The status quo of early burn wound excision: Insights from the German burn registry

Burn excision within 48 hours portends better outcomes than standard management: A nationwide analysis

“…Outside factors that may influence the feasibility and efficacy of early excision include health system infrastructure, severity and anatomical location of burns, and timing of patient arrival. For example, Glaser and colleagues 16 found that early excision of burn wounds in Germany was associated with improved outcomes, yet its performance was dependent on weekday admission. Admission Sunday-Wednesday was associated with higher rates of early excision performance 16 …”

“…Admission Sunday-Wednesday was associated with higher rates of early excision performance. 16 In addition, the benefits of early excision may be erased in health systems that lack the necessary resources. A study by Gallaher and colleagues 17 noted that early excision and grafting in a resource-poor area of sub-Saharan Africa were associated with increased mortality, which conflicts with our own findings.…”

“…For example, Glaser and colleagues 16 found that early excision of burn wounds in Germany was associated with improved outcomes, yet its performance was dependent on weekday admission. Admission Sunday-Wednesday was associated with higher rates of early excision performance 16 …”