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Advisor(s)
Abstract(s)
Introdução: A taxa de mortalidade em pacientes queimados diminuiu significativamente, tornando importante avaliar outros desfechos, como o tempo de internação, que aumenta a morbidade fĂsica e psicolĂłgica, o risco de infeção hospitalar e os custos financeiros. O objetivo deste estudo Ă© analisar a relevĂąncia de vĂĄrios fatores no tempo de internação na Unidade de Queimados.
MĂ©todo: ForamincluĂdos neste estudo 711 pacientes admitidos entre 2011 e 2020 na Unidade de Queimados do Hospital de SĂŁo JosĂ©, Centro Hospitalar Lisboa Central, Lisboa, Portugal. Os dados coletados foram analisados utilizando o PSPP para Windows.
Resultados: Os pacientes eram predominantemente do sexo masculino, com idade mĂ©dia de 54 anos. O tempo mĂ©dio de permanĂȘncia hospitalar foi de 29 dias. Os fatores que prolongaram a estadia hospitalar foram relacionados Ă gravidade da queimadura, ao nĂșmero de cirurgias e ao tempo decorrido atĂ© a primeira cirurgia, valores laboratoriais alterados tanto no perfil hematolĂłgico quanto quĂmico durante a hospitalização, e a presença e o nĂșmero de infeçÔes documentadas.
ConclusĂŁo: Existem fatores potencialmente modificĂĄveis que influenciam o tempo de permanĂȘncia hospitalar. Nosso estudo nos permite concluir que o tempo decorrido atĂ© a primeira intervenção cirĂșrgica e a presença e o nĂșmero de infeçÔes documentadas prolongam significativamente esse desfecho, e ĂȘnfase deve ser dada Ă implementação de medidas que favoreçam a intervenção cirĂșrgica precoce e o controle rigoroso de infeçÔes.
Introduction: Burn patientsâ mortality rate has decreased significantly, making it important to evaluate other outcomes, such as length-of-stay, which increases physical and psychological morbidity, risk of nosocomial infection, and financial costs. The objective of this study is to analyze the relevance of several factors in the Burn Unit length-of-stay. Material and Methods: 711 patients were included in this study, admitted between 2011 and 2020 to the Burn Unit at SĂŁo JosĂ© Hospital, Centro Hospitalar Lisboa Central, Lisbon, Portugal. Collected data was analyzed using PSPP for Windows. Results: Patients included in the study were predominantly males, with a mean age of 54 years. The mean length of stay was 29 days. The factors that prolonged in-hospital stay were those related to the severity of the burn, the number of surgeries and the time elapsed until the first one, altered laboratory values in both hematologic and chemistry profile during the hospitalization, and the presence and number of documented infections. Conclusion: There are potentially modifiable factors that influence length-of-stay. Our study allows us to conclude that the time elapsed until the first surgical intervention and the presence and number of documented infections significantly prolong this outcome, and emphasis should be given to the implementation of measures that favor early surgical intervention and strict infection control.
Introduction: Burn patientsâ mortality rate has decreased significantly, making it important to evaluate other outcomes, such as length-of-stay, which increases physical and psychological morbidity, risk of nosocomial infection, and financial costs. The objective of this study is to analyze the relevance of several factors in the Burn Unit length-of-stay. Material and Methods: 711 patients were included in this study, admitted between 2011 and 2020 to the Burn Unit at SĂŁo JosĂ© Hospital, Centro Hospitalar Lisboa Central, Lisbon, Portugal. Collected data was analyzed using PSPP for Windows. Results: Patients included in the study were predominantly males, with a mean age of 54 years. The mean length of stay was 29 days. The factors that prolonged in-hospital stay were those related to the severity of the burn, the number of surgeries and the time elapsed until the first one, altered laboratory values in both hematologic and chemistry profile during the hospitalization, and the presence and number of documented infections. Conclusion: There are potentially modifiable factors that influence length-of-stay. Our study allows us to conclude that the time elapsed until the first surgical intervention and the presence and number of documented infections significantly prolong this outcome, and emphasis should be given to the implementation of measures that favor early surgical intervention and strict infection control.
Description
Keywords
Burn Units Length of Stay Hospital Mortality Graft Survival Plastic Surgery Procedures HSJ CPR
Pedagogical Context
Citation
Rev. Bras. Cir. PlĂĄst. 2024;39(3):e0826
Publisher
Sociedade Brasileira de Cirurgia PlĂĄstica