Establishing a baseline for organisation and outcome in burn care—basic data compiled by German burn centres, 1991–2000

Büttemeyer, R; Steen, Michael; Donnersmarck, Guido H.v.; Germann, Günter

doi:10.1016/j.burns.2003.08.008

Cited by 35 publications

(12 citation statements)

References 7 publications

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“…Bei mili tä ri schen Konflikten sind je nach Szenario 10 30 % der Verwun deten von Ver bren nungen be trof fen [6,7], davon sind 20 % als schwer das heißt mit über 20 % ver brannter Körper ober fläche (VKOF) ein zustufen [7]. Eine Untersuchung im deutsch spra chigen Raum [8], die zwischen 1991 und 2000 zuletzt et wa 90 % der Spezialbetten für Schwerbrandverletzte in 19 Kliniken er fass te, er brachte für das Jahr 2000 u. a. folgende Ergebnisse:…”

Section: Epidemiologie Und Versorgungsgradunclassified

“…Schwerbrandverletzte machen damit nur einen sehr geringen Anteil aller intensiv medi zi ni sch zu versorgenden Patienten aus; ihre Behandlung ist jedoch mit au ßer or dent lich ho hen Kosten verbunden [10]. [8] und der Leis tungs ana ly se des Rettungsdienstes 2000/01 [11] (4,4 Millionen Notfalleinsätze, davon 47 % mit Not arzt) liegt die Wahrscheinlichkeit, bei einem Notarzteinsatz auf einen Schwerbrand ver letz ten zu tref fen, unter 1 ‰. Ein Leitender Notarzt (LNA) wird häufiger mit Brand ver letz ten kon fron tiert beim Erstautor war dies bei 20 von 82 Einsätzen (= 24 %) der Fall.…”

Section: Epidemiologie Und Versorgungsgradunclassified

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Die notfall- und intensivmedizinische Grundversorgung des Schwerbrandverletzten

Adams¹,

Suchodolski²,

Ipaktchi³

et al. 2016

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Ausgedehnte Brandverletzungen sind durch lokale und syste mi sche Stö run gen der Hä mo dy na mik mit trau ma tischhypovolämischem Schock und den Verlust der ku ta nen Schran ken funk tion mit gestörter Thermo re gu lation und erhöhter Infek ti ons ge fahr ge kenn zeich net. Verätzungen mit Säuren und Laugen, großflächige Abschürfungen sowie die to xi sche epider ma le Ne kro ly se (TEN; LyellSyndrom) sind der Brandverletzung insbesondere hinsichtlich der kutanen Schranken stö rung verwandt; sie werden ähnlich behandelt, aber hier nicht näher dargestellt.

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Section: Epidemiologie Und Versorgungsgradunclassified

Die notfall- und intensivmedizinische Grundversorgung des Schwerbrandverletzten

Adams¹,

Suchodolski²,

Ipaktchi³

et al. 2016

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“…Two thirds (67%) of cases were admitted to an ICU and the median (IQR) length of stay in ICU was 9 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) days. Of the 121 cases with a %TBSA Ն20 and a documented inhalation injury, 91% were admitted to an ICU.…”

Section: In-hospital Outcomesmentioning

confidence: 99%

“…[2][3][4] A further development has been the regionalization of burns care, where burns patients are transported to a small number of highly specialized burns centres that are staffed and equipped appropriately to manage burns, similar to the development of designated trauma centres. [5][6][7][8] However, a recent study from the USA found that only 22% of cases with a total body surface area (TBSA) burned >20% were managed in verified burns centres, and <50% were managed in either a verified or non-verified burns centre. 6 Yurt and Bessey studied the effect of a regionalized 'system' of burn care and found that as the proportion of burns cases admitted to designated burns units increased, the mortality rate reduced significantly.…”

Section: Introductionmentioning

confidence: 99%

Profile, transport and outcomes of severe burns patients within an inclusive, regionalized trauma system

Gabbe

Cleland

Cameron

2011

ANZ Journal of Surgery

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Background:Severe burns represent a challenging and complex clinical presentation, requiring highly specialized burns centres that are staffed and equipped appropriately. The integration of burns care into trauma systems has been recommended. This study describes the profile, transfer and outcomes of severe burns within an inclusive, regionalized trauma system. Methods: A retrospective analysis of prospectively collected data from the Victorian State Trauma Registry for the period July 2001-June 2009 was performed. Major trauma cases with any burn injury were analysed. A severe burns case was defined as a total body surface area (TBSA) burned Ն20%. Descriptive statistics were used to define the profile of severe burns cases, their management and in-hospital outcomes. Results: For the 315 cases, the mean (standard deviation) age was 39 (22) years, and 73% were male. Fire/flames was the predominant cause (72%), and 39% sustained an inhalation injury. All paediatric (n = 37) and 98% of adult cases with a %TBSA Ն20 were managed at the state's burn services. Half of the cases experienced an interhospital transfer. Sixty-seven percent of cases were admitted to the intensive care unit, 22% died in-hospital and the median length of stay was 31 days. Conclusions: An inclusive trauma system with burns services co-located at the major trauma services resulted in almost complete referral of severe burns cases to burns services for management. Half of the cases arrived at the burns services directly from the scene of injury, highlighting the importance of ongoing clinical education about the initial management of severe burns at non-burns service hospitals.

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“…Multi-center study by the German-Speaking Association for Burn Treatment In Germany, a multi-center burn study [6] has been carried out since 1991, with data collection from burn centers in Austria, Germany, and Switzerland. A main feature of this effort is the comparison of burn survival to such factors as age, burn extent, and burn severity according to the Abbreviated Burn Severity Index (ABSI) [23].…”

Section: British Isles Burn Injury Databasementioning

confidence: 99%

Data Collection in Burn Injuries - Rationale for BurnCase 3D

Haller¹

2007

Osteo trauma care

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BurnCase 3D is a research project to develop software for data collection and automated encoding of diagnoses and operations. Its dataset overlaps those of many other collections and shows new ways to collect data. Its three-dimensional avatar, adaptable to the individual patient's height, weight, sex, and body type, reduces estimation errors even below the levels of other electronic systems and minimizes inter-observer estimation variation. In combination with other research programs, such as discerning the depth of burns by photo, it will increase objectivity in burn documentation. Its capacity to store body-surface conditions from multiple points in time allows easy comparison in longterm follow-ups and evaluation of the results of different treatment methods. The system can be used for automation of operation encoding. BurnCase Core is a computer program with basic functions for burn documentation, photo registration, and queried reports. Development now is focused mainly on interacting with hospital information systems to reduce the amount of data registration that must be done by hand and to reduce registration redundancy. The result of the research project should be the formation of an international burn database and an international research institute for burns.

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Establishing a baseline for organisation and outcome in burn care—basic data compiled by German burn centres, 1991–2000

Cited by 35 publications

References 7 publications

Die notfall- und intensivmedizinische Grundversorgung des Schwerbrandverletzten

Die notfall- und intensivmedizinische Grundversorgung des Schwerbrandverletzten

Profile, transport and outcomes of severe burns patients within an inclusive, regionalized trauma system

Data Collection in Burn Injuries - Rationale for BurnCase 3D

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