European practice guidelines for burn care: Minimum level of burn care provision in Europe

Brychta, Pavel

doi:10.1007/978-3-7091-0348-7_6

Cited by 15 publications

(19 citation statements)

References 12 publications

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“…In 2011, the European Burns Association published the European Practice Guidelines for Burn Care (Minimum Level of Burn Care Provision in Europe). In this manual, speech-language therapists are included in the multidisciplinary team for the care of burned patients (56) . Currently, although not mandatory, some BTCs in Brazil have a speech-language therapist as a member of the multidisciplinary team to assist patients with head and neck burns (38) , with the objective of evaluating and rehabilitating orofacial myofunctional impairments as in breathing, chewing, swallowing, speech and voice, as well as vocal disorders caused by head and neck burns and by sequelae, such as contractures resulting from pathological cicatrization (1,16,17,32,33,38,57) .…”

Section: Orofacial Rehabilitation In Burnsmentioning

confidence: 99%

Reabilitação motora orofacial em queimaduras em cabeça e pescoço: uma revisão sistemática de literatura

Magnani

Sassi

Andrade

2019

Audiol., Commun. Res.

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RESUMO Objetivos Investigar estudos sobre o tratamento das queimaduras em cabeça e pescoço, nas diversas áreas da saúde envolvidas na assistência a queimados (médica, enfermagem, fonoaudiologia, fisioterapia e terapia ocupacional), avaliando a eficácia das técnicas empregadas, principalmente no que se refere à reabilitação da funcionalidade da musculatura em cabeça e pescoço. Estratégia de pesquisa Os artigos foram selecionados por meio da base de dados PubMed, utilizando os descritores “burn and face and speech-language pathology”, “burn and face and speech language”, “burn and face and rehabilitation”, “burn and face and myofunctional rehabilitation”, “burn and face and myofunctional therapy”, “nonsurgical and scar and management”, “burn and face and nonsurgical” e “burn and face and scar and management”. Critérios de seleção Foram incluídos artigos que investigaram os tratamentos das queimaduras em cabeça e pescoço, associados à reabilitação da funcionalidade da musculatura em cabeça e pescoço, utilizando exercícios musculares e/ou terapias manuais. Resultados A maioria dos tratamentos descritos apresentou efeitos benéficos para pacientes com queimaduras. Foi observada grande variabilidade da metodologia adotada para a aplicação e verificação dos efeitos dos tratamentos. Conclusão Apesar do crescente número de pesquisas, ainda não existe consenso quanto à melhor técnica terapêutica e ao real benefício de cada uma delas. Existe uma grande diversidade nos protocolos de tratamento, sendo que um número pequeno de estudos de tratamento visa a funcionalidade do sistema miofuncional orofacial. A maioria dos estudos tem, como foco, atividades motoras isoladas, que visam à mobilidade mandibular.

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Section: Orofacial Rehabilitation In Burnsmentioning

confidence: 99%

Reabilitação motora orofacial em queimaduras em cabeça e pescoço: uma revisão sistemática de literatura

Magnani

Sassi

Andrade

2019

Audiol., Commun. Res.

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“…According to the latest studies, the hands are affected in 80% of burn injuries due to their anatomical position in the body (Allam, Mostafa, Zayed, & El‐Gamaly, 2007; Mohaddes Ardebili, Manzari, & Bozorgnejad, 2014). Although the hands represent only 5% of total body surface area, they are the primary means by which we engage with the environmental context; therefore, hand burns may have severe functional and psychosocial implications in an individual life (Brychta, 2012; Mohaddes Ardebili et al, 2014; Robinson & Chhabra, 2015; Soni, Pham, & Ko, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Multiple physical and psychosocial complications following hand burn injuries emphasize the need for proper management (Bayuo, Agbenorku, & Amankwa, 2016; Luce, 2000). It has been indicated repeatedly that the use of evidence‐based guidelines by healthcare providers is a useful way of achieving optimal functional outcomes with fewer disabilities in hand burn patients (Brychta, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Clinical guidelines are specific and detailed plans that are used as a medical guide for daily clinical care. Guidelines have been designed for: (a) improving the quality of health care, (b) decreasing the use of unnecessary and ineffective procedures and (c) facilitating the patient management with high quality and fewer risk disabilities (Brychta, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Development of nursing care guideline for burned hands

et al. 2020

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Aim To develop an evidence‐based guideline to care for hand‐burned patients. Design An integrative review. Method The search was conducted of EMBASE, PubMed, Web of Science, SCOPUS, Clinical Key, Iranmedex, Magiran, Scientific Information Database (SID), Cochran, CINAHL and Google Scholar databases from January 2000–August 2019. Following the formation of the research team, two researchers independently selected the eligible studies. The initial search resulted in 2,230 records; ultimately, 40 articles were identified to be the review after screening the records based on the study's inclusion and exclusion criteria. Quality of selected studies was evaluated with the MMAT method. Results Data syntheses of selected studies, coded by highlighting the relevant parts of the text, and assigning code words to these areas were done. Following this, a constant comparison was used to develop categories by combining codes. Finally, hand burns nursing care guideline was developed by categorizing descriptive themes in two main phases. Conclusion This review results have shown that evidence‐based guidelines present high‐quality recommendations for the healthcare team, which improves the quality of clinical care. Due to a lack of established guidelines in our context, it seems to be helpful to use evidence‐based guidelines in managing burned hands.

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“…One way to deal with burn referral issues is the implementation of context-appropriate referral criteria. Although such guidelines have been established in a number of countries [ 9 , 10 , 11 ], including South Africa, where this study was conducted [ 12 ], neither their implementation nor their impact on healthcare services have been much studied. However, recent studies have shown that there is a high number of patients that could not be transferred from lower levels of care to the burns centre [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Adherence to Referral Criteria at Admission and Patient Management at a Specialized Burns Centre: The Case of the Red Cross War Memorial Children’s Hospital in Cape Town, South Africa

Boissin

Hasselberg

Kronblad

et al. 2017

IJERPH

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Referral guidelines for burn care are meant to assist in decision-making as regards patient transfer and admissions to specialized units. Little is known, however, concerning how closely they are followed and whether they are linked to patient care. This is the object of the current study, focused on the paediatric burns centre of the Red Cross War Memorial Children’s Hospital in Cape Town, South Africa. All patients admitted to the centre during the winters of 2011–2015 (n = 1165) were included. The patient files were scrutinized to clarify whether the referral criteria in place were identified (seven in total) and to compile data on patient and injury characteristics. A case was defined as adherent to the criteria when at least one criterion was fulfilled and adherence was expressed as a percentage with 95% confidence intervals, for all years aggregated as well as by year and by patient or injury characteristics. The association between adherence to any individual criterion and hospital care (surgery or longer length of stay) was measured using logistic regressions. The overall adherence was 93.4% (100% among children under 2 years of age and 86% among the others) and it did not vary remarkably over time. The two criteria of “injury sustained at a specific anatomical site” (85.2%) and “young age” (51.9%) were those most often identified. Children aged 2 years or older were more likely to undergo surgery or to stay longer than those of young age (although a referral criterion) and so were those with higher injury severity (a referral criterion). In this specialized paediatric burns centre, children are admitted mainly according to the guidelines. However, given the high prevalence of paediatric burns in the region and the limited resources at the burns centre, adherence to the guidelines need to be further studied at all healthcare levels in the province.

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European practice guidelines for burn care: Minimum level of burn care provision in Europe

Cited by 15 publications

References 12 publications

Reabilitação motora orofacial em queimaduras em cabeça e pescoço: uma revisão sistemática de literatura

Reabilitação motora orofacial em queimaduras em cabeça e pescoço: uma revisão sistemática de literatura

Development of nursing care guideline for burned hands

Adherence to Referral Criteria at Admission and Patient Management at a Specialized Burns Centre: The Case of the Red Cross War Memorial Children’s Hospital in Cape Town, South Africa

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