明智的决策。本研究旨在介绍2019年至2023年加纳沃尔特地区烧伤的发病率、趋势和分布情况。方法对2019年至2023年地区卫生信息管理系统（DHIMS-2）中的烧伤数据进行了回顾性二次数据分析。烧伤数据来自手术室发病率报告表，烧伤致死数据来自死因报告。数据使用 Microsoft Excel 和量子地理信息系统（QGIS）进行描述性分析，结果以表格和图表形式呈现。结果 2019 年至 2023 年期间共报告了 4,441 例烧伤病例，其中 20 例导致死亡。近 59% 的烧伤涉及女性。约三分之一（33.9%）的病例涉及 0-4 岁儿童。烧伤的总体平均发病率为每 10 万人 51 例，2019 年报告的最高发病率为每 10 万人 80 例。然而，有关该地区烧伤流行病学的数据却很少。

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引用次数: 0

A retrospective, single-center 4-year review of synthetic polyurethane matrix use in burns and other complex wounds 对烧伤和其他复杂伤口中使用合成聚氨酯基质的四年回顾性单中心研究

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-09-12 DOI: 10.1016/j.burnso.2024.100372

Muntazim Mukit , Payton Grande , David Hill , Kalyan Dadireddy , Sai Velamuri , Mahmoud Hassouba , Xiangxia Liu

Here we describe the use of a synthetic polyurethane matrix in the setting of burns and other complex wounds in the largest United States case series to date. A retrospective review was conducted at a verified, regional burn center. All patients greater than 18 years of age who received this matrix between January 2019 and July 2023 were included. A total of 182 patients with 250 wounds were included in this study. Thirty-seven percent were smokers, 23.6 % had diabetes and 5.5 % had peripheral vascular disease. The majority were acute burn wounds (60 %), followed by trauma (24.4 %), chronic wounds (5.6 %), infection (4 %) and donor sites (2 %). Exposed structures included fat (54 %), muscle (30 %), bone (16 %) and tendon (14.4 %). Microbial colonization was present in 143 (57.2 %) of cases: 98 (39.2 %) pre-application and 89 (35.6 %) post application. The incidence of new microbial colonisation post-application was 25.6 %. Infection was present in 117 (46.8 %) cases, 49 (19.6 %) pre-matrix application, 44 (17.6 %) post-matrix application and 24 (9.6 %) pre and post application. Eighteen patients (10 %) died. Median length of stay was 27 days. Median time to matrix implantation was 10 days. Median time from matrix placement to skin grafting was 35 days. Where documented, there were 162 wounds (83.5 %) with > 95 % matrix survival and 136 wounds (82.4 %) with > 95 % skin graft survival even in the setting of adverse factors such as infection, diabetes, or nicotine use. This study demonstrates the robustness of this skin substitute to achieve successful reconstruction even in the setting of adverse patient or wound characteristics.

在这里，我们描述了迄今为止美国最大的烧伤和其他复杂伤口病例系列中合成聚氨酯基质的使用情况。我们在一家经过验证的地区烧伤中心进行了回顾性研究。所有在 2019 年 1 月至 2023 年 7 月期间接受过这种基质治疗的 18 岁以上患者都被纳入其中。本研究共纳入了 182 名 250 处伤口的患者。37%的患者为吸烟者，23.6%患有糖尿病，5.5%患有外周血管疾病。大部分是急性烧伤（60%），其次是创伤（24.4%）、慢性伤口（5.6%）、感染（4%）和供体部位（2%）。暴露的结构包括脂肪（54%）、肌肉（30%）、骨骼（16%）和肌腱（14.4%）。143个病例（57.2%）存在微生物定植：98例（39.2%）在使用前，89例（35.6%）在使用后。使用后新微生物定植的发生率为 25.6%。117例（46.8%）病例出现感染，其中49例（19.6%）在使用基质前，44例（17.6%）在使用基质后，24例（9.6%）在使用前和使用后。18名患者（10%）死亡。住院时间中位数为 27 天。基质植入的中位时间为 10 天。从基质植入到植皮的中位时间为 35 天。即使在感染、糖尿病或使用尼古丁等不利因素的情况下，也有162个伤口（83.5%）的基质存活率达到95%，136个伤口（82.4%）的植皮存活率达到95%。这项研究证明了这种皮肤替代品的稳健性，即使在患者或伤口存在不利因素的情况下，也能成功实现重建。

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引用次数: 0

Strategies to reduce burn scarring 减少烧伤疤痕的策略

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-08-14 DOI: 10.1016/j.burnso.2024.100371

David G. Greenhalgh

Scarring is the primary complication of anyone suffering a burn injury. Despite years of research, there have been few advances in the prevention and treatment of any scar. Recent studies have identified many factors that contribute to scar formation, but despite understanding mechanisms, clinicians are unable to stop the inevitable processes of scarring. The goal of this review is to describe current methods to reduce scarring in burns. At the same time, key questions that should direct future research will be presented. Like many maladies, optimal early care should reduce these complications.

疤痕是烧伤患者的主要并发症。尽管经过多年的研究，但在疤痕的预防和治疗方面进展甚微。最近的研究发现了许多导致疤痕形成的因素，但尽管了解了这些机制，临床医生仍无法阻止疤痕形成的必然过程。本综述旨在介绍目前减少烧伤瘢痕形成的方法。同时，还将介绍指导未来研究的关键问题。与许多疾病一样，最佳的早期护理应能减少这些并发症。

引用次数: 0

Acute phase optimization in burn care: Online tools and comprehensive predictive models for adult and pediatric patients 烧伤护理的急性期优化：针对成人和儿童患者的在线工具和综合预测模型

Q3 Medicine

Burns open : an international open access journal for burn injuries

Pub Date : 2024-08-10 DOI: 10.1016/j.burnso.2024.100370

Enrico Cocchi , Fortunato Cassalia , Stefano Palo , Carmine D’Acunto , Anna Belloni Fortina , Marcello Stella , Davide Melandri

Background

Severe burn injuries significantly challenge acute medical care, particularly in resource-limited environments. Current predictive scoring systems, often impractical and adult-focused, neglect crucial aspects like mechanical ventilation and length of hospital stay (LOS).

Methods

This study analyzed 2,618 severe burn patients, developing new predictive models for survival, mechanical ventilation, and LOS, based on promptly accessible factors applicable in any setting.

Results

We observed significant seasonality and clear age- and gender-specific patterns, highlighting the necessity for targeted interventions. We developed and publicly released new predictive models for mortality, mechanical ventilation, and LOS for both adult and pediatric populations.

Discussion

Targeting deficiencies in existing scoring systems, this study potentially advances acute burn management, with a particular focus on resource-limited settings. It provides crucial insights into the epidemiology, etiology, and prognostic factors of severe burn injuries, encapsulated in 10 actionable points. We also present an innovative freely accessible online assessment tool: https://burn-scores.com.

Conclusion

By bridging gaps in current scoring methodologies and improving acute phase management, our research offers insights to improve clinical outcomes for severe burn patients globally. The integration of tailored predictive models and technology-driven solutions, especially relevant in resource-constrained settings, represents a major stride in enhancing the quality of burn care.

背景严重烧伤给急诊医疗带来了巨大挑战，尤其是在资源有限的环境中。目前的预测评分系统往往不切实际，而且以成人为重点，忽视了机械通气和住院时间（LOS）等关键方面。方法本研究分析了 2,618 名严重烧伤患者，根据适用于任何环境的可迅速获取的因素，开发了新的存活率、机械通气和住院时间预测模型。结果我们观察到显著的季节性以及明显的年龄和性别特异性模式，突出了有针对性干预的必要性。我们为成人和儿童人群开发并公开发布了新的死亡率、机械通气和持续时间预测模型。讨论针对现有评分系统的不足，这项研究可能会促进急性烧伤的管理，尤其是在资源有限的环境中。它提供了关于严重烧伤的流行病学、病因学和预后因素的重要见解，概括为 10 个可操作的要点。我们还介绍了一种可免费访问的创新型在线评估工具：https://burn-scores.com.ConclusionBy 弥补了当前评分方法的不足，改善了急性期管理，我们的研究为改善全球严重烧伤患者的临床预后提供了真知灼见。整合量身定制的预测模型和技术驱动型解决方案（尤其适用于资源有限的环境）是提高烧伤护理质量的一大进步。

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引用次数: 0