The impact of inhalation injury in patients with small and moderate burns
學年 103
學期 1
出版（發表）日期 2014-12-01
作品名稱 The impact of inhalation injury in patients with small and moderate burns
作品名稱（其他語言）
著者 Chen, Mei-Chun; Chen, Man-Hua; Wen, Bor-Shyh; Lee, Ming-Hsuan; Ma, Hsu
單位 淡江大學統計學系
出版者 Kidlington: Pergamon Press
著錄名稱、卷期、頁數 Burns 40(8), p.1481–1486
摘要 BACKGROUND: Inhalation injury is an independent risk factor of mortality in burn patients. The burn index (BI), which includes burn depth and size, also plays a role in predicting mortality. We aimed to establish a relationship between survival rate, inhalation injury, and BI. METHODS: From 1997 to 2010, 21,791 burn patients from 44 hospitals were retrospectively reviewed. Kaplan-Meier and log-rank assessments were used for survival curve analysis. Chi-square, Fishers-exact test and odds ratio evaluations were used to assess the relationship between mortality rate, inhalation injury, BI. Two population proportion Z test was used to analyze the causes of death and morbidity. The significance level was set at 0.01. RESULTS: The overall mortality rate was 2.1%. Inhalation injuries were found in 7.9% of the patients. The mortality rate of inhalation and non-inhalation injury group was 17.9% and 0.7%, respectively. The survival rate of the inhalation injury group was significantly lower than that of the non-inhalation injury group at BI 0-50. The patients with both inhalation injury and BI less than 50 had significant higher rate to die of pneumonia, respiratory failure, sepsis and wound infection. There was no significant difference when BI was larger than 50. CONCLUSIONS: Inhalation injuries significantly reduced the survival rate, especially when the BI was less than 50. The possibility of pulmonary dysfunction and complications arising from inhalation injury should be considered even in patients who have small cutaneous burns associated with inhalation injuries.
關鍵字 Burn index;Inhalation injury;Survival rate
語言 en
ISSN 1879-1409
期刊性質 國外
收錄於 SCI
產學合作
通訊作者 Ma, Hsu
審稿制度 是
國別 GBR
公開徵稿
出版型式 ,電子版,紙本
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