Surface Disinfectants for Burn Units Evaluated by a New Double Method, Using Microorganisms Recently Isolated From Patients, on a Surface Germ-Carrier Model

2017 ◽  
Vol 38 (3) ◽  
pp. e663-e669 ◽  
Author(s):  
Rafael Herruzo ◽  
Maria Jose Vizcaino ◽  
Irene Herruzo ◽  
Manuel Sanchez
Keyword(s):  
Carrier Model ◽  
Burn Units

Statistical methods to predict morbidity and mortality: self assessment techniques for burn units

Burns ◽  
1983 ◽  
Vol 9 (5) ◽  
pp. 318-326 ◽  
Author(s):  
B.H. Bowser ◽  
F.T. Caldwell ◽  
J.A. Baker ◽  
R.C. Walls
Keyword(s):  
Statistical Methods ◽  
Morbidity And Mortality ◽  
Self Assessment ◽  
Burn Units ◽  
Assessment Techniques

33 Effectiveness of Caregiver-oriented Transitional Care Program (CTCP) in Promoting Preparedness of Caregivers for Home Care of Burn Patients

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S23-S24
Author(s):  
Jun Jun A Dualan
Keyword(s):  
Home Care ◽  
Hospital Discharge ◽  
Wound Dressing ◽  
Transitional Care ◽  
Teaching Method ◽  
Medication Administration ◽  
Instructional Materials ◽  
Burn Patients ◽  
Before And After ◽  
Burn Units

Abstract Introduction Unpreparedness of caregivers of burn patients can result to several complications at post-discharge period (Zwicker, 2010; AHRQ, 2012). Some burn centers in resource-scarce countries had documented several burn morbidity and mortality that occurred post hospital discharge. Psychological conditions, contractures, infection and even death are just some of the complications. One of the current trends in burns involves sending patients home with a burn dressing and following them up as outpatients for wound inspection. This could significantly reduce cost of hospitalization with shortened hospital stay and allows burn units to accommodate the overflow of acute and complex cases for admission. Although there are advantages in early discharge, this approach requires a change in the health teaching method and contents since hospital-to-home transition is expedited. Considering this dilemma, the investigator developed the CTCP to address the gap in transitional care of burns. This study aimed to compare the preparedness of caregivers before and after CTCP; and compare caregivers’ handwashing competency, wound dressing competency and medication administration hassle before and after CTCP. Methods One-group pre-and-posttest quasi-experimental design was used to study thirty adult caregivers of burn patients that were recruited via convenience sampling in a burn center between November 2017 to March 2018. CTCP was conducted in three sessions with the aid of videos and written instructional materials. Caregivers were evaluated in terms of preparedness (primary outcome) and handwashing competency, wound dressing competency and medication administration hassle (secondary outcomes). All measurement instruments were content valid and reliable. Results At alpha 0.05, data analysis revealed statistically significant results supporting the use of CTCP. Preparedness (p< 0.001), handwashing competency (p< 0.001), wound dressing competency (p< 0.001) and medication administration hassle (p< 0.001) improved after receiving the structured teaching intervention. Conclusions The study supported the relevance of the interventions to prepare caregivers for home care of burn patients to help prevent potential complications after hospital discharge. This is therefore recommended to be adapted by burn units that recognize primary caregivers as extended team members. Applicability of Research to Practice Since there is a limited evidence in nursing discharge education programs specific to burns, the results generated from this study can help practitioners effectively prepare caregivers for home care of burn patients as educational intervention is supported with strategies that increase learning retention.

101 Predicting and Estimating Burn Outcomes: A Single Institution Analysis of over 4000 Cases

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S66-S67
Author(s):  
Jacques X Zhang ◽  
Harpreet Pangli ◽  
Anthony Papp
Keyword(s):  
Logistic Regression ◽  
Protective Effect ◽  
Goodness Of Fit ◽  
Severity Index ◽  
Clinical Severity ◽  
Multivariate Logistic Regression ◽  
Ventilator Support ◽  
Burn Care ◽  
Burn Units ◽  
Male Sex

Abstract Introduction Advances in burn care have improved patient outcomes, and independently validated indices, scores, and predictors of burn outcomes warrant re-evaluation. The purpose of this study is to consolidate predictors of burn outcomes and determine the factors that significantly contribute to length-of-stay (LOS) and mortality. Methods A retrospective review of all burn patients (n = 5778) admitted to a quaternary provincial burn unit from 1973 to 2017, was conducted. Removal of blank and pediatric entries yielded 4622 independent cases. Goodness-of-fit models and multivariate logistic regression was performed. Burn predictors included %TBSA, Baux (classic, revised) index, Abbreviated Burn Severity Index, and Ryan score. Primary outcomes were mortality and LOS. Variables considered in the multivariate logistic regression included: diabetes, hypertension, smoking, obesity, alcohol use, drug abuse, full-thickness burn, ventilator support, and ICU referral. Results Multivariate logistic regression for mortality showed the classic Baux index to be a significant predictor for mortality (OR = 1.118, p < 0.001). Other predictors included male sex, ICU referral, diabetes, smoking, and alcoholism (OR = 1.96, 4.97, 2.38, 1.63, 1.98, all p < 0.05). Interestingly, hypertension had a protective effect (OR = 0.24, p < 0.013). Linear regression for LOS found %TBSA, ICU referral, alcoholism, age, male sex, significant. The area under the ROC curve for Baux index was 0.945. Conclusions The regressions show that burn mortality and LOS are best predicted with the Baux index. Hypertension may have a protective effect on burn outcomes and may be attributed to increased perfusion to the periphery. Goodness-of-fit models, although variable, tended to show tighter grouping in patients with TBSA >20%. LOS ratios prove to be useful benchmarks for burn units with TBSA >20%. Similar findings are preliminary found in the NBR, national burn repository, database. Applicability of Research to Practice LOS ratios and burn index scores prove to be valuable markers to predict burn outcomes. The results of this study will directly help the clinician make decisions and communicate clinical severity to patient and family members.

Better definition of the usefulness of burn units

1977 ◽  
Vol 23 (1) ◽  
pp. 6-7
Author(s):  
Hiram C. Polk ◽  
Donald Trunkey ◽  
P. William Curreri
Keyword(s):  
Burn Units ◽  
Definition Of
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