ArticleBurns : journal of the International Society for Burn Injuries2015
Timing of early excision and grafting following burn in sub-Saharan Africa.
Article in Burns : journal of the International Society for Burn Injuries, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Optimal Timing and Approaches for First Tangential Excision in Patients With ≥70% Total Body Surface Area Burns: Insights From a Retrospective Cohort of a Mass Casualty Incident.Annals of surgery · 2026Article
- Selective Early Excision Versus a Conservative Surgical Approach. Management of Deep Burn Injury in a Resource-Restricted Setting: A Prospective, Observational Study.World journal of surgery · 2026Observational
- A Prospective Observational Study to Determine the Efficacy of a Theatre Prioritisation Tool in Optimal Utilisation of Limited Theatre Time for Deep Burn Injury in a Resource-Restricted Setting.European burn journal · 2025Article
- Early and Late Application of Skin Homograft in Management of Major Burn Patients: A Comparative Study.Annals of burns and fire disasters · 2025Article
- The treatment effect of operative intervention for flame versus scald burns in resource-limited settings.Burns : journal of the International Society for Burn Injuries · 2024Article
- The Timing of Operative Intervention for Pediatric Burn Patients in Malawi.World journal of surgery · 2023Article
- Invited Commentary: 'The Timing of Operative Intervention for Pediatric Burn Patients in Malawi'-Heeding the Call for Safer and more Effective Approaches to Early Excision for Major Burn Injury among Children in Low-Resource Settings.World journal of surgery · 2023Article
- Burns among adults in a major Malawian burn unit: epidemiology and factors associated with prolonged hospital stay.Malawi medical journal : the journal of Medical Association of Malawi · 2023Article
- The effect of COVID-19 on burn management and outcomes in a resource-limited setting.Burns : journal of the International Society for Burn Injuries · 2022Article
- The Association Between Burn Unit Census and Operative Intervention in a Resource-Limited Setting.World journal of surgery · 2021Article
- Access to Operative Intervention Reduces Mortality in Adult Burn Patients in a Resource-Limited Setting in Sub-Saharan Africa.World journal of surgery · 2020Article
- The Effect of Surgical Intervention on Pediatric Burn Injury Survival in a Resource-Poor Setting.The Journal of surgical research · 2020Article
- Palliation, end-of-life care and burns; concepts, decision-making and communication - A narrative review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020Review
- Early Excision and Grafting in Burns: An Experience in a Tertiary Care Industrial Hospital of Eastern India.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2019Article
- Colonization with Multidrug-Resistant Enterobacteriaceae is Associated with Increased Mortality Following Burn Injury in Sub-Saharan Africa.World journal of surgery · 2018Article
- Current Challenges of Plastic Surgical Care in Sub-Saharan Africa (Maputo, Mozambique).Plastic and reconstructive surgery. Global open · 2018Article
- A systematic review of burn injuries in low- and middle-income countries: Epidemiology in the WHO-defined African Region.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2017Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThis study sought to establish appropriate timing of burn wound excision and grafting in a resource-poor setting in sub-Saharan Africa.
methodsAll burn patients (905 patients) admitted to Kamuzu Central Hospital (KCH) Burn Unit in Lilongwe, Malawi over three years (2011-2014) were studied.
results275 patients (30%) had an operation during their admission. In patients who received an operation, median age was 5 years (IQR, 2.7-19) and median total body surface area burn was 15% (IQR, 8-25). 91 patients (33%) had early excision (≤5 days) and 184 patients (67%) had late excision (>5 days). Mortality was significantly greater in the early group (25.3% vs. 9.2%, p=0.001). Controlling for total body surface area burn and age, the adjusted predictive probability of mortality were 0.256 (CI 0.159-0.385) and 0.107 (CI 0.062-0.177) if operated ≤5 and >5 days, respectively (p=0.0114). The odds ratio for mortality if operated >5 days is 0.34 (CI 0.15-0.79, p<0.000).
conclusionsEarly excision and grafting in a resource-poor area in sub-Saharan Africa is associated with a significant increase in mortality. Delaying the timing of early excision and grafting of burn patients in a resource-poor setting past burn day 5 may confer a survival advantage.
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