Every year millions of people are burned and many of them are transported to specialized burn centers. One of the most important challenges in the face of burn patients in urban areas is deciding about referring patients to specialized burn centers. In this study correlation between referral distance and mortality rate is investigated. Our cross-sectional analytic study included admission data of 7248 burn patients from Imam Reza Burn Center (Mashhad, Iran) over 9 years. The outcomes of interest were mortality, length of hospital stay and the Abbreviated Burn Severity Index (ABSI). Also, we measured the distance between the patient referral location to Mashhad. SPSS version 16 was used for data analysis. Overall, 52.7% of admitted patients were referred from hospitals in other cities. The referred group had more severe burn injury(p<0.001), higher mortality rate(p<0.001) and longer length of hospital stay(p<0.001). The referred distance was associated with an increased risk of death (Odds ratio=1.68, CI95%=1.47-1.92) but after controlling the severity of burns, only ABSI was the statistically significant predictor of mortality (Odds ration=2.17, CI95%=2.05-2.28). Therefore, increasing the distance from urban areas to specialized burn center did not increase the mortality rate. After adjusting for ABSI, the mortality rate in referred patients was not related to referral distance. By observing referral points based on available guidelines, distance from a referral burn center does not affect mortality rate independently. Therefore, equipping the existing burn centers instead of building new ones and focusing on improving referral system cand be a good strategy in low- and middle-income countries with limited resources.
Background: Health decision makers should be able to predict attitudes of medical students and factors influencing their tendency to allocate enough resources and university vacancy. These attitudes may not be always congruent with the actual and prominent health needs of society. The purpose of this study was to delineate medical students' career prospects and general expectations. Methods: This cross-sectional study was conducted on 200 medical students who were selected through a multi-stage sampling method from all educational stages (basic science, physiopathology, clinical clerkship, internship) studying at Mashhad University of Medical Sciences in 2016-2017. The first five priorities for work after graduation and first five priorities for residency were studied and the Priority-Percentage Index (PPI), which considers the percentage and a reverse scoring for the priority of selecting an item, was calculated. Results: Principally, "pursuing one of the medical specialities" was the most desired career choice (3.73 PPI) followed by "employment in private practice" (2.08 PPI) regardless of gender, native status, and stage of education. Although the most preferred specialities were ophthalmology (1.99 PPI), cardiology (1.66 PPI) and radiology (1.44 PPI), the trend of interest varied by educational stage. Conclusion: Income and reputation have a significant influence on medical students' attitude toward specialities. Therefore, it is crucial that policy-makers note preferences in specialities and consider the society's demand in the field of healthcare.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.