dc.contributor.author | Onarheim, Henning | |
dc.contributor.author | Brekke, Ragnvald Ljones | |
dc.contributor.author | Zamanzad Ghavidel, Fatemeh | |
dc.contributor.author | Guttormsen, Anne Berit | |
dc.contributor.author | Almeland, Stian Kreken | |
dc.date.accessioned | 2023-06-28T10:56:29Z | |
dc.date.available | 2023-06-28T10:56:29Z | |
dc.date.created | 2023-03-16T15:25:37Z | |
dc.date.issued | 2023 | |
dc.identifier.issn | 2468-9122 | |
dc.identifier.uri | https://hdl.handle.net/11250/3073938 | |
dc.description.abstract | Introduction: We evaluated trends in admissions, % TBSA (total body surface area) burnt, age, and outcomes over a 35-year period at the national burn centre in Norway.
Methods: Relevant data were extracted from the departmental quality registry covering all acute admissions for burns during 1986–2020.
Results: In 1986–2020 there were 2.889 admissions for burns (67.6 % males), with a 110 % increase in 2016–20 when compared to 1986–90. Admissions of children <2 years increased by 400 %. In 2011–20, 66.5 % of patients were transferred from other hospitals. The median area injured declined markedly, from 16.5% TBSA in 1986–90 to 4.5% TBSA in 2016–20. Changes in care included an increased focus on non-delayed referrals and transfers, an explicit intent to achieve early excision within 48 h, and a transition from a highly frequent to a less frequent dressing changes scheme. Mortality declined from 10.9 % to 3.0 %. In 2011–20 the mortality among actively treated patients was 2.4 %. For patients with Baux scores 80–119, mortality declined from 36.0 % (1991–2010) to 18.2 % (2011–20) (P < 0.001).
Discussion: Since 1986, more patients have been referred to the burn centre, many of younger ages and with more minor burns. Survival of patients with Baux scores 80–119 increased significantly. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Changes in epidemiology and care strategies at the Norwegian National Burn Centre over 35 years (1986–2020) | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2022 the authors | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1016/j.burnso.2022.12.001 | |
dc.identifier.cristin | 2134537 | |
dc.source.journal | Burns Open | en_US |
dc.source.pagenumber | 1-7 | en_US |
dc.identifier.citation | Burns Open. 2023, 7 (1), 1-7. | en_US |
dc.source.volume | 7 | en_US |
dc.source.issue | 1 | en_US |