RAiD 10.26259/43c1d100

Investigating the impact of acute surgery timing on short-term post-burn outcomes in adult burn patients

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  "title": [
    {
      "text": "Investigating the impact of acute surgery timing on short-term post-burn outcomes in adult burn patients",
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      "text": "Burns are one of the most common forms of traumatic injuries globally, and are\nattributed to longer stays in hospital, particularly in the intensive care unit (ICU), compared to\nother injuries. Burn pathophysiology is complex, consisting of multiple phases of disordered\nmetabolism that contribute to the challenge of burn treatment and management.\nWhile there are studies in the published literature that provide evidence for the benefits\nof early excision and grafting of burn wounds, there is still no consensus for the optimal timing\nto burn surgery for adult patients, in terms of what is early and how to translate earlier surgery\ninto practise.\nUsing data collected in the Western Australian Burn Clinical Data Registry since 2004,\nthis retrospective cohort study aims to explore this gap in the literature. From a sample\npopulation consisting of patients that underwent surgery for their burn injuries, patients will be\ncategorised into cohorts (<48 hours, 48 hours to 5 days, and >5 days) derived from the time\nbetween burn diagnosis and burn surgery. The associations between time to surgery and\nvariables including length of hospital stay (LOS), duration of care, hospital-acquired\ncomplications (HACs) and in-hospital intervention will be statistically analysed for\nsignificance.\nThe results of this study aim to better inform surgical management of burns in an acute\nsetting. By potentially providing evidence for improved outcomes, these results will clarify the\noptimal timing of burn surgery for better short-term post-operative outcomes.",
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