Differences in burn wound size estimation between points of referral and the burn unit: experience at a major burn center in southwestern Nigeria.

IF 1.4 4区医学 Q3 DERMATOLOGY

Wounds : a compendium of clinical research and practice Pub Date : 2024-01-01

Samuel Adesina Ademola, Ayodele Olukayode Iyun, Izegaegbe Ohiosimuan Obadan, Chinsunum Peace Isamah, Olayinka Adebanji Olawoye, Afieharo Igbibia Michael, Rotimi Opeyemi Aderibigbe, Odunayo Moronfoluwa Oluwatosin

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引用次数: 0

Abstract

Background: Accurate burn wound size estimation is important for resuscitation and subsequent management. It is also important for the development of referral guidelines in Nigeria.

Objective: To establish whether a significant discrepancy exists in burn size estimation between referral centers and burn units.

Methods: A retrospective review of burn patients managed at the burn unit of a premier tertiary hospital in Ibadan, southwestern Nigeria, between January 1, 2016, and October 31, 2019 was conducted. Patients' demographic and other characteristics, inclusive of TBSA estimation from point of referral and the burn unit, were retrieved and analyzed.

Results: A total of 96 burn injury records were found for the study period, with a male-to-female ratio of 1.3:1. Thirty-five records (36.5%) included no burn size estimation by the referring physician. There was a statistically significant difference in TBSA estimation between referring physicians and burn unit physicians (P = .015). Burn wounds were more likely to be overestimated than underestimated (P = .016). Overestimation is more likely with minor burns and in pediatric patients. Underestimation was more likely in adults.

Conclusion: There is a significant difference in burn size estimation between burn unit physicians and referring physicians. This finding underscores the need for continuous education on burn estimation to aid proper referral and management.

本刊更多论文

转诊点和烧伤科之间烧伤创面大小估计的差异：尼日利亚西南部一家大型烧伤中心的经验。

背景：准确估计烧伤创面的大小对抢救和后续管理非常重要。这对尼日利亚制定转诊指南也很重要：确定转诊中心和烧伤科之间在烧伤创面大小估计方面是否存在明显差异：对2016年1月1日至2019年10月31日期间在尼日利亚西南部伊巴丹一家主要三级医院烧伤科接受治疗的烧伤患者进行了回顾性研究。检索并分析了患者的人口统计学特征和其他特征，包括转诊点和烧伤科的 TBSA 估计值：研究期间共发现 96 份烧伤记录，男女比例为 1.3:1。35份记录（36.5%）中没有转诊医生对烧伤面积的估计。转诊医生和烧伤科医生对烧伤创面总面积的估计存在统计学差异（P = .015）。烧伤创面被高估的可能性高于被低估的可能性（P = .016）。轻度烧伤和儿童患者更容易出现高估。结论：结论：烧伤科医生和转诊医生对烧伤面积的估计存在明显差异。这一发现强调了持续开展烧伤估计教育以帮助正确转诊和管理的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wounds : a compendium of clinical research and practice 医学-皮肤病学

CiteScore

1.50

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.