ArticleWorld journal of surgery2020
Access to Operative Intervention Reduces Mortality in Adult Burn Patients in a Resource-Limited Setting in Sub-Saharan Africa.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
- 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
- The effect of allogeneic blood transfusion on burn mortality in a resource-limited setting.Burns : journal of the International Society for Burn Injuries · 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
- Synthesizing the Evidence Base to Enhance Coordination between Humanitarian Mine Action and Emergency Care for Casualties of Explosive Ordnance and Explosive Weapons: A Scoping Review.Prehospital and disaster medicine · 2024Article
- Predictors of mortality following electrical and lightning injuries in Malawi: A decade of experience.Burns : journal of the International Society for Burn Injuries · 2024Observational
- The Timing of Operative Intervention for Pediatric Burn Patients in Malawi.World journal of surgery · 2023Article
- Evaluation of clinical outcomes and comparison of prediction models in the burn population hospitalized from the emergency department: Can burn mortality scores be used in a post-conflict area such as northwest Syria?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Photographic Evaluation of Burn Depth via Telemedicine: Insights from Iranian Surgeons.Telemedicine reports · 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
- A plastic and reconstructive surgery landscape assessment of Malawi: a scoping review of Malawian literature.European journal of medical research · 2022Article
- The Association Between Burn Unit Census and Operative Intervention in a Resource-Limited Setting.World journal of surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
introductionEarly excision and grafting remains the standard of care after burn injury. However, in a resource-limited setting, operative capacity often limits patient access to surgical intervention. This study sought to describe access to excision and grafting for adult burn patients in a sub-Saharan African burn unit and its relationship with burn-associated mortality.
methodsWe analyzed patients recorded in the Kamuzu Central Hospital Burn Registry in Lilongwe, Malawi from 2011-2019. We examined patient characteristics, interventions, and outcomes for adults aged ≥16 years. Modified Poisson regression modeling was used to identify risk factors for mortality.
resultsFive hundred and seventy-three patients were included. Median age was 30 years (IQR 23-40) with a male preponderance (63%). Median percent total body surface area burned (%TBSA) was 15% (IQR 8-26) and 68% of burns were caused by flame. 27% (n = 154) had burn excision with skin grafting, with a median time to operation of 18 days (IQR 9-38). When adjusted for age, %TBSA, and time to presentation, operative intervention conferred a survival benefit for patients with flame burns with a RR 0.16 (95% CI 0.06, 0.42).
conclusionsIn a resource-limiting setting, access to the operating room is inadequate, and burn patients are not prioritized. While many scald burn patients may be managed with wound care alone, patients with flame burn require surgical intervention to improve clinical outcomes. Burn injury in this region continues to confer a high risk of mortality, and more investment in operative capacity is imperative.
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