دورية أكاديمية
Factors Associated With Outcomes After Burn Care: A Retrospective Study in Eastern Democratic Republic of Congo.
| العنوان: | Factors Associated With Outcomes After Burn Care: A Retrospective Study in Eastern Democratic Republic of Congo. |
|---|---|
| المؤلفون: | Murhula GB; Faculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of Congo., Musole PB; Faculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of Congo., Kafupi Nama B; Faculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of Congo., Tshibwid FAZ; Department of Surgery, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo., Mayeri Garhalangwamuntu D; Hôpital Provincial Général de Référence de Bukavu, Bukavu, Democratic Republic of Congo., Cikomola FG; Faculty of Medicine, Catholic University of Bukavu, Bukavu, Democratic Republic of Congo.; Hôpital Provincial Général de Référence de Bukavu, Bukavu, Democratic Republic of Congo., Pompermaier L; Department of Hand Surgery, Plastic Surgery and Burns, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden. |
| المصدر: | Journal of burn care & research : official publication of the American Burn Association [J Burn Care Res] 2022 Jan 05; Vol. 43 (1), pp. 85-92. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101262774 Publication Model: Print Cited Medium: Internet ISSN: 1559-0488 (Electronic) Linking ISSN: 1559047X NLM ISO Abbreviation: J Burn Care Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Oxford : Oxford University Press Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2006- |
| مواضيع طبية MeSH: | Outcome Assessment, Health Care*, Burns/*therapy, Adolescent ; Adult ; Burns/epidemiology ; Child ; Child, Preschool ; Democratic Republic of the Congo/epidemiology ; Female ; Hospital Mortality ; Humans ; Incidence ; Length of Stay/statistics & numerical data ; Male ; Retrospective Studies |
| مستخلص: | In low-income countries, the incidence of burns is high and severe burns are frequently managed at peripheral facilities. Outcome after burn care is poorly studied although it might help identify risk-group and improve treatment strategies. This study aimed to study factors associated with in-hospital outcomes in a burn cohort in the Democratic Republic of Congo. In this retrospective study, we included burn patients admitted to the surgical department at the Hôpital Provincial Général de Référence de Bukavu between January 2013 and December 2018. Differences between groups were tested using χ 2 test or Fisher's exact tests or Wilcoxon rank sum test, as appropriate. Multivariate logistic regression was used to analyze the effect of patients and of burn characteristics on in-hospital mortality, prolongated length of stay (=LOS ≥ 25 days), and occurrence of complications. The study population consisted of 100 patients, mainly young males with the rural origin, moderate-sized but deep burns. Of them, 46 developed complications, 12 died. Median LOS was 25 days (IQR: 15-42). In-hospital death was independently associated with Total Burn Surface Area percentage "TBSA%" (OR = 3.96; 95% CI = 1.67-9.40) and Full-thickness Burns (FTB) (10.68; 1.34-84.74); prolongated LOS with FTB (3.35; 1.07-10.49), and complication with rural origin (5.84; 1.51-22.53), TBSA% (3.96; 1.67-9.40), FTB (4.08; 1.19-14.00), and burns on multiple sites (4.38; 1.38-13.86). In-hospital death was associated with TBSA% and FTB, prolongated LOS with FTB, and complications with burns characteristics and rural origin of the patients. Additional studies are necessary to investigate the effect of provided burn care on outcomes. (© The Author(s) 2021. Published by Oxford University Press on behalf of the American Burn Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| تواريخ الأحداث: | Date Created: 20210327 Date Completed: 20220307 Latest Revision: 20220307 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1093/jbcr/irab051 |
| PMID: | 33773491 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1559-0488 |
|---|---|
| DOI: | 10.1093/jbcr/irab051 |