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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Burn management capacity in low and middle-income countries: A systematic review of 458 hospitals across 14 countries
International Journal of Surgery, Volume 12, No. 10, Year 2014
Notification
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Description
Importance: More than 90% of thermal injury-related deaths occur in low-resource settings. While baseline assessment of burn management capabilities is necessary to guide capacity building strategies, limited data exist from low and middle-income countries (LMICs). Objective: The objective of our review is to assess burn management capacity in LMICs. Evidence review: A PubMed literature review was performed based on studies assessing baseline surgical capacity in individual LMICs. Seven criteria were used to assess burn management capabilities: presence of surgeon, presence of anesthesiologist, basic resuscitation capabilities, acute burn management, management of burn complications, endotracheal intubation and skin grafts. Findings: Fourteen studies were reviewed using data from 458 hospitals in fourteen countries. Of these, 82.3% (284/345) of hospitals had the capacity to provide basic resuscitation and 84.9% (275/324) were capable of providing acute burn management. Endotracheal intubation was only available at 38.3% (51/133) of hospitals. Moreover, only 35.6% (111/312) and 37.9% (120/317) of hospitals were able to provide skin grafts and treat burn complications, respectively. Conclusion: Many hospitals in LMICs are capable of initial burn management and basic resuscitation. However, deficiencies still exist in the capacity to systematically provide advanced burn care. Efforts should be made to better document resources in order to guide burn management resource allocation. © 2014 Surgical Associates Ltd.
Authors & Co-Authors
Gupta, Shailvi S.
United States, San Francisco
University of California, San Francisco
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, New York
Surgeons Overseas Sos
Wong, Evan G.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, New York
Surgeons Overseas Sos
Canada, Montreal
Centre Universitaire de Santé Mcgill
Charles, Anthony G.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Nwomeh, Benedict C.
United States, New York
Surgeons Overseas Sos
United States, Columbus
Nationwide Children’s Hospital
Kushner, Adam L.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, New York
Surgeons Overseas Sos
United States, New York
Columbia University
Statistics
Citations: 51
Authors: 5
Affiliations: 8
Identifiers
Doi:
10.1016/j.ijsu.2014.08.353
ISSN:
17439191
Research Areas
Health System And Policy
Violence And Injury
Study Approach
Systematic review