Factors associated with emergency department disposition among burn injury patients: Analysis of prehospital and emergency care characteristics using South Asia Burn Registry (SABR) data
Improvement in burn injury data collections and the quality of databanks has allowed meaningful study of the epidemiologic trends in burn care. The study assessed factors associated with disposition of burn injury patients from emergency department accounting for pre-hospital care and emergency care...
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| Veröffentlicht in: | Burns 2024-05, Vol.50 (4), p.874-884 |
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| creator | Zia, Nukhba Mashreky, Saidur Rahman He, Huan Patel, Nishit Ahmed, Fasih Ali Hashmi, Madiha Al-Ibran, Ehmer Rahman, AKM Fazlur Khondoker, Sazzad Hyder, Adnan A. Latif, Asad |
| description | Improvement in burn injury data collections and the quality of databanks has allowed meaningful study of the epidemiologic trends in burn care. The study assessed factors associated with disposition of burn injury patients from emergency department accounting for pre-hospital care and emergency care.
This prospective observational pilot study of the South Asia Burn Registry project was conducted at selected public sector burn centers in Bangladesh and Pakistan (September 2014 – January 2015). All age groups with an initial presentation to the burn centers were enrolled. Descriptive and regression analysis is presented.
A total of 2749 patients were enrolled. The mean age was 21.7 ± 18.0 years, 55.3% were males, and about a quarter were children |
| doi_str_mv | 10.1016/j.burns.2024.01.012 |
| format | Article |
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This prospective observational pilot study of the South Asia Burn Registry project was conducted at selected public sector burn centers in Bangladesh and Pakistan (September 2014 – January 2015). All age groups with an initial presentation to the burn centers were enrolled. Descriptive and regression analysis is presented.
A total of 2749 patients were enrolled. The mean age was 21.7 ± 18.0 years, 55.3% were males, and about a quarter were children < 5 years. About 46.9% of the females were housewives. Scald burns were common among children (67.6%) while flame burns were common among adults (44.3%). About 75% of patients were brought in via non-ambulance mode of transport. More than 55% of patients were referrals from other facilities or clinics. The most common first aid given pre-hospital was the use of water or oil. About 25% were admitted for further care. The adjusted odds of being admitted compared to being sent home were highest for children < 5 yrs, those with higher total body surface area burnt, having arrived via ambulance, scald and electrical burn, having an associated injury and inhalational injury.
The study provides insight into emergency burn care and associated factors that influenced outcomes for patients with burn injuries.
•Clinical outcomes for burns depend on prehospital and emergency care received•Common first aid at home included use of water or oil•Common treatment received at facilities prior to coming to burn centers included use of cream, wound dressing</description><identifier>ISSN: 0305-4179</identifier><identifier>ISSN: 1879-1409</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/j.burns.2024.01.012</identifier><identifier>PMID: 38245393</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Bangladesh ; Emergency department ; Outcomes ; Pakistan ; Prehospital management ; South Asian Burn Registry</subject><ispartof>Burns, 2024-05, Vol.50 (4), p.874-884</ispartof><rights>2024 Elsevier Ltd and International Society of Burns Injuries</rights><rights>Copyright © 2024 Elsevier Ltd and International Society of Burns Injuries. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c309t-31def2317d4b74d459836fdebb0b79a85d4a1b24d2a62f2b17bb3c1d446489c73</cites><orcidid>0000-0002-2521-6049 ; 0000-0002-1298-1198 ; 0000-0002-4226-1482 ; 0000-0001-7892-798X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0305417924000081$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38245393$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zia, Nukhba</creatorcontrib><creatorcontrib>Mashreky, Saidur Rahman</creatorcontrib><creatorcontrib>He, Huan</creatorcontrib><creatorcontrib>Patel, Nishit</creatorcontrib><creatorcontrib>Ahmed, Fasih Ali</creatorcontrib><creatorcontrib>Hashmi, Madiha</creatorcontrib><creatorcontrib>Al-Ibran, Ehmer</creatorcontrib><creatorcontrib>Rahman, AKM Fazlur</creatorcontrib><creatorcontrib>Khondoker, Sazzad</creatorcontrib><creatorcontrib>Hyder, Adnan A.</creatorcontrib><creatorcontrib>Latif, Asad</creatorcontrib><title>Factors associated with emergency department disposition among burn injury patients: Analysis of prehospital and emergency care characteristics using South Asia Burn Registry (SABR) data</title><title>Burns</title><addtitle>Burns</addtitle><description>Improvement in burn injury data collections and the quality of databanks has allowed meaningful study of the epidemiologic trends in burn care. The study assessed factors associated with disposition of burn injury patients from emergency department accounting for pre-hospital care and emergency care.
This prospective observational pilot study of the South Asia Burn Registry project was conducted at selected public sector burn centers in Bangladesh and Pakistan (September 2014 – January 2015). All age groups with an initial presentation to the burn centers were enrolled. Descriptive and regression analysis is presented.
A total of 2749 patients were enrolled. The mean age was 21.7 ± 18.0 years, 55.3% were males, and about a quarter were children < 5 years. About 46.9% of the females were housewives. Scald burns were common among children (67.6%) while flame burns were common among adults (44.3%). About 75% of patients were brought in via non-ambulance mode of transport. More than 55% of patients were referrals from other facilities or clinics. The most common first aid given pre-hospital was the use of water or oil. About 25% were admitted for further care. The adjusted odds of being admitted compared to being sent home were highest for children < 5 yrs, those with higher total body surface area burnt, having arrived via ambulance, scald and electrical burn, having an associated injury and inhalational injury.
The study provides insight into emergency burn care and associated factors that influenced outcomes for patients with burn injuries.
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This prospective observational pilot study of the South Asia Burn Registry project was conducted at selected public sector burn centers in Bangladesh and Pakistan (September 2014 – January 2015). All age groups with an initial presentation to the burn centers were enrolled. Descriptive and regression analysis is presented.
A total of 2749 patients were enrolled. The mean age was 21.7 ± 18.0 years, 55.3% were males, and about a quarter were children < 5 years. About 46.9% of the females were housewives. Scald burns were common among children (67.6%) while flame burns were common among adults (44.3%). About 75% of patients were brought in via non-ambulance mode of transport. More than 55% of patients were referrals from other facilities or clinics. The most common first aid given pre-hospital was the use of water or oil. About 25% were admitted for further care. The adjusted odds of being admitted compared to being sent home were highest for children < 5 yrs, those with higher total body surface area burnt, having arrived via ambulance, scald and electrical burn, having an associated injury and inhalational injury.
The study provides insight into emergency burn care and associated factors that influenced outcomes for patients with burn injuries.
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| fulltext | fulltext |
| identifier | ISSN: 0305-4179 |
| ispartof | Burns, 2024-05, Vol.50 (4), p.874-884 |
| issn | 0305-4179 1879-1409 1879-1409 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2929059082 |
| source | Elsevier ScienceDirect Journals |
| subjects | Bangladesh Emergency department Outcomes Pakistan Prehospital management South Asian Burn Registry |
| title | Factors associated with emergency department disposition among burn injury patients: Analysis of prehospital and emergency care characteristics using South Asia Burn Registry (SABR) data |
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