Comparison of four measures in reducing length of stay in burns: An Asian centre’s evolved multimodal burns protocol / (Record no. 12900)
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| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20210316171106.0 |
| 006 - FIXED-LENGTH DATA ELEMENTS--ADDITIONAL MATERIAL CHARACTERISTICS | |
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| 007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION | |
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| fixed length control field | 171219t2017 sp ||||| |||| 00| 0 spa | |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 0305-4179 |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | Salus Infirmorum |
| 245 00 - TITLE STATEMENT | |
| Title | Comparison of four measures in reducing length of stay in burns: An Asian centre’s evolved multimodal burns protocol / |
| Statement of responsibility, etc. | Si Jack Chong, Yee Onn Kok, Abby Choke, Esther W.X. Tan, Kok Chai Tan, Bien-Keem Tan |
| 500 ## - GENERAL NOTE | |
| General note | PDF en biblioteca |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE | |
| Bibliography, etc. note | Bibliografía: p. 1355 |
| 520 8# - SUMMARY, ETC. | |
| Summary, etc. | Introduction: Multidisciplinary burns care is constantly evolving to improve outcomes given the numerous modalities available. We examine the use of Biobrane, micrografting, early renal replacement therapy and a strict target time of surgery within 24h of burns on improving outcomes of length of stay, duration of surgery, mean number of surgeries and number of positive tissue cultures in a tertiary burns centre.<br/>Methods: A post-implementation prospective cohort of inpatient burns patients from 2014 to 2015 (n=137) was compared against a similar pre-implementation cohort from 2013 to 2014 (n=93) using REDCAP, an electronic database.<br/>Results: There was no statistically significant difference for comorbidities, age and percentage (%) TBSA between the new protocol and control groups. The protocol group had shorter mean time to surgery (23.5–38.5h) (p<0.002), 0.63 fewer operative sessions,<br/>shorter mean length of stay (11.8–16.8 days) (p<0.04), less positive tissue cultures (0.59–1.28) (p<0.03).<br/>Discussion/Conclusion: The 4 measures of the new burns protocol improved burns care and validated the collective effort of a multi-disciplinary, multipronged burns management supported by surgeons, anesthetists, renal physicians, emergency physicians, nurses, and allied healthcare providers. Biobrane, single stage onlay micrograft/allograft, early CRRT and<br/>surgery within 24h were successfully introduced. These are useful adjuncts in the<br/>armamentarium to be considered for any burns centre. |
| 773 ## - HOST ITEM ENTRY | |
| Related parts | -- 2017, v. 43, p. 1348-1355 |
| Title | Burns. Journal of the International Society for Burn Injuries |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Universal Decimal Classification |
| Koha item type | Artículo de revista |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection code | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Universal Decimal Classification | Non-fiction | Revistas y artículos | Revistas y artículos | 28/10/2020 | PP | 5550 | 28/10/2020 | 28/10/2020 | Artículo de revista |