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

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Fältnamn	Indikatorer	Metadata
000		03952naa a2200397 4500
001		oai:DiVA.org:liu-178557
003		SwePub
008		210827s2021 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1785572 URI
024	7	a https://doi.org/10.1093/jbcr/iraa1982 DOI
040		a (SwePub)liu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Miranda, Elizabethu Harvard Med Sch, MA 02115 USA; Univ Southern Calif, CA 90007 USA4 aut
245	1 0	a Recording Patient Data in Burn Unit Logbooks in Rwanda :b Who and What Are We Missing?
264		c 2020-10-31
264	1	b Oxford University Press,c 2021
338		a electronic2 rdacarrier
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
700	1	a Velin, Lottau Harvard Med Sch, MA 02115 USA; Lund Univ, Sweden4 aut
700	1	a Ntirenganya, Faustinu Univ Teaching Hosp Kigali CHUK, Rwanda4 aut
700	1	a Riviello, Robertu Harvard Med Sch, MA 02115 USA; Brigham & Womens Hosp, MA 02115 USA4 aut
700	1	a Mukagaju, Francoiseu Rwanda Mil Hosp, Rwanda4 aut
700	1	a Shyaka, Ianu Rwanda Mil Hosp, Rwanda4 aut
700	1	a Nezerwa, Yvesu Rwanda Mil Hosp, Rwanda4 aut
700	1	a Pompermaier, Laurau Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US,Harvard Med Sch, MA 02115 USA4 aut0 (Swepub:liu)laupo68
710	2	a Harvard Med Sch, MA 02115 USA; Univ Southern Calif, CA 90007 USAb Harvard Med Sch, MA 02115 USA; Lund Univ, Sweden4 org
773	0	t Journal of Burn Care & Researchd : Oxford University Pressg 42:3, s. 526-532q 42:3<526-532x 1559-047Xx 1559-0488
856	4	u https://liu.diva-portal.org/smash/get/diva2:1588457/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4	u https://academic.oup.com/jbcr/article-pdf/42/3/526/37889374/iraa198.pdf
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-178557
856	4 8	u https://doi.org/10.1093/jbcr/iraa198

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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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