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

作者：Klingberg A^*; Wallis L; Rode H; Stenberg T; Laflamme L; Hasselberg M

来源：Burns, 2017, 43(5): 1070-1077.

DOI：10.1016/j.burns.2017.01.035

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

Aim: The aim was to assess demographic and clinical factors associated with inter-facility referrals for patients with bums in a resource-constrained setting.
Methods: This was a cross-sectional case review of patients presenting with a bum 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 bums unit for further management. However, a large number of patients were treated and discharged from the trauma unit despite being eligible for referral.

• 出版日期2017-8