Citation

Dale EL, Mueller MA, Wang L, Fogerty MD, Guy JS, Nthumba PM. Burns 2013; 39(4): 788-795.

Affiliation

Department of Plastic Surgery, University of Tennessee College of Medicine Chattanooga, United States; Vanderbilt University School of Medicine, United States. Electronic address: edale@uthsc.edu.

Copyright

(Copyright © 2013, Elsevier Publishing)

DOI

10.1016/j.burns.2012.09.003

PMID

23040425

Abstract

INTRODUCTION: In order to implement effective burn prevention strategies, the WHO has called for improved data collection to better characterize burn injuries in low and middle income countries (LMIC). This study was designed to gather information on burn injury in Kenya and to test a model for such data collection. METHODS: The study was designed as a retrospective case series study utilizing an electronic data collection tool to assess the scope of burn injuries requiring operation at Kijabe Hospital from January 2006 to May 2010. Data were entered into a web-based tool to test its utility as the potential Kenya Burn Repository (KBR). RESULTS: 174 patients were included. The median age was 10years. There was a male predominance (59% vs. 41%). Findings included that timing of presentation was associated with burn etiology (p=0.009). Length of stay (LOS) was associated with burn etiology (p<0.001). Etiology differed depending on the age group, with scald being most prominent in children (p=0.002). CONCLUSIONS: Burn injuries in Kenya show similarities with other LMIC in etiology and pediatric predominance. Late presentation for care and prolonged LOS are areas for further investigation. The web-based database is an effective tool for data collection and international collaboration.

Language: en