The demographics and outcomes of burn patients admitted to Worcester Hospital

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dc.contributor.authorBlake, N.en_ZA
dc.contributor.authorSwart, O.en_ZA
dc.contributor.authorDuvenage, R. C.en_ZA
dc.date.accessioned2022-03-23T13:51:35Z
dc.date.available2022-03-23T13:51:35Z
dc.date.issued2020-06
dc.descriptionCITATION: Blake, N., Swart, O. & Duvenage, R. C. 2020. The demographics and outcomes of burn patients admitted to Worcester Hospital. South African Journal of Surgery, 58(2):106, doi:10.17159/2078-5151/2020/v58n2a3124.en_ZA
dc.descriptionThe original publication is available at: http://www.scielo.org.za
dc.description.abstractBACKGROUND: Worcester Hospital is a regional healthcare facility in the Western Cape, South Africa, without a dedicated burns unit. Currently there is limited data available of burns patient management outside of academic institutions in South Africa. To describe the incidence and demographics, and to determine the outcomes of burn patients admitted to Worcester Hospital METHODOLOGY: A retrospective descriptive study of burn patients admitted to Worcester Hospital between 1 September 2016 and 31 August 2017 RESULTS: A total of 66 burn patients were included in this study which accounted for 1.6% of the total surgical admissions for this time period. The mean age of the patients was 39 (SD ± 19) years with a male predominance (59%). The mechanism of burn was mostly flame burns (71%); 16 patients (24%) were burned with hot fluids and 3 patients (5%) sustained electrical burns. The median TBSA was 9% (IQR: 5-28). Ten patients (15%) required critical care unit admission. The burn patients' median length of stay was 6 days (IQR: 2-11 days) versus 2 days (IQR: 1-5 days) for non-burn general surgery patients. Fifty burn patients (76%) required surgical intervention comprising of either debridement or skin grafting, or a combination of this. Forty-four patients (67%) underwent skin grafting procedures and the median TBSA grafted was 5% (IQR: 3.5-9.5). The median time from admission to first surgical procedure was 25 hours (IQR: 18.33-51.08). The in-hospital mortality rate was 23% and of the 15 mortalities, 9 patients (60%) had TBSA of 30% or more and therefore classified as a major burn CONCLUSION: Burn injuries treated at Worcester Hospital are often severe and require significant resources. This study supplies critical information regarding the burden of burn related injuries managed at a regional levelen_ZA
dc.description.versionPublisher's versionen_ZA
dc.format.extent4 pagesen_ZA
dc.identifier.citationBlake, N., Swart, O. & Duvenage, R. C. 2020. The demographics and outcomes of burn patients admitted to Worcester Hospital. South African Journal of Surgery, 58(2):106, doi:10.17159/2078-5151/2020/v58n2a3124.en_ZA
dc.identifier.issn2078-5151 (online)
dc.identifier.issn0038-2361 (print)
dc.identifier.otherdoi:10.17159/2078-5151/2020/v58n2a3124
dc.identifier.urihttp://hdl.handle.net/10019.1/124354
dc.language.isoen_ZAen_ZA
dc.publisherMedpharm
dc.rights.holderAuthors retain copyright
dc.subjectBurns and scaldsen_ZA
dc.subjectRegional hospitalen_ZA
dc.subjectPatience -- Demographicsen_ZA
dc.subjectHospitals -- Admission and dischargeen_ZA
dc.subjectBurns and scalds -- Mortalityen_ZA
dc.subjectLow- to middle-income countryen_ZA
dc.titleThe demographics and outcomes of burn patients admitted to Worcester Hospitalen_ZA
dc.typeArticleen_ZA
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