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首页> 外文期刊>The Professional Medical Journal >Causes of death and factors affecting mortality a 4 years study at a tertiary care hospital
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Causes of death and factors affecting mortality a 4 years study at a tertiary care hospital

机译:影响死亡率的死亡原因和第四岁的第三次护理医院研究

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Aim: To determine major risk factors of mortality and causes of death in patients presented with burn injury. Study design: Prospective Descriptive Study. Setting and duration: Department of Burns and Plastic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan from April 2008 and June 2012. Methodology: A prospective descriptive study was performed among the patients who admitted to the Department of Burns and Plastic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan between April 2008 and June 2012. All relative information was collected through a detailed proforma and patient's treatment files. Patients of any age, any degree of burns and burns exceeding 10% TBSA were included. Patients presenting after more than one week post burn or patients referred from other hospitals were excluded. Within this period, demographic data, treatment, and outcomes of treatment were reviewed and analyzed. Survivors and non-survivors among burn patients were compared to define the predictive factors of mortality. Results: Between April 2008 and June 2012, 1850 patients were admitted with burn injuries. There were 1150 male patients (62%) and 700 female patients (38%). Mean age was 36 years with range of 1-70 years. Inhalation injuries were present in 45 patients (2.40%). Causes were flame burns (65.0%), electrical burns (15%), scalds (13%) and chemical burns (7.0%). The total body surface area (TBSA) burn ranged from 10- 100%, with a mean of 38% TBSA burn. Mean length of hospital stay was 12 days (ranging from 24 hours to 170 days). Mor tality rate was 11.2%. Higher age, larger burn area, wound infection, longer hospital stay and the presence of multi-system organ failure significantly predicted increased mortality. Conclusions: Prevention is a key factor in reducing the morbidity and mor tality associated with burn injury. A campaign to educate people that burns can be prevented will be important in our community. The prevention of multi-organ failure and septicemia are likely to be more effective than their treatment
机译:目的:鉴定烧伤损伤患者死亡率的主要危险因素和死亡原因。研究设计:前瞻性描述性研究。设定和持续时间:2008年4月和2012年6月,Peshakistan,Peshakistan,Peshawar教学医院的烧伤和整形外科。方法论:在烧伤和整形外科,Khyber教学医院患者中进行了预期描述性研究,2008年4月至2012年6月之间的Peshahistan。通过详细的形式和患者的治疗文件收集所有相关信息。包括任何年龄的患者,包括任何烧伤程度和超过10%TBSA的烧伤。患者在超过一周后烧伤或其他医院提到的患者被排除在外。在此期间内,综述并分析了治疗的人口统计数据,治疗和结果。比较烧伤患者的幸存者和非幸存者,以确定死亡率的预测因素。结果:2008年4月至2012年6月,1850名患者患有烧伤伤害。有1150名男性患者(62%)和700名女性患者(38%)。平均年龄36岁,范围为1-70岁。吸入伤害45名患者(2.40%)存在。原因是火焰烧伤(65.0%),电气烧伤(15%),烫伤(13%)和化学烧伤(7.0%)。总体表面积(TBSA)燃烧的范围为10-100%,其平均为38%TBSA燃烧。住院住院的平均长度为12天(从24小时到170天)。 Mor Talys率为11.2%。较高的年龄,较大的烧伤区域,伤口感染,较长的住院住宿和多系统器官衰竭的存在显着预测了死亡率增加。结论:预防是降低与烧伤损伤相关的发病率和男性的关键因素。教育燃烧的人的运动将被阻止在我们的社区中很重要。预防多器官衰竭和败血症可能比治疗更有效

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