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Utility of an inter...
Utility of an intervention scoring system in documenting effects of changes in burn treatment
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- Sjöberg, Folke, 1956- (author)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Anestesiologi,Anestesi,Hand- och plastikkirurgiska kliniken med brännskadeenheten
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- Danielsson, Pär, 1958- (author)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Hand och plastikkirurgi,Hand- och plastikkirurgiska kliniken med brännskadeenheten
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- Andersson, L (author)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Hand och plastikkirurgi,Hand- och plastikkirurgiska kliniken med brännskadeenheten
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- Steinwall, I (author)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Hand och plastikkirurgi,Hand- och plastikkirurgiska kliniken med brännskadeenheten
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- Zdolsek, Joachim, 1960- (author)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Anestesiologi,Hand- och plastikkirurgiska kliniken med brännskadeenheten
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- Östrup, Leif (author)
- Linköpings universitet,Hälsouniversitetet,Kirurgi
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- Monafo, W (author)
- Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA
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(creator_code:org_t)
- Elsevier, 2000
- 2000
- English.
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In: Burns. - : Elsevier. - 0305-4179 .- 1879-1409. ; 26:6, s. 553-559
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- The consequences of the introduction of a program of consistent use of topical antimicrobials and early aggressive excision of deep burn wounds by utilizing a comprehensive, computerized patient registry/therapeutic intervention scoring system, were investigated. Prospectively, the clinical course, mortality, outcome and hospital costs were compared for the year preceding (89 patients) and the 4 years following (226 patients) the introduction of the new treatment program. It was found that mortality decreased from 10.1 to 4.6% after change in therapy (P < 0.001), despite an increase in mean burn extent. The length of hospital stay per % burn surface area declined from 1.2 to 1.0 days (P < 0.001). The number and complexity of therapeutic interventions and the associated costs, also declined. Patients in the new treatment program had a better level of physical and psychosocial function at follow up. In conclusion, the introduction of a program of consistent use of topical antimicrobials and early, aggressive surgical excision was associated with an improved outcome at lesser cost. The combined registry-intervention scoring system permits ready analysis of results using data entered on a daily, near-real time basis.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- costs; economy; follow up; length of stay; mortality; outcome
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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