- 期刊
The Effects of Burn Size, Age, Inhalation Injury and Burn Depth on the Mortality of Major Burn Patients
燒傷面積、深度、病患年紀和吸入性燒傷對重度燒傷病患之死亡率的影響
摘要
以回溯法來統計臺北榮民總醫院八年來141位重大燒傷病患，其死亡率與燒傷面積、深度、病患年紀及吸入性燒傷的關係。除此之外我們並利用兩種新的燒傷嚴重程度指數來提供對於燒傷病患預後的預測及幫助治療方針的訂定。其中燒傷指數(Burn Index; BI)＝二度燒傷面積×l/2+三度燒傷面積×1；預後性燒傷指數(Prognostic Burn Index; PBI)＝燒傷指數+年級。結果本院重大燒傷病患全部的死亡率為33.3%，而且死亡率隨著燒傷面積增加，年紀增大和吸入性燒傷而有意義的增加。我們並利用邏輯回歸法統計病患，結果得到較準確的預測工具是預後性燒傷指數，其次是燒傷指數，接著是總燒傷面積。
關鍵字
無資料並列摘要
An 8-years retrospective review of major burn patients hospitalization at burn Center, Veterans General Hospital Taipei, was conducted to determine the relative effect of burn size, age, burn depth and inhalation injury. We used two new burn severity model; Burn Index (BI=burn size of third degree×1+burn size of second degree×1/2) and Prognostic Burn Index (PBI=BI+age) in our report. In 141 major burn patients (total burn size＞25%), the overall mortality was 33.3% (47 of 141). The presence of inhalation injury, increasing total burn surface area (TBSA), advanced age and increased BI were all associated with mortality (p＜0.0l). The incidence of inhalation injury was 41.8% (59 of 141). We found that the most important factor in predicting mortality was PBI and followed by BI by using logistic regression analysis.