Admission factors associated with the in-hospital mortality of burns patients in resource-constrained settings: A two-year retrospective investigation in a South African adult burns centre

Boissin, Constance; Wallis, Lee; Kleintjes, W G; Laflamme, Lucie

doi:10.1016/j.burns.2019.03.005

Cited by 16 publications

(7 citation statements)

References 32 publications

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“…[2] Age, extent of the burn injuries, mechanism of injury, burn depth, presence of inhalational injury, sepsis and clinical status at the time of referral are all individually associated with mortality. [6,16] Age below 5 years is a risk factor for mortality in our unit, [6] which is supported by observations from international studies citing age below 4 years as a considerable risk factor. [3,[17][18][19] In our study, higher mortality was seen among directly admitted patients with hot-water burns who were younger than 36 months than among transferred patients in this category.…”

Section: Researchsupporting

confidence: 71%

“…Aggressive resuscitative and ventilatory requirements, a greater extent or depth of injury, and a need for earlier and multiple surgical interventions are often associated with flame-induced burns. [16,22,23] In the acute phase, these injuries may require prompt intervention, including escharotomy or early excision with subsequent grafting. [23] Inhalational injury, which is often associated with flame burns, results in an inflammatory cascade predisposing to pneumonia and which directly affects the circulatory response, leading to increased resuscitative fluid requirements and subsequently morbidity and mortality.…”

Section: Researchmentioning

confidence: 99%

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A retrospective study analysing mortality and outcomes in the paediatric burns intensive care unit at the Chris Hani Baragwanath Academic Hospital, Johannesburg

et al. 2020

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Section: Researchsupporting

confidence: 71%

Section: Researchmentioning

confidence: 99%

A retrospective study analysing mortality and outcomes in the paediatric burns intensive care unit at the Chris Hani Baragwanath Academic Hospital, Johannesburg

et al. 2020

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“…concluded that ABSI is the best index for predicting mortality among burn patients. The role of age and percentage of burns and their impact on patient mortality was mentioned in other studies (Boissin et al, 2019;Dinh et al, 2020).…”

Section: Discussionmentioning

confidence: 80%

Comparison of Assessment of Abbreviated Burn Severity Index (Absi) and Belgian Outcome of Burn Injury (Bobi) at H. Adam Malik General Hospital

Nasution

2022

Sumat. Med. J.

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Background: Assessment of length of stay and mortality in patients with burn injuries is essential to support clinicians in making clinical decisions. In Indonesia, there are several scoring systems used by hospital centers to assess the mortality of burn patients, such as the Belgian Outcome of Burn Injury (BOBI) and the Abbreviated Burn Severity Index (ABSI). However, different results were obtained in studies that examined the comparison of the results of the scoring system. Method: The type of research used in this research is unpaired comparative analysis research using a cross-sectional design. The data to be used is secondary data taken from medical records. Results: Respondents with death status were found in the serious, severe, and maximum ABSI categories, p=0.001 (p<0.05) and the BOBI 50% category as many as three people and 85% as many as one person, p=0.0001 (0<0.05). Length of stay based on the ABSI score for the length of stay was 23 days with an ABSI score of 12-13 (maximum), and based on the BOBI Score, the majority was 28 days with a BOBI score of 8 (85%). ABSI in this study had a sensitivity of 100% and a specificity of 86.4%, while the use of BOBI in this study had a sensitivity of 100% and a specificity of 88.1%. Discussion: The BOBI scoring system is more accurate than the ABSI. This difference may occur due to differences in demographics and quality of service in each region. Therefore, the analysis of the validity of the scoring model before the research is carried out in a new population is considered crucial to be carried out.

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“…Needs assessments should be conducted with local partner institutions to ensure that local priorities are being met. Given the proportion of children among civilian injured by accidental as well as conflict-related trauma and the high mortality of burns in low-resource setting, we advocate for the inclusion of modules on the management of burns and pediatric trauma [19][20][21]. Extended modules include the utilization of ultrasonography in trauma, management of blast injury, damage control orthopedics, relevant tropical surgery (e.g., snakebites), and in the role of endovascular techniques/ access in limited settings where context-appropriate could be considered [22].…”

Section: Discussionmentioning

confidence: 99%

Operative Trauma Courses: A Scoping Review to Inform the Development of a Trauma Surgery Course for Low‐Resource Settings

et al. 2023

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Background A multitude of operative trauma courses exist, most of which are designed for and conducted in high‐resource settings. There are numerous barriers to adapting such courses to low‐ and low‐middle‐income countries (LMICs), including resource constraints and contextual variations in trauma care. Approaches to implementing operative trauma courses in LMICs have not been evaluated in a structured manner. Methods We conducted a scoping review of the literature including databases (e.g., PubMed, Web of Science, EMBASE), grey literature repositories, and structured queries of publicly available course materials to identify records that described operative trauma courses offered since 2000. Results The search identified 3,518 non‐duplicative records, of which 48 relevant reports were included in analysis. These reports represented 23 named and 11 unnamed operative trauma courses offered in 12 countries. Variability existed in course format and resource requirements, ranging from USD 40 to 3,000 per participant. Courses incorporated didactic and laboratory components, which utilized simulations, cadavers, or live animals. Course content overlapped significantly but was not standardized. Data were lacking on course implementation and promulgation, credentialing of instructors, and standardized evaluation metrics. Conclusions While many operative trauma courses have been described, most are not directly relatable to LMICs. Barriers include cost‐prohibitive fees, lack of resources, limited data collection, and contextual variability that renders certain surgical care inappropriate in LMICs. Gaps exist in standardization of course content as well as transparency of credentialing and course implementation strategies. These issues can be addressed through developing an open‐access operative trauma course for low‐resource settings.

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Admission factors associated with the in-hospital mortality of burns patients in resource-constrained settings: A two-year retrospective investigation in a South African adult burns centre

Cited by 16 publications

References 32 publications

A retrospective study analysing mortality and outcomes in the paediatric burns intensive care unit at the Chris Hani Baragwanath Academic Hospital, Johannesburg

A retrospective study analysing mortality and outcomes in the paediatric burns intensive care unit at the Chris Hani Baragwanath Academic Hospital, Johannesburg

Comparison of Assessment of Abbreviated Burn Severity Index (Absi) and Belgian Outcome of Burn Injury (Bobi) at H. Adam Malik General Hospital

Operative Trauma Courses: A Scoping Review to Inform the Development of a Trauma Surgery Course for Low‐Resource Settings

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