Báo cáo y học: " Outcome predictors and quality of life of severe burn patients admitted to intensive care unit"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Outcome predictors and quality of life of severe burn patients admitted to intensive care unit | Pavoni et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 24 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access Outcome predictors and quality of life of severe burn patients admitted to intensive care unit Vittorio Pavoni Lara Gianesello Laura Paparella Laura Tadini Buoninsegni and Elisabetta Barboni Abstract Background Despite significant medical advances and improvement in overall mortality rate following burn injury the treatment of patients with extensive burns remains a major challenge for intensivists. We present a study aimed to evaluate the short- and the long-term outcomes of severe burn patients total body surface area TBSA 40 treated in a polyvalent intensive care unit ICU and to assess the quality of life of survivors one year after the injury using the EuroQol-5D EQ-5D questionnaire. Methods A prospective-observational study was performed in an ICU of a University-affiliated hospital. Logistic regression analysis was used to identify the factors predicting in-hospital mortality. The EQ-5D questionnaire was used to asses participant s long term self-reported general health. Results During a period of five years 50 patients participated in the study. Their mean age was they had a mean of TBSA burned of and 10 of patients died in the ICU and in the ward after ICU discharge respectively. Baux index SAPS II and SOFA on admission to the ICU infectious and respiratory complications and time of first burn wound excision were found to have a significant predictive value for hospital mortality. The level of health of all survivors was worse than before the injury. Problems in the five dimensions studied were present as follows mobility moderate extreme 0 self-care moderate 21 extreme usual activities moderate extreme 21 pain discomfort moderate extreme anxiety depression moderate extreme . Conclusions In severe burn patients Baux index severity of

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