Mugwena Ntsovelo, Human Rule, Geyser Maria M
Department of Family Medicine, Division of Emergency Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria Department of Family Medicine, Division of Emergency Medicine, Faculty of Health Sciences, Kalafong Provincial Tertiary Hospital, Pretoria.
S Afr Fam Pract (2004). 2025 Jan 8;67(1):e1-e6. doi: 10.4102/safp.v67i1.6009.
Burn injuries cause significant morbidity and mortality, with prevalence in developing countries such as South Africa. This study aimed to determine the characteristics and referral patterns of burn injuries.
A retrospective observational study was conducted in a single emergency centre, Kalafong Provincial Tertiary Hospital, from 01 January 2021 to 31 December 2021. The study included patients 13 years with burn injuries.
A total of 266 patients were identified. Males (n = 144, 54.1%) had a higher prevalence of incurring burn injuries. The majority of injuries were secondary to scald burns (n = 237, 89.1%). A total of 208 (78.2%) patients had a percentage of total body surface area (%TBSA) of 10%, and 257 (96.6%) had superficial partial-thickness burns. Only 77 (28.9%) cases were from referral centres and there was no relationship between referral pattern and %TBSA. Majority (n = 248, 93.2%) received no pre-hospital wound care. Only 108 (40.6%) patients were admitted and the median length of hospital stay (interquartile range [IQR]) was 7 days (2 to 9). There was a significant relationship between the length of hospital stay and %TBSA burns (p 0.001).
The pattern of burn injuries in patients is similar to previous studies carried out predominantly in townships in South Africa. Most referrals were found to be appropriate and complied with institutional burn injury admission protocol, although pre-hospital wound care was inadequate.Contribution: Primary burn injury care is vital to reduce morbidity and mortality, and development of programmes for public awareness of burn injuries remains crucial.
烧伤会导致严重的发病率和死亡率，在南非等发展中国家较为普遍。本研究旨在确定烧伤的特征和转诊模式。
于2021年1月1日至2021年12月31日在卡拉方省级三级医院这一单一急诊中心进行了一项回顾性观察研究。该研究纳入了13岁及以上的烧伤患者。
共识别出266例患者。男性（n = 144，54.1%）烧伤发生率较高。大多数损伤继发于烫伤（n = 237，89.1%）。共有208例（78.2%）患者的体表面积百分比（%TBSA）为10%，257例（96.6%）为浅Ⅱ度烧伤。只有77例（28.9%）病例来自转诊中心，转诊模式与%TBSA之间无关联。大多数（n = 248，93.2%）患者在院前未接受伤口护理。只有108例（40.6%）患者入院，住院时间中位数（四分位间距[IQR]）为7天（2至9天）。住院时间与%TBSA烧伤之间存在显著关联（p < 0.001）。
患者的烧伤模式与此前主要在南非城镇开展的研究相似。尽管院前伤口护理不足，但大多数转诊被认为是合适的，且符合机构烧伤入院协议。贡献：烧伤初级护理对于降低发病率和死亡率至关重要，开展烧伤公众意识宣传项目仍然至关重要。
