Evaluation of a Streamlined Model of Care for Minor Burn Patients
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Minor burns represent the majority of all burn patients in developed countries, yet little information regarding their outcomes is available in the literature. Minor burns at Royal Perth Hospital are provided routine outpatient clinic follow-up at 1 month postinjury resulting in increased ambulatory care demand and inefficiency due to high failure to attend rates. The authors hypothesized that improving patient education and using a posted quality-of-life survey in place of a 1-month outpatient clinic follow-up visit for minor burn patients would improve efficiency without compromising outcome compared to current standard practice. A sample of conservatively managed minor burn outpatients who healed within 14 days were administered a burn care education manual and discharged. Participants were assessed using postal Burn-Specific Health Scale-Brief and satisfaction surveys at 1 month postburn. Their responses were compared to those of patients who had received standard care. The intervention group had a higher, but not statistically significant, median BSHS-B score (156) than the comparison group (153) (P =.05). The intervention group also reported high levels of satisfaction with service. The new model of care is an appropriate strategy for management of minor burn. Its benefit over current hospital-based follow-up is that it saves one clinic appointment, improves efficiency related to nonattendance, and reduces patient burden.
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Finlay, V.; Phillips, M.; Wood, F.; Hendrie, Delia; Allison, Garry; Edgar, D. (2014)Introduction: Like many other Western burn services, the proportion of major to minor burns managed at Royal Perth Hospital (RPH) is in the order of 1:10. The Burn Specific Health Scale-Brief (BSHS-B) is an established ...
Long term mortality in a population-based cohort of adolescents, and young and middle-aged adults with burn injury in Western Australia: A 33-year studyDuke, J.; Boyd, James; Randall, S.; Wood, F. (2015)© 2015 Elsevier Ltd. All rights reserved. Background Advances in the treatment and management of burn patients over the past decades have resulted in a decline of in-hospital mortality rates. Current estimates of burn-related ...
Duke, J.; Randall, Sean; Fear, M.; Boyd, James; Wood, F. (2017)© 2017 Elsevier Ltd and ISBI.Background: Severe burn triggers systemic responses that result in reduced muscle mass and changes in bone formation, with recent evidence also suggesting systemic effects on bone after minor ...