The trends of burns epidemiology in a tropical regional burns centre

Burns : Journal of the International Society for Burn Injuries
Jolie HweeSi Jack Chong

Abstract

Singapore General Hospital (SGH) is a regional burns centre in Southeast Asia and is the only dedicated burns facility providing specialized burns care in Singapore. A cohort study was performed for burns patients admitted to SGH from 2011 to 2013. We compared our data with earlier studies and observed the trends of burns epidemiology in Singapore. Results were analyzed using the SPSS programme. 655 patients were admitted during this study period, a 35.9% increase from 2003 to 2005. Scalding by water and flame injury remain the top causes of burns and the mean extent of burn is 9.5%. TBSA correlates with the incidence of burn infection, bacteremia and mortality. Patients with ≥20% TBSA are at a higher risk of bacteremia, and ≥ 34% TBSA is a predictor of mortality. 4.9% (n=32) of our patients developed bacteremia. Bacteremia was associated with a surgical duration of ≥80min. Patients with bacteremia incurred longer hospitalization, and had higher mortality rates. Overall mortality rate of our burns patients has decreased from 4.5% to 2.7% (n=18). Key factors of mortality include inhalational injury, bacteremia and ≥20% TBSA. This is a large epidemiology study of a tropical region burns centre. A total of 655 burns cases over a 3...Continue Reading

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Citations

Jun 10, 2020·International Wound Journal·Zeynep Şener Bahçe, Tülin Öztaş
Oct 17, 2017·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Michael MorganIrina Vetter
Jan 29, 2019·Archives of Plastic Surgery·Allen Wei-Jiat WongSi Jack Chong
Nov 17, 2020·Annals of Plastic Surgery·Ledibabari M NgaageYvonne Rasko

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