Epidemiology and cost of burns in emergency department during Syrian civil war

Kuvandık, Güven; Uçar, Edip; Karakuş, Akan

doi:10.4149/bll_2018_131

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…The wound healing time, burn severity, and hospitalization length and grafting were important contributors to the medical burden for burn patients. 30 This study found that patients receiving emergency conservative debridement had a significant lower mean LOS than that of patients in the dressing group. However, no significant difference of mean in-hospital cost per 1% TBSA between the 2 groups was observed.…”

Section: Discussionmentioning

confidence: 63%

Improved Short-Term Prognosis of Pediatric Partial-Thickness Burns

Liu,

Li,

Yuan

et al. 2024

Pediatr Emer Care

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Objectives Early wound management for pediatric patients with partial-thickness burns in the emergency department remains debatable. This study aims to evaluate the value of emergency conservative debridement under topical anesthesia in improving short-term prognosis of pediatric partial-thickness burns. Methods This retrospective cohort study enrolled children with partial-thickness thermal burns presenting to the emergency department within 6 hours postburn. All the enrolled patients were divided into 2 groups: the debridement group and the dressing group. The associations between emergency conservative debridement and time to reepithelialization was analyzed by using Kaplan-Meier curves with log rank test and multivariate Cox regression analysis. Moreover, the associations between emergency conservative debridement and in-hospital cost and length of stay were also evaluated. Results All baseline characteristics between groups were comparable (all P > 0.05). Emergency conservative debridement under topical anesthesia significantly decreased the median value of time to reepithelialization (13 vs 14 days, P = 0.02). Cox regression analysis showed that emergency conservative debridement significantly improved wound reepithelialization after adjusting for burn size (odds ratio, 4.07; 95% confidence interval, 1.64–10.11; P < 0.01). The mean length of stay of patients receiving conservative wound debridement was lower than that of patients in the wound dressing group (14.3 ± 7.3 vs 18.8 ± 10.4 days, P < 0.01), but not in terms of mean in-hospital cost per 1% total body surface area (2.8 ± 1.9 vs 3.0 ± 2.1 × 103 RMB per 1% total body surface area, P = 0.58). Conclusions Emergency conservative debridement of pediatric partial-thickness burns under topical anesthesia significantly improves the wound healing outcomes without increasing health care burden.

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Section: Discussionmentioning

confidence: 63%

Improved Short-Term Prognosis of Pediatric Partial-Thickness Burns

Liu,

Li,

Yuan

et al. 2024

Pediatr Emer Care

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“…Most of the previous studies only focused on war-related injuries in war-heated areas (8),or on Syrian patients referred to a hospital in the neighboring countries (9,10). only one study focused on day-to-day burn injuries in Syria which took place in Aleppo, Al-Kindi Hospital between 1990 and 1992 on 492 bums patients (11).…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of in-hospital burn patients in a tertiary hospital in Damascus, Syria.

Torbey¹,

Shibani²,

Alzabibi³

et al. 2022

Preprint

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Background According to the WHO, 300,000 people die every year as a result of burn injuries. In this study, we aim to discuss the epidemiology and outcomes of burn patients who were admitted to Al Mowasat hospital in Damascus, Syria. Methods A retrospective cohort research was conducted from January 2017 to December 2021. All accessible paper-based medical records of burn injury patients admitted to the hospital were evaluated. ABSI score was used to classify injury degree. Chi-square test and logistic regression model were used to study the association between demographic variables and outcomes. Results Of the 641 patients, 367 (57.3%) were male and 274 (42.7%) were female. Children represented more than half of our sample 377 (58.8%). The most common cause of burn was flame burns 393 (61.3%), followed by scalding 199 (31.0%). Most of the patients had a more than 10% TBSA of burns 511(79.7%). Children had higher rates of leaving against medical advice (25.7%) than adults (17.8%). Children and patients who needed respiratory support were more likely to die than others 2.545 (1.079–6.004), 9.208 (4.061–20.879), respectively. Conclusion The situation of burn patients in Syria requires more attention and care to reduce mortality and morbidity. Focusing on the young age group to prevent such life-limiting injuries should be a priority.

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“…Multiple studies specifically examined noncombat burn injuries among children in Iran, Iraq, Afghanistan, and Syria who were treated as part of humanitarian care provided by the U.S. military (Edwards et al, 2014;Karimi et al, 2012;Kuvandik, Ucar, and Karakus, 2018;Wilson et al, 2013) and U.S. military partners (Arul et al, 2012). In a case review of trauma admissions to a U.S. combat support hospital in Afghanistan, burns represented the most common noncombat injury among pediatric patients and required the most operative procedures (Arul et al, 2012).…”

Section: Incidence and Prevalence Of Burn Injuriesmentioning

confidence: 99%

The Effect of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: A Review of the Scientific Literature

Engel¹,

McBain²,

McBirney³

et al. 2020

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Epidemiology and cost of burns in emergency department during Syrian civil war

Cited by 4 publications

References 14 publications

Improved Short-Term Prognosis of Pediatric Partial-Thickness Burns

Improved Short-Term Prognosis of Pediatric Partial-Thickness Burns

Epidemiology of in-hospital burn patients in a tertiary hospital in Damascus, Syria.

The Effect of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: A Review of the Scientific Literature

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