| Summary: | 碩士 === 國立臺灣科技大學 === 工業管理系 === 91 === Although the survival rate for severe burn patients have been improved due to the development of modern technology, the prognostic is still unsatisfactory. The sequela causes not only physical but also psychological suffering among these patients and hence their living quality may decrease and substantial healthcare expense may increase. However, it is possible to decrease the severity of sequela if some special medical care is practiced. Therefore, in this thesis, some indices such as “practicing micro skin graft”, “days hospitalized” and “resulting hypertrophic scar or scar contracture” are adopted to investigate the possible factors that affect the sequela of a severe burn patient. After analyzing the data from the Taichung Veterans General Hospital burn unit during January 1997 to December 2001, the results are summarized as follows.
1. For the index of “practicing micro skin graft”, the significant factors are total burn surface area（TBSA）, number of debridements used, maximum expand rate, and number of split thickness skin grafts used.
2. For the index of “days hospitalized”, the significant factors are gender, age, cause, TBSA, number of debridements used, maximum expand rate, number of split thickness skin graft used, the days between when first hospitalized and the first time split thickness skin graft is used, and practicing micro skin graft.
3. For the index of “resulting hypertrophic scar or scar contracture”, the significant factors are number of debridements used, number of split thickness skin grafts used, and days hospitalized.
According to these results, forecasting models are developed to provide some clinical diagnostic reference for practitioners.
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