Is the target of 1 day length of stay per 1% total body surface area burned actually being achieved? A review of paediatric thermal injuries in South East Scotland.
نویسندگان
چکیده
OBJECTIVES Length of stay is a standard variable used to evaluate outcomes in burn care. Is the target of 1 day length of stay per 1% total body surface area burned actually being achieved? METHODS A retrospective analysis of 328 paediatric thermal injuries admitted to the South East Scotland Regional Burn Unit between January 2003 and March 2007 to assess whether the target is met and if not, which factors are contributing to a prolonged hospitalisation. RESULTS 57% achieved the target and 43% failed the target. Factors associated with a lengthened hospital stay were burn depth, burn location, presence of infection/sepsis and the need for theatre visits for either dressing change or surgical intervention. CONCLUSIONS Many factors can contribute to patients' length of hospital stay. It is valuable to identify areas of practice which can be altered to minimise the impact of these factors. For example, consider the use of laser Doppler imaging to help assess burn depth more accurately; this leading to potentially more accurate requirements for surgery or not, early excision of deep burns, improved infection control and use of dressings may all contribute to reduce the length of inpatient stay with a view to improving patient outcome.
منابع مشابه
Epidemiology and Hospitalization Cost of Patients Died Due To Burn Injuries: a Survey of Provincial Data
Background and Objectives: The burn injuries are one of the serious public health problems which impose a high economic burden on patients and their family, health sector and community in general. This study aimed to explore epidemiological data of burn patients and factors influencing costs of hospitalization due to burn injuries in Kermanshah Province situated in Western Iran. Methods: Th...
متن کاملSubstitution of exudative trace element losses in burned children
describe an intravenous copper-selenium-zinc substitution policy in children with major burns using adult doses adapted to total body surface area. Blood levels and clinical course confi rm its safety, with a rapidly favourable clinical evolution. Major burn injuries are associated with trace element defi ciencies, which lead to impaired wound healing and infectious complications. Low plasma le...
متن کاملEpidemiological Analysis and Cost of Hospitalization Associated with Pediatric Burns in Kermanshah, Iran
Background: burn injuries are a major public health in the world, especially in developing countries. The aim of this study was investigate to the epidemiological data and cost of hospitalization due to burn in pediatrics in Kermanshah provinces from 2011 to 2013.Material and Methods: this was a retrospective cross sectional study. The study subject was all of patient lee than 15 years who admi...
متن کاملThermal Injury in Newborns and Infants within the First 6 Months of Life
Background: The skin of newborns is very thin and sensitive to burns. In this age group, the mortality rate is very high. Burns account for approximately 2 million injuries annually in the United States alone out of which 500,000 cases need medical treatment and 100,000 cases require hospitalization. This study aimed to determine the incidence and magnitude of the injury, mortality rate, and ca...
متن کاملCharacteristics of thermal burns in children admitted to an Israeli pediatric surgical ward.
BACKGROUND Reports of burn injuries in children are usually made by highly specialized burn units. Our facility admits children with burns covering < 20% total body surface area, while those with major burns are transferred to burn units at tertiary care facilities. OBJECTIVES To review our experience with thermal burns. METHODS We conducted a retrospective review of all thermal burns admit...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- International journal of burns and trauma
دوره 4 1 شماره
صفحات -
تاریخ انتشار 2014