Recent outcomes in the treatment of burn injury in the United States: A report from the American Burn Association Patient Registry
Recent outcomes in the treatment of burn injury in the United States: A report from the American Burn Association Patient Registry
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DOI：
10.1097/00004630-199505000-00002
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发表时间：
1995-01-01
期刊：
影响因子：
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通讯作者：
Group, American Burn Association Registry Participant
中科院分区：
文献类型：
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作者：
Saffle, Jeffrey R.;Davis, Byron;Group, American Burn Association Registry Participant
本文报告了1991-1993年在28个烧伤中心治疗的6417例病人的结果。数据是通过使用阿坝的计算机化患者登记处收集的。平均烧伤面积为全身表面积的14.1%。有6087名幸存者（95.9%）;吸入性损伤患者的死亡率为29.4%。使用概率单位分析构建一系列存活曲线;年轻成人的LA-50（定义为50%患者致死的烧伤面积）为81%总体表面积。平均住院时间为13.5天。总平均费用为39，533，资源利用与临床并发症因素和住院时间有关。无法找到可靠的方法来预测入院时的生存率。最密集的诊断相关组（第472号）的平均费用超过每名患者198，000美元。本研究中使用的汇总数据和相关汇总统计量存在一些局限性，对此进行了讨论。烧伤护理社区需要关于热损伤治疗结果的额外准确信息。
This article reports outcomes of 6417 patients treated during 1991-1993 in 28 burn centers. Data were gathered by use of the ABA's computerized patient registry. Mean burn size was 14.1% total body surface area. There were 6087 survivors (95.9%); mortality rate among patients with inhalation injury was 29.4%. A probit analysis was used to construct a series of survival curves; the LA-50 (which is defined as the burn size lethal to 50% of patients) for young adults was 81% total body surface area. Mean length of hospital stay was 13.5 days. Total mean charges were 39,533, with resource utilization related to clinical comorbidity factors and length of stay. No reliable method could be found to predict survival on admission. Mean charges for the most intensive diagnosis-related group (No. 472) exceeded 198,000 per patient. Pooled data and related summary statistics used in this study have some limitations, which are discussed. Additional accurate information regarding the outcomes of thermal injury treatment is needed by the burn care community.