Surgical Burn Care by Médecins Sans Frontières-Operations Center Brussels: 2008 to 2014.

Hdl Handle:
http://hdl.handle.net/10144/614854
Title:
Surgical Burn Care by Médecins Sans Frontières-Operations Center Brussels: 2008 to 2014.
Authors:
Stewart, Barclay; Trelles, Miguel; Dominguez, Lynette; Wong, Evan; Fiozounam, Hervé Tribunal; Hassani, Ghulam Hiadar; Akemani, Clemence; Naseer, Aemer; Ntawukiruwabo, Innocent Bagura; Kushner, Adam
Journal:
Journal of Burn Care & Research : official publication of the American Burn Association
Abstract:
Humanitarian organizations care for burns during crisis and while supporting healthcare facilities in low-income 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 organizations are useful for describing surgical need otherwise unmet by national health systems. Procedures performed in operating theatres run by Médecins Sans Frontières-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. A total of 96,239 operations were performed at 27 MSF-OCB projects in 15 countries between 2008 and 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 with people requiring surgery in communities affected by natural disaster (adjusted odds ratio, 1.94; 95% confidence interval, 1.46-2.58). Nearly 70% of burn procedures were planned serial visits to the theatre. A diverse skill set was required. 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.
Publisher:
Wolters Kluwer
Issue Date:
27-Aug-2015
URI:
http://hdl.handle.net/10144/614854
DOI:
10.1097/BCR.0000000000000305
PubMed ID:
26317837
Language:
en
ISSN:
1559-0488
Appears in Collections:
Surgery

Full metadata record

DC FieldValue Language
dc.contributor.authorStewart, Barclayen
dc.contributor.authorTrelles, Miguelen
dc.contributor.authorDominguez, Lynetteen
dc.contributor.authorWong, Evanen
dc.contributor.authorFiozounam, Hervé Tribunalen
dc.contributor.authorHassani, Ghulam Hiadaren
dc.contributor.authorAkemani, Clemenceen
dc.contributor.authorNaseer, Aemeren
dc.contributor.authorNtawukiruwabo, Innocent Baguraen
dc.contributor.authorKushner, Adamen
dc.date.accessioned2016-06-27T16:46:43Z-
dc.date.available2016-06-27T16:46:43Z-
dc.date.issued2015-08-27-
dc.identifier.citationSurgical Burn Care by Médecins Sans Frontières-Operations Center Brussels: 2008 to 2014. 2015: J Burn Care Resen
dc.identifier.issn1559-0488-
dc.identifier.pmid26317837-
dc.identifier.doi10.1097/BCR.0000000000000305-
dc.identifier.urihttp://hdl.handle.net/10144/614854-
dc.description.abstractHumanitarian organizations care for burns during crisis and while supporting healthcare facilities in low-income 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 organizations are useful for describing surgical need otherwise unmet by national health systems. Procedures performed in operating theatres run by Médecins Sans Frontières-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. A total of 96,239 operations were performed at 27 MSF-OCB projects in 15 countries between 2008 and 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 with people requiring surgery in communities affected by natural disaster (adjusted odds ratio, 1.94; 95% confidence interval, 1.46-2.58). Nearly 70% of burn procedures were planned serial visits to the theatre. A diverse skill set was required. 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.en
dc.languageENG-
dc.language.isoenen
dc.publisherWolters Kluweren
dc.rightsArchived with thanks to Journal of Burn Care & Research : official publication of the American Burn Association through Wolters Kluweren
dc.titleSurgical Burn Care by Médecins Sans Frontières-Operations Center Brussels: 2008 to 2014.en
dc.identifier.journalJournal of Burn Care & Research : official publication of the American Burn Associationen

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