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Utility of an intervention scoring system in documenting effects of changes in burn treatment
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Anaesthesiology. Östergötlands Läns Landsting, MKC - Medicin och kirurgicentrum, Anestesi. Östergötlands Läns Landsting, Reconstruction Centre, Department of Plastic Surgery, Hand surgery and Burns.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Plastic Surgery, Hand Surgery and Burns. Östergötlands Läns Landsting, Reconstruction Centre, Department of Plastic Surgery, Hand surgery and Burns.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Plastic Surgery, Hand Surgery and Burns. Östergötlands Läns Landsting, Reconstruction Centre, Department of Plastic Surgery, Hand surgery and Burns.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Plastic Surgery, Hand Surgery and Burns. Östergötlands Läns Landsting, Reconstruction Centre, Department of Plastic Surgery, Hand surgery and Burns.
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2000 (English)In: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 26, no 6, 553-559 p.Article in journal (Refereed) Published
Abstract [en]

The consequences of the introduction of a program of consistent use of topical antimicrobials and early aggressive excision of deep burn wounds by utilizing a comprehensive, computerized patient registry/therapeutic intervention scoring system, were investigated. Prospectively, the clinical course, mortality, outcome and hospital costs were compared for the year preceding (89 patients) and the 4 years following (226 patients) the introduction of the new treatment program. It was found that mortality decreased from 10.1 to 4.6% after change in therapy (P < 0.001), despite an increase in mean burn extent. The length of hospital stay per % burn surface area declined from 1.2 to 1.0 days (P < 0.001). The number and complexity of therapeutic interventions and the associated costs, also declined. Patients in the new treatment program had a better level of physical and psychosocial function at follow up. In conclusion, the introduction of a program of consistent use of topical antimicrobials and early, aggressive surgical excision was associated with an improved outcome at lesser cost. The combined registry-intervention scoring system permits ready analysis of results using data entered on a daily, near-real time basis.

Place, publisher, year, edition, pages
Elsevier, 2000. Vol. 26, no 6, 553-559 p.
Keyword [en]
costs; economy; follow up; length of stay; mortality; outcome
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-24870DOI: 10.1016/S0305-4179(00)00004-8ISI: 000088323100007Scopus ID: 2-s2.0-0343081629Local ID: 9272OAI: oai:DiVA.org:liu-24870DiVA: diva2:245193
Conference
6th Nordic Meeting for Burn Injuries, Stockholm, Sweden, May 1998
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13Bibliographically approved

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Sjöberg, FolkeDanielsson, PärZdolsek, Joachim

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Sjöberg, FolkeDanielsson, PärZdolsek, Joachim
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Faculty of Health SciencesAnaesthesiologyAnestesiDepartment of Plastic Surgery, Hand surgery and BurnsPlastic Surgery, Hand Surgery and BurnsSurgery
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