tailieunhanh - Báo cáo y học: "Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality"

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: Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality. | Brusselaers et al. Critical Care 2010 14 R188 http content 14 5 R188 c CRITICAL CARE RESEARCH Open Access Severe burn injury in europe a systematic review of the incidence etiology morbidity and mortality l I zx I zx D I r r zx I X zx z r 1 2 3C .-X l I zx .-X r r z zx 2 3 I Ì I z lz ịS .xlx XKr1 3 I_I X r- zx2 4 c I I z. DI zx 1 3 5 Nele Brusselaers Dian Monstrey Dirk vogelaers Eric Hoste Stijn Blot Abstract Introduction Burn injury is a serious pathology potentially leading to severe morbidity and significant mortality but it also has a considerable health-economic impact. The aim of this study was to describe the European hospitalized population with severe burn injury including the incidence etiology risk factors mortality and causes of death. Methods The systematic literature search 1985 to 2009 involved PubMed the Web of Science and the search engine Google. The reference lists and the Science Citation Index were used for hand searching snowballing . Only studies dealing with epidemiologic issues for example incidence and outcome as their major topic on hospitalized populations with severe burn injury in secondary and tertiary care in Europe were included. Language restrictions were set on English French and Dutch. Results The search led to 76 eligible studies including more than 186 500 patients in total. The annual incidence of severe burns was to 10 000 inhabitants with a decreasing trend in time. Almost 50 of patients were younger than 16 years and 60 were male patients. Flames scalds and contact burns were the most prevalent causes in the total population but in children scalds clearly dominated. Mortality was usually between and 18 and is decreasing in time. Major risk factors for death were older age and a higher total percentage of burned surface area as well as chronic diseases. Multi organ failure and sepsis were the most frequently reported causes of death. The main causes of early death 48 hours were burn shock and .