Patient Reported Experiences at a Swedish National Burn Centre

Abstract

Introduction Previous studies have shown that burn patients were satisfied with the received care. Satisfaction was not strongly associated to burns or to psycho-social characteristics, suggesting that other factors, related to burn care specific aspects, may be important. The aim of this study was to analyse the independent effect of provided workload on the general satisfaction in adult patients at a Swedish national Burn Centre. Method The study population (n=122) included patients ≥18 years, treated at the Linköping Burn Centre between 2016 and 2017. Experienced burn care was evaluated with the PS-RESKA survey (score range: 0-4), and provided workload was scored with the Burn Scoring System (BSC). Groups were compared with χ2-test, MW-test, or Fisher´s exact test. Multivariable logistic regression analysed the independent effect of BSC on the outcome High Satisfaction (= score ≥3 to the survey-question: “How would you score your global experience at the Burn Centre?”). Results In-patients (n=60) had more often larger burns and required more workload than out-patients [median (IQR): TBSA%=6.3 (3-12.3) % vs. 0.7 (0.3-2) %, p<0.001; BSC=65 (25.5-135.5) vs. 6 (4-9), p<0.001]. Both groups were highly satisfied with the experienced care [mean score (SD)=3.68 (0.57) vs. 3.41 (0.77), p=0.03]. Neither characteristics of the patients (age, sex), nor TBSA% nor provided workload (BSC) were independently associated with High Satisfaction. Conclusion Regardless of burn severity, demographics and provided workload, adult patients with burns were highly satisfied with the experienced burn care. This finding suggested that the reason of the satisfaction was multifactorial.

The epidemiology of self-immolation in Iraq: A systematic review

“…in Iran self-immolation was estimated at 16% of hospitalised burns (Saadati et al, 2019), while another study indicated that 27% of suicide cases in Iran were via self-immolation of those, 71% were female (Ahmadi et al, 2008). Although the self-immolation rate in Iraq is significantly higher than other western countries such as Greece, representing 3.69% (Tsati et al, 2005), Sweden at 3% (Pompermaier et al, 2019), Portugal at 5% (Vieira et al, 2020), Finland at 5.7% (Palmu et al, 2004), as well as reported 17.4% of eastern Mediterranean regions (Morovatdar et al, 2013). However, self-immolation is rarely reported in western countries and is more frequent in developing regions, the Middle East and Africa (Amadasi et al, 2018).…”