這篇研究說. 燙傷三小時內沖水20分鐘有效
The effect of 20 minutes of cool running water first aid within three hours of thermal burn injury on patient outcomes: A systematic review and meta-analysis
這篇研究發表於 Epub 2022 Jun 7.
作者 Bronwyn Griffin 1, C J Cabilan 2, Bassel Ayoub 3, Hui Grace Xu 4, Tina Palmieri 5, Roy Kimble 6, Yvonne Singer 7
摘要
背景：
The effect of 20 minutes of cool running water first aid within three hours of thermal burn injury on patient outcomes: A systematic review and meta-analysis
這篇研究發表於 Epub 2022 Jun 7.
作者 Bronwyn Griffin 1, C J Cabilan 2, Bassel Ayoub 3, Hui Grace Xu 4, Tina Palmieri 5, Roy Kimble 6, Yvonne Singer 7
摘要
背景：
燒傷是導致患者發病的主要原因之一，可造成嚴重的殘疾，並顯著降低倖存者的生活品質。本系統性回顧旨在綜合分析相關證據，探討在燒傷後三小時內接受20分鐘冷水沖洗（CRW）對熱燒傷患者預後的影響。
方法： 本系統性回顧參照系統性回顧與Meta分析的首選報告條目（PRISMA）進行。檢索了多個資料庫（PubMed、EMBASE、CENTRAL、EBSCO的CINAHL Complete、PROQUEST學位論文資料庫）以及澳洲新西蘭臨床試驗註冊庫，納入符合條件的英文和中文文獻，未設日期限制。採用Downs和Black核對錶評估研究的方法學品質。
結果： 在檢索到的323筆記錄中，最終納入7篇研究。大多數研究（67%）在澳洲和紐西蘭進行。研究方法品質介於「一般」和「良好」之間。燒傷後三小時內進行20分鐘的CRW（冷水沖洗）可顯著降低患者需要植皮和手術治療的機率。
結論： 大量證據表明，在燒傷後三小時內進行20分鐘的冷水沖洗（CRW）能夠改善燒傷患者的預後。為了優化燒傷急救，從而改善全球患者的預後，燒傷組織之間需要共識，並開展合作，將實證實踐轉化為臨床應用。
Abstract
Background: Burn injuries are a leading cause of morbidity that can result in devastating disability and poor quality of life for survivors. This systematic review aimed to synthesise evidence regarding the effect of 20 minutes of cool running water (CRW) within three hours of injury on outcomes of patients with thermal burn injuries.
Methods: This systematic review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Multiple databases (PubMed, EMBASE, CENTRAL, CINAHL Complete via EBSCO, PROQUEST Dissertations and Theses), and the Australia New Zealand Clinical Trial Registry were searched for eligible studies published in English and Chinese, without date restriction. Meta-analyses were undertaken Methodological quality of studies was assessed by using Downs and Black Checklist.
Results: Of 323 records, seven studies were included. The majority (67%) of studies were conducted in Australia and New Zealand. The methodological quality was ranked between 'fair' and 'good'. Twenty minutes of CRW within the first three hours of burn injury significantly decreased the odds of patients requiring skin grafting and surgical intervention for wound management.
Conclusions: There is considerable evidence suggesting the application of 20 min of CRW within the first three hours of injury improves outcomes for patients with burn injury. Consensus between burn organisations and collaborative efforts to translate evidence into practice are needed to optimise burn first aid care which can improve patient outcomes globally.
Keywords: Burns; Cool running water; First aid; First responders; Thermal injury.
方法： 本系統性回顧參照系統性回顧與Meta分析的首選報告條目（PRISMA）進行。檢索了多個資料庫（PubMed、EMBASE、CENTRAL、EBSCO的CINAHL Complete、PROQUEST學位論文資料庫）以及澳洲新西蘭臨床試驗註冊庫，納入符合條件的英文和中文文獻，未設日期限制。採用Downs和Black核對錶評估研究的方法學品質。
結果： 在檢索到的323筆記錄中，最終納入7篇研究。大多數研究（67%）在澳洲和紐西蘭進行。研究方法品質介於「一般」和「良好」之間。燒傷後三小時內進行20分鐘的CRW（冷水沖洗）可顯著降低患者需要植皮和手術治療的機率。
結論： 大量證據表明，在燒傷後三小時內進行20分鐘的冷水沖洗（CRW）能夠改善燒傷患者的預後。為了優化燒傷急救，從而改善全球患者的預後，燒傷組織之間需要共識，並開展合作，將實證實踐轉化為臨床應用。
Abstract
Background: Burn injuries are a leading cause of morbidity that can result in devastating disability and poor quality of life for survivors. This systematic review aimed to synthesise evidence regarding the effect of 20 minutes of cool running water (CRW) within three hours of injury on outcomes of patients with thermal burn injuries.
Methods: This systematic review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Multiple databases (PubMed, EMBASE, CENTRAL, CINAHL Complete via EBSCO, PROQUEST Dissertations and Theses), and the Australia New Zealand Clinical Trial Registry were searched for eligible studies published in English and Chinese, without date restriction. Meta-analyses were undertaken Methodological quality of studies was assessed by using Downs and Black Checklist.
Results: Of 323 records, seven studies were included. The majority (67%) of studies were conducted in Australia and New Zealand. The methodological quality was ranked between 'fair' and 'good'. Twenty minutes of CRW within the first three hours of burn injury significantly decreased the odds of patients requiring skin grafting and surgical intervention for wound management.
Conclusions: There is considerable evidence suggesting the application of 20 min of CRW within the first three hours of injury improves outcomes for patients with burn injury. Consensus between burn organisations and collaborative efforts to translate evidence into practice are needed to optimise burn first aid care which can improve patient outcomes globally.
Keywords: Burns; Cool running water; First aid; First responders; Thermal injury.
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