Improving burn care and preventing burns by establishing a burn database in Ukraine
| Autor: | Vasyl Savchyn, Olga Zabolotina, Maggie L. Dylewski, Alexander Dunaev, Daniel N. Driscoll, Gennadiy Fuzaylov, Sushila Murthy, Justin Knittel |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Burn injury Adolescent Databases Factual Body Surface Area medicine.medical_treatment Poison control Critical Care and Intensive Care Medicine computer.software_genre Severity of Illness Index Suicide prevention Occupational safety and health Young Adult Age Distribution Risk Factors Injury prevention Post-hoc analysis medicine Humans Sex Distribution Child Aged Quality of Health Care Retrospective Studies Aged 80 and over Mechanical ventilation Database business.industry Age Factors Infant Newborn Infant General Medicine Length of Stay Middle Aged Smoke Inhalation Injury Quality Improvement Respiration Artificial Child Preschool Wound Infection Emergency Medicine Etiology Female Surgery Burns Ukraine business computer |
| Zdroj: | Burns. 40:1007-1012 |
| ISSN: | 0305-4179 |
| Popis: | a b s t r a c t Background: Burns are a challenge for trauma care and a contribution to the surgical burden. The former Soviet republic of Ukraine has a foundation for burn care; however data concerning burns in Ukraine has historically been scant. The objective of this paper was to compare a new burn database to identify problems and implement improvements in burn care and prevention in this country. Methods: Retrospective analyses of demographic and clinical data of burn patients including Tukey’s post hoc test, analysis of variance, and chi square analyses, and Fisher’s exact test were used. Data were compared to the American Burn Association (ABA) burn repository. Results: This study included 1752 thermally injured patients treated in 20 hospitals including Specialized Burn Unit in Municipal Hospital #8 Lviv, Lviv province in Ukraine. Scald burns were the primary etiology of burns injuries (70%) and burns were more common among children less than five years of age (34%). Length of stay, mechanical ventilation use, infection rates, and morbidity increased with greater burn size. Mortality was significantly related to burn size, inhalation injury, age, and length of stay. Wound infections were associated with burn size and older age. Compared to ABA data, Ukrainian patients had double the length of stay and a higher rate of wound infections (16% vs. 2.4%). Conclusion: We created one of the first burn databases from a region of the former Soviet Union in an effort to bring attention to burn injury and improve burn care. |
| Databáze: | OpenAIRE |
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