Why burn patients are referred?
Why burn patients are referred?
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DOI：
10.1016/j.burns.2016.09.007
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发表时间：
2017-05-01
期刊：
影响因子：
2.7
通讯作者：
Karimi, Hamid
中科院分区：
文献类型：
--
作者：
Latifi, Noor-Ahmad;Karimi, Hamid
背景：根据美国烧伤协会(ABA)的标准，许多烧伤患者需要转诊到三级烧伤医院。本研究的目的是验证烧伤病人转诊至医院的原因。材料与方法：连续2年对某三级烧伤教学医院转诊的烧伤病人进行前瞻性调查。采用SPSS软件V21.0对以下变量进行统计分析：烧伤原因；年龄；性别；转诊中心测量的总体表面积；收容中心测量的体表面积；伴随疾病和创伤；转诊原因；患者在运输前和运输过程中的情况；运输时间；是否感染；是否存在吸入性损伤、电伤和化学损伤；虐待儿童；保险覆盖范围；以及患者的结果和转归。结果：研究期间共有578名烧伤患者入院，占住院患者总数的33.6%。在这些患者中，70.9%是女性。患者的平均年龄为35.3岁(19.69岁)，平均年龄为45.2岁(26.3岁)。在578例患者中，45%的患者是根据家属或患者的要求转诊的；9%的转诊是因为缺乏诊断设施，大约43%的转诊是因为需要在三级烧伤中心住院，0.7%的转诊是因为其他医院缺乏能力，0.5%的转诊是因为对TBSA的估计错误。结论：总共45%的转诊是应家属和患者的要求。远程医疗可能有助于在烧伤专家和患者之间建立直接联系，从而减少不必要的转移。大约9%的转诊是因为缺乏一些诊断设施。(C)2016爱思唯尔有限公司和ISBI。版权所有。
Background: Many burn patients are needed to be referred to a tertiary burn hospital according to the American Burn Association (ABA) criteria. The purpose of this study was to verify the reasons for referring of the burn patients to the hospital.Materials and methods: For 2 years, we prospectively surveyed the burn patients referred to a tertiary teaching burn hospital. Data for the following variables were collected and analyzed with SPSS software V21.0: causes of burn; age; gender; total body surface area (TBSA) measured at the referring center; TBSA measured at the receiving center; concomitant diseases and traumas; the reason for referral; condition of patients before and during the transportation; transportation time; presence of infection; presence of inhalation injury, electrical injury, and chemical injury; child abuse; insurance coverage; and results and outcomes of patients.Results: A total of 578 burn patients (33.6% of the total admissions) were referred in the study period. Among these patients, 70.9% were females. The mean (SD) age of the patients was 35.3 (19.69) years.The mean (SD) of TBSA was 45.2 (26.3).Of the 578 patients, 45% were referred by request of the family or patients; 9% were referred because lack of diagnostic facility, approximately 43% were referred because of the need to be admitted in a tertiary burn center, 0.7% were referred because of a lack of capacity at other hospitals, and 0.5% were referred because of an error in the estimation of TBSA.Conclusions: A total of 45% of the referrals were by request of the family and patients. Telemedicine may help to establish a direct contact between expert burn physicians and the patients and thus reduce unnecessary transfers.Approximately 9% of the referrals were because of lack of some diagnostic facilities. (C) 2016 Elsevier Ltd and ISBI. All rights reserved.