AN ANALYSIS OF BURN MORTALITY - A REPORT FROM A SPANISH-REGIONAL-BURN-CENTER

AN ANALYSIS OF BURN MORTALITY - A REPORT FROM A SPANISH-REGIONAL-BURN-CENTER
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DOI:
10.1016/0305-4179(91)90104-o
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发表时间:
1991-06-01
期刊:
影响因子:
2.7
通讯作者:
MIRABETIPPOLITO, V
MIRABETIPPOLITO, V
中科院分区:
医学3区
文献类型:
--
作者:
BENITORUIZ, J;NAVARROMONZONIS, A;MIRABETIPPOLITO, V

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本文根据我院1985 ~ 1988年收治的710例烧伤病人的死亡率及相关因素进行分析。 患者的平均年龄为23.8岁,平均烧伤面积为体表面积的14%。 烧伤主要影响男子(66%),其死亡率高于妇女。 总死亡率为6.6%,致命伤患者的平均年龄为54岁。 我们确认,烧伤患者的死亡率与以下因素密切相关:年龄(51%的患者年龄在60岁以上);烧伤面积(68%的患者烧伤面积超过30%总烧伤面积);烧伤深度(57.4%的患者为全层皮肤烧伤);吸入性损伤(66%的致命伤患者存在吸入性损伤);以及相关的风险因素。 烧伤的主要原因是火灾,主要来自家庭事故。 致命伤患者的平均生存时间为10天。 最后,我们的预期死亡率遵循线性回归模型,仅全层皮肤烧伤患者的LA 50为50%。
This paper reports an analysis of the mortality rates and related factors in our Burn Centre, based on 710 patients treated between 1985 and 1988. The average age of the patients was 23.8 years and the average burn size was 14 per cent of the body surface area. Burning injury affected mainly men (66 per cent), and their mortality rate was higher than that of women. The overall mortality rate was 6.6 per cent, the average age of the fatally injured patients being 54 years. We confirm that mortality in burned patients is closely related to: age (51 per cent of the patients were over 60 years of age); burn size (68 per cent of the patients had burns covering more than 30 per cent TBS); burn depth (57.4 per cent had full skin thickness burns); inhalation injury (present in 66 per cent of the fatally injured); and associated risk factors. The main cause of the burning injury was flames, chiefly from domestic accidents. The average survival time for the fatally injured patients was 10 days. Finally, our expected mortality followed a linear regression model, the LA50 for patients with only full skin thickness burns was 50 per cent.