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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Burn+Care+Res 2016 ; 37 (6): e519-24 Nephropedia Template TP
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Surgical burn care by Médecins Sans Frontières Operations Center Brussels: 2008 ? 2014 #MMPMID26317837
Stewart B; Trelles M; Dominguez L; Wong E; Fiozounam HT; Hassani GH; Akemani C; Naseer A; Ntawukiruwabo IB; Kushner A
J Burn Care Res 2016[Nov]; 37 (6): e519-24 PMID26317837show ga
Objective: Humanitarian organisations care for burns during crisis and while supporting healthcare facilities in low- and middle-income countries. This study aimed to define the epidemiology of burn-related procedures to aid humanitarian response. In addition, operational data collected from humanitarian organisations are useful for describing surgical need otherwise unmet by national health systems. Methods: Procedures performed in operating theatres run by MSF Operations Centre Brussels (MSF-OCB) from July 2008 through June 2014 were reviewed. Surgical specialist missions were excluded. Burn procedures were quantified, related to demographics and reason for humanitarian response and described. Results: A total of 96,239 operations were performed at 27 MSF-OCB projects in 15 countries between 2008 ? 2014. Of the 33,947 general surgical operations, 4,280 (11%) were for burns. This proportion steadily increased from 3% in 2008 to 24% in 2014. People receiving surgical care from conflict relief missions had nearly twice the odds of having a burn operation compared to people requiring surgery in communities affected by natural disaster (aOR 1.94, 95%CI 1.46 ? 2.58). Nearly 70% of burn procedures were planned serial visits to the theatre. A diverse skill-set was required. Conclusion: Unmet humanitarian assistance needs increased US$ 400 million dollars in 2013 in the face of an increasing number of individuals affected by crisis and a growing surgical burden. Given the high volume of burn procedures performed at MSF-OCB projects and the resource intensive nature of burn management, requisite planning and reliable funding are necessary to ensure quality for burn care in humanitarian settings.