50区烧伤患者死亡率分析。

Bajram Abdullahu, M. Belba
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引用次数: 0

摘要

背景;临床结果是最可衡量的重症监护活动。虽然每个烧伤中心都有自己的局限性,但很明显,存在一个烧伤后的最低生存标准,即LA50(致命区域50)。本研究的目的是介绍2009-2019年阿尔巴尼亚严重烧伤的人口统计学和流行病学特征,并分析烧伤死亡率作为分析LA 50的重要结局指标。材料与方法;该研究是回顾性临床和分析性的。由于我们的烧伤中心是全国唯一的一个,它涵盖了所有从首都来的中度烧伤和严重烧伤的病例。所使用的数据是通过分析2009-2019年阿尔巴尼亚地拉那大学医院中心附近烧伤服务ICU住院的1684例患者的医疗记录获得的。结果;将这10年(2009-2019年)与前10年(1998-2008年)进行比较,我们的烧伤患者死亡率逐渐下降(6.89%对10.5%),尽管平均烧伤BSA(%)增加到25.6±19.1%(22.8±14.7%)。所有患者的LA 50为80.04%,儿童为77.7%,成人为87%,老年人为52.28%。2009-2019年ICU烧伤死亡率平均为每10万人0.35例/年。结论;长期的研究和我们的结果与其他烧伤中心的结果的比较使我们能够确定实际的护理水平,并建立当代协议,以改善治疗,降低死亡率。la50表示的总死亡率的改善将其作为一项重要的结果衡量指标。
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Analyzing Mortality in Burned Patients with Lethal Area 50.
Background; Clinical outcome is the most measurable of the critical care activity. Although every burn center has its own particular limitations, it is clear that exists a minimum standard of survival after burn injury which is LA50 (Lethal Area 50). The aim of this study is to present demographic and epidemiologic features of severe burns in Albania in the period 2009-2019 and to analyze burn mortality as an important outcome measure analyzing LA 50. Material and Methods; The study is retrospective clinical and analytical. Since our burn center is the only one in the country it encompasses all the cases with moderate burns from the capital and severe burns. The data used are obtained by the analysis of the medical records of 1684 patients hospitalized in Burns Service ICU near University Hospital Center in Tirana, Albania during 2009-2019. Results; While comparing the decade (2009-2019) with the previous one (1998-2008) there is a progressive decrease of mortality (6.89% versus 10.5%) of our burn patient population although mean BSA (%) burned increased to 25.6±19.1 % (versus 22.8±14.7%). LA 50 for all patients was 80.04%, for children was 77.7%, for adults was 87% and for elderly was 52.28%. The mortality rate of all ICU burns as an average for 2009-2019 was 0.35 cases per 100000 population/year. Conclusions; The long-term studies and the comparison of our results with the ones of other burn centers have allowed us to determine the actual level of care and as well as to build up contemporary protocols in order to improve the treatment with the objection decreasing the mortality. Improvements in overall mortality expressed by LA 50 noticed it as an important outcome measure.
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