Comparison of four measures in reducing length of stay in burns: An Asian centre’s evolved multimodal burns protocol

•Multimodal measures are useful for holistic total burns care.•Biobrane, micrografting, early dialysis and surgery within 24h are important.•Improvements in length of stay, number of operations, mortality, positive culture rate. Multidisciplinary burns care is constantly evolving to improve outcomes given the numerous modalities available. We examine the use of Biobrane, micrografting, early renal replacement therapy and a strict target time of surgery within 24h of burns on improving outcomes of length of stay, duration of surgery, mean number of surgeries and number of positive tissue cultures in a tertiary burns centre. A post-implementation prospective cohort of inpatient burns patients from 2014 to 2015 (n=137) was compared against a similar pre-implementation cohort from 2013 to 2014 (n=93) using REDCAP, an electronic database. There was no statistically significant difference for comorbidities, age and percentage (%) TBSA between the new protocol and control groups. The protocol group had shorter mean time to surgery (23.5–38.5h) (p