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Burns. 2017 Aug;43(5):1070-1077. doi: 10.1016/j.burns.2017.01.035. Epub 2017 Apr 15.

Assessing guidelines for burn referrals in a resource-constrained setting: Demographic and clinical factors associated with inter-facility transfer.

Author information

1
Department of Public Health Sciences, Karolinska Institutet, Widerströmska Huset, Tomtebodavägen 18 A, 171 77 Stockholm, Sweden. Electronic address: anders.klingberg@ki.se.
2
Division of Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Private Bag X24, Bellville 7535, South Africa.
3
Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and Faculty of Health Sciences, University of Cape Town, South Africa.
4
Department of Public Health Sciences, Karolinska Institutet, Widerströmska Huset, Tomtebodavägen 18 A, 171 77 Stockholm, Sweden.
5
Department of Public Health Sciences, Karolinska Institutet, Widerströmska Huset, Tomtebodavägen 18 A, 171 77 Stockholm, Sweden; University of South Africa, Preller Street, Pretoria 0002, South Africa.

Abstract

AIM:

The aim was to assess demographic and clinical factors associated with inter-facility referrals for patients with burns in a resource-constrained setting.

METHODS:

This was a cross-sectional case review of patients presenting with a burn at the trauma unit at the Red Cross War Memorial Children's Hospital (RXH) in Cape Town, South Africa.

RESULTS:

Six hundred and eleven-(71%) children were referred to the burns or the intensive care unit and 253 children were treated and discharged from the trauma unit. Of those admitted as inpatients 94% fulfilled at least one of the criteria for referral and 80% of those treated and discharged fulfilled the criteria for referral.

CONCLUSIONS:

Almost three out of four children evaluated at the trauma unit were referred to the burns unit for further management. However, a large number of patients were treated and discharged from the trauma unit despite being eligible for referral.

KEYWORDS:

Burns; Children; Emergency care; Referral criteria; Sub-Saharan Africa; Trauma care

PMID:
28420571
DOI:
10.1016/j.burns.2017.01.035
[Indexed for MEDLINE]

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