Recording Patient Data in Burn Unit Logbooks in Rwanda: Who and What Are We Missing?

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Miranda, ElizabethHarvard Med Sch, MA 02115 USA; Univ Southern Calif, CA 90007 USA (författare)

Recording Patient Data in Burn Unit Logbooks in Rwanda : Who and What Are We Missing?

Artikel/kapitelEngelska2021

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2020-10-31
Oxford University Press,2021
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LIBRIS-ID:oai:DiVA.org:liu-178557
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-178557URI
https://doi.org/10.1093/jbcr/iraa198DOI

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Språk:engelska
Sammanfattning på:engelska

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Systematic data collection in high-income countries has demonstrated a decreasing burn morbidity and mortality, whereas lack of data from low- and middle-income countries hinders a global overview of burn epidemiology. In low- and middle-income countries, dedicated burn registries are few. Instead, burn data are often recorded in logbooks or as one variable in trauma registries, where incomplete or inconsistently recorded information is a known challenge. The University Teaching Hospital of Kigali hosts the only dedicated burn unit in Rwanda and has collected data on patients admitted for acute burn care in logbooks since 2005. This study aimed to assess the data registered between January 2005 and December 2019, to evaluate the extent of missing data, and to identify possible factors associated with "missingness." All data were analyzed using descriptive statistics, Fishers exact test, and Wilcoxon Rank Sum test. In this study, 1093 acute burn patients were included and 64.2% of them had incomplete data. Data completeness improved significantly over time. The most commonly missing variables were whether the patient was referred from another facility and information regarding whether any surgical intervention was performed. Missing data on burn mechanism, burn degree, and surgical treatment were associated with in-hospital mortality. In conclusion, missing data is frequent for acute burn patients in Rwanda, although improvements have been seen over time. As Rwanda and other low- and middle-income countries strive to improve burn care, ensuring data completeness will be essential for the ability to accurately assess the quality of care, and hence improve it.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng

Biuppslag (personer, institutioner, konferenser, titlar ...)

Velin, LottaHarvard Med Sch, MA 02115 USA; Lund Univ, Sweden (författare)
Ntirenganya, FaustinUniv Teaching Hosp Kigali CHUK, Rwanda (författare)
Riviello, RobertHarvard Med Sch, MA 02115 USA; Brigham & Womens Hosp, MA 02115 USA (författare)
Mukagaju, FrancoiseRwanda Mil Hosp, Rwanda (författare)
Shyaka, IanRwanda Mil Hosp, Rwanda (författare)
Nezerwa, YvesRwanda Mil Hosp, Rwanda (författare)
Pompermaier, LauraLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US,Harvard Med Sch, MA 02115 USA(Swepub:liu)laupo68 (författare)
Harvard Med Sch, MA 02115 USA; Univ Southern Calif, CA 90007 USAHarvard Med Sch, MA 02115 USA; Lund Univ, Sweden (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Burn Care & Research: Oxford University Press42:3, s. 526-5321559-047X1559-0488

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Av författaren/redakt...: Miranda, Elizabe ...; Velin, Lotta; Ntirenganya, Fau ...; Riviello, Robert; Mukagaju, Franco ...; Shyaka, Ian; visa fler...; Nezerwa, Yves; Pompermaier, Lau ...; visa färre...

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