Epidemiology and referral patterns of burns admitted to the Burns Centre at Inkosi Albert Luthuli Central Hospital, Durban

被引:43
作者
den Hollander, Daan [1 ,2 ]
Albert, Malin [1 ,3 ]
Strand, Anna [1 ,3 ]
Hardcastle, Timothy C. [2 ]
机构
[1] Inkosi Albert Luthuli Cent Hosp, Reg Burns Ctr, Durban, Kwazulu Natal, South Africa
[2] Univ KwaZulu Natal, Inkosi Albert Luthuli Cent Hosp, Level Trauma Ctr 1, Durban, Kwazulu Natal, South Africa
[3] Lund Univ, Fac Med, Lund, Sweden
关键词
Burns; Epidemiology; Referral patterns;
D O I
10.1016/j.burns.2013.12.018
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Rationale: The epidemiology, referral patterns and outcome of patients admitted to a tertiary burns unit in southern Africa were reviewed. Materials and methods: The charts of all patients with thermal injury presenting to the Burns Centre at Inkosi Albert Luthuli Central Hospital (IALCH) between 1 January 2008 and 31 December 2010 were reviewed. Information collected included age, gender, past medical history, cause of burn, size of burn, presence of inhalation injury, time before admission, time to excision, length of hospital stay, complications and mortality. Findings: Four hundred and sixty two patients were admitted, 296 (58%) children and 193 (42%) adults. The female-male ratio was 1:1.13. The mean total body surface area (TBSA) burned was 12% (interquartile range 8-25%) for children and 18% (interquartile range 10-35%) for adults. Common causes for the burns were in children: hot liquids (71%) and open flame (24%). Major causes in adults were: open fire (68%) and hot liquids (25%). Epilepsy was a contributing factor in 12.7%. Inhalation injury was seen in 13.6% of adults and 14.3% of children with a flame burn. Forty-four percent of referrals from general surgical units were for burns <30% in adults, and 30% for burns <10% in children. More than one in four patients was referred between 1 and 6 weeks post-injury. Overall mortality was 9.1% (5.7% in children and 15.1% in adults). Complications occurred in 21.6% of children and 36.7% in adults, the most common being lung complications such as ARDS and infection, severe sepsis, skin graft failure and contractures. The length of stay was 1 day/% TBSA burn for all burns in children and for burns between 10 and 49% in adults. Conclusions: The epidemiology and outcome of severe burns referred to the Burns Centre at IALCH is similar to those in other units in Africa. The management and referral of burns patients by other hospitals are inappropriate in a significant number of patients. (C) 2014 Published by Elsevier Ltd and ISBI.
引用
收藏
页码:1201 / 1208
页数:8
相关论文
共 19 条
[1]  
Agbenorku P, 2010, Ann Burns Fire Disasters, V23, P59
[2]   The spectrum and outcome of burns at a regional hospital in South Africa [J].
Allorto, N. L. ;
Oosthuizen, G. V. ;
Clarke, D. L. ;
Muckart, D. J. .
BURNS, 2009, 35 (07) :1004-1008
[3]  
Atiyeh B, 2010, Ann Burns Fire Disasters, V23, P13
[4]  
Atiyeh B, 2009, Ann Burns Fire Disasters, V22, P121
[5]  
BAUX S, 1961, THESIS PARIS
[6]   Medical futility and the burns patient [J].
den Hollander, Daan .
BURNS, 2013, 39 (05) :851-855
[7]   A 10-year audit of burns at Kalafong Hospital [J].
Eyal, A. S. ;
Kemp, M. ;
Luvhengo, T. .
BURNS, 2007, 33 (03) :393-395
[8]  
Gillespie R, 1987, J Burn Care Rehabil, V8, P199, DOI 10.1097/00004630-198705000-00005
[9]  
Hardcastle TC, 2010, WORLD J SURG
[10]  
Hyder A. A., 2004, African Safety Promotion, V2, P43