Comparison of burn size estimates between prehospital reports and burn center evaluations.
Comparison of burn size estimates between prehospital reports and burn center evaluations.
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DOI：
10.1097/00004630-198609000-00007
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发表时间：
1986-09-01
期刊：
影响因子：
--
通讯作者：
Slater, H
中科院分区：
文献类型：
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作者：
Berkebile, B L;Goldfarb, I W;Slater, H
烧伤面积的初步估计与实际体表受累之间的差异可能会对医疗费用和临床管理产生重大影响。对城市烧伤中心 29 个月内收治的 193 名烧伤患者的记录进行统计分析，发现除 21 例外，所有院前烧伤面积估计值都不可靠。全身表面烧伤高估113例，低估59例，高估与低估比例为1.92：1.00。准确的院前估计有助于在烧伤护理的早期阶段更好地管理患者。高估的频率表明，最大限度的护理设施可能不必要地负担过重，导致人员使用效率低下和成本增加。
Discrepancies between initial estimates of burn size and actual body surface involvement may impact significantly on medical costs and clinical management. In this statistical analysis of the records of 193 burn patients admitted to an urban burn trauma center over a 29-month period, prehospital burn size estimates were found to be unreliable in all but 21 cases. Total body surface burn was overestimated in 113 cases and underestimated in 59 cases, yielding an overestimation-to-underestimation ratio of 1.92: 1.00. Accurate prehospital estimates can facilitate better patient management in the early stages of burn care. The frequency of overestimation suggests that maximum-care facilities may be being overburdened needlessly, resulting in inefficient use of staff and greater costs.