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What is Known About Burns in East Africa? A Scoping Review
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- Mukagaju, Francoise (author)
- Rwanda Mil Hosp, Rwanda
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- Velin, Lotta (author)
- Harvard Med Sch, MA 02115 USA; Lund Univ, Sweden
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- Miranda, Elizabeth (author)
- Harvard Med Sch, MA 02115 USA; Univ Southern Calif, CA 90007 USA
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- Shyaka, Ian (author)
- Rwanda Mil Hosp, Rwanda
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- Nezerwa, Yves (author)
- Rwanda Mil Hosp, Rwanda
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- Furaha, Charles (author)
- Rwanda Mil Hosp, Rwanda
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- Ntirenganya, Faustin (author)
- Univ Teaching Hosp Kigali CHUK, Rwanda; Univ Rwanda, Rwanda
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- Riviello, Robert (author)
- Harvard Med Sch, MA 02115 USA; Brigham & Womens Hosp, MA 02115 USA
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- Pompermaier, Laura (author)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US,Harvard Med Sch, MA 02115 USA
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(creator_code:org_t)
- ACADEMIC PRESS INC ELSEVIER SCIENCE, 2021
- 2021
- English.
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In: Journal of Surgical Research. - : ACADEMIC PRESS INC ELSEVIER SCIENCE. - 0022-4804 .- 1095-8673. ; 266, s. 113-124
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Background: Bums are a global public health concern, with the majority of the disease burden affecting low-and middle-income countries. Yet, as suggested by previous publications, there is a widespread belief that literature about burns in low-and middle-income countries is lacking. Therefore, we aimed to assess with a scoping review, the extent of the literature output on bums in East Africa, and to investigate patient demographics, injury characteristics, treatment and outcomes, as reported from the existing publications. Methods: Studies discussing bums in East Africa were identified by searching PubMed / Medline (National Library of Medicine), EMBASE (Elsevier), Global Health Database (EBSCO), and Global Index Medicus on December 12, 2019. Controlled vocabulary terms (i.e., MeSH, EMTREE, Global Health thesaurus terms) were included when available and appropriate. No year restrictions were applied. Results: A total of 1,044 records were retrieved from the database searches, from which 40 articles from 6 countries published between 1993 and 2019 were included in the final review. No studies were found from five East African countries with the lowest GDP. Most papers focused on pediatric trauma patients or tertiary hospital settings. The total number of burn patients recorded was 44,369, of which the mean proportion of males was 56%. The most common cause of injury was scalds (61%), followed by open flame (17%). Mortality rate ranged from 0-67%. The mean length of stay in hospital was between 9-60 d. Conclusions: Burn data is limited in the East African region, with socio-economically weak countries being particularly underrepresented. This scoping review has identified the largest set of literature on burns in East Africa to date, indicating the importance of reviewing data at a regional or local level, as "global" studies tend to be dominated by high-income country data. Data collection in specific registries is needed to better characterize the exact burden of burn injuries in East Africa. (c) 2021 Elsevier Inc. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Bums; Epidemiology; East Africa; Scoping review
Publication and Content Type
- ref (subject category)
- for (subject category)
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