Bazzi Ali, Ghazanfari Mohammad Javad, Norouzi Masoumeh, Mobayen Mohammadreza, Jafaraghaee Fateme, Emami Zeydi Amir, Osuji Joseph, Karkhah Samad
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Arch Acad Emerg Med. 2022 Jun 2;10(1):e43. doi: 10.22037/aaem.v10i1.1534. eCollection 2022.
Burn injuries are under-appreciated trauma, associated with substantial morbidity and mortality. It is necessary to refer patients in need of specialized care to more specialized centers for treatment and rehabilitation of burn injuries. This systematic review aimed to assess the adherence to referral criteria for burn patients.
An extensive search was conducted on Scopus, PubMed, and Web of Science online databases using the relevant keywords from the earliest to October 7, 2021. The quality of the included studies was assessed using the appraisal tool for cross-sectional studies (AXIS tool).
Among a total of 7,455 burn patients included in the nine studies, 60.95% were male. The most frequently burned areas were the hands (n=3) and the face (n=2). The most and least common burn mechanisms were scalds (62.76%) and electrical or chemical (2.88%), respectively. 51.88% of burn patients had met ≥ 1 referral criteria. The overall adherence to the referral criteria for burn patients was 58.28% (17.37 to 93.39%). The highest and lowest adherence rates were related to Western Cape Provincial (WCP) (26.70%) and National Burn Care Review (NBCR) (4.97%) criteria, respectively.
The overall adherence to the referral criteria for burn patients was relatively desirable. Therefore, well-designed future studies are suggested in order to uncover approaches to improve adherence to referral criteria for burn patients.
烧伤是一种未得到充分重视的创伤，会导致严重的发病率和死亡率。有必要将需要专科护理的患者转至更专业的中心，以接受烧伤治疗和康复。本系统评价旨在评估烧伤患者转诊标准的依从性。
使用相关关键词，在Scopus、PubMed和Web of Science在线数据库中进行了广泛检索，检索时间从最早到2021年10月7日。使用横断面研究评估工具（AXIS工具）对纳入研究的质量进行评估。
在九项研究纳入的总共7455例烧伤患者中，60.95%为男性。最常烧伤的部位是手部（n=3）和面部（n=2）。最常见和最不常见的烧伤机制分别是烫伤（62.76%）和电击或化学烧伤（2.88%）。51.88%的烧伤患者符合≥1条转诊标准。烧伤患者转诊标准的总体依从率为58.28%（17.37%至93.39%）。最高和最低依从率分别与西开普省（WCP）标准（26.70%）和国家烧伤护理审查（NBCR）标准（4.97%）相关。
烧伤患者转诊标准的总体依从性相对较好。因此，建议开展精心设计的未来研究，以发现提高烧伤患者转诊标准依从性的方法。
