Timing of surgery in acute burn care: A multicentre registry-based cohort study
Early excision and grafting are standard care for severe burns, though implementation varies globally. In the Netherlands, surgery for moderate and severe burns tends to be relatively late. This study analysed the timing of surgery in Dutch burn care by examining patient, injury and treatment charac...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Burns Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468912224000798 |
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| author | Roos F.C. Salemans Denise van Uden Ymke Lucas Anouk Pijpe Eelke Bosma Esther Middelkoop Michiel H.J. Verhofstad Margriet E. van Baar Cornelis H. van der Vlies |
| author_facet | Roos F.C. Salemans Denise van Uden Ymke Lucas Anouk Pijpe Eelke Bosma Esther Middelkoop Michiel H.J. Verhofstad Margriet E. van Baar Cornelis H. van der Vlies |
| author_sort | Roos F.C. Salemans |
| collection | DOAJ |
| description | Early excision and grafting are standard care for severe burns, though implementation varies globally. In the Netherlands, surgery for moderate and severe burns tends to be relatively late. This study analysed the timing of surgery in Dutch burn care by examining patient, injury and treatment characteristics, and clinical outcomes. A multicentre registry-based cohort study was conducted using data from the Dutch Burn Repository R3 (2009–2021), including adult patients who underwent surgery at a Dutch burn centre. The primary outcome was surgical timing, with patients classified into early (≤7 days) and late surgery (>7 days) groups. Multivariable logistic regression identified predictors of early surgery, while trends in timing were assessed with quantile regression. The median time to surgery was 14 days (Q1–Q3: 9.0–19.0), with 670 of 3291 patients receiving early surgery (20 %). Surgical timing increased slightly over the 13-year period. Predictors of early surgery included older age, larger total body surface area burned, psychiatric medical history, and flame, flash, and contact burns compared to scald burns. This study underscores the nuanced Dutch policy regarding surgery and the influence of burn severity on surgical timing. Further research is needed, focusing on patient-centred outcomes and international perspectives. |
| format | Article |
| id | doaj-art-ead5768c38ea45998a5d534e987e973a |
| institution | Kabale University |
| issn | 2468-9122 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Burns Open |
| spelling | doaj-art-ead5768c38ea45998a5d534e987e973a2025-01-19T06:26:27ZengElsevierBurns Open2468-91222025-01-019100391Timing of surgery in acute burn care: A multicentre registry-based cohort studyRoos F.C. Salemans0Denise van Uden1Ymke Lucas2Anouk Pijpe3Eelke Bosma4Esther Middelkoop5Michiel H.J. Verhofstad6Margriet E. van Baar7Cornelis H. van der Vlies8Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands; Alliance of Dutch Burn Care (ADBC), Burn Centre, Maasstad Hospital, Rotterdam, the NetherlandsAlliance of Dutch Burn Care (ADBC), Burn Centre, Maasstad Hospital, Rotterdam, the NetherlandsAlliance of Dutch Burn Care (ADBC), Burn Centre, Maasstad Hospital, Rotterdam, the NetherlandsAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, the Netherlands; Amsterdam UMC Location Vrije Universiteit Amsterdam, Department of Plastic, Reconstructive and Hand Surgery, Amsterdam, the Netherlands; Amsterdam Movement Science (AMS), Tissue Function and Regeneration, Amsterdam UMC, Amsterdam, the NetherlandsAlliance of Dutch Burn Care (ADBC), Burn Centre, Martini Hospital, Groningen, the Netherlands; Department of Surgery, Martini Hospital, Groningen, the NetherlandsAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, the Netherlands; Amsterdam UMC Location Vrije Universiteit Amsterdam, Department of Plastic, Reconstructive and Hand Surgery, Amsterdam, the Netherlands; Amsterdam Movement Science (AMS), Tissue Function and Regeneration, Amsterdam UMC, Amsterdam, the NetherlandsTrauma Research Unit Department of Surgery, Erasmus MC, University Medical Centre, Rotterdam, the NetherlandsAlliance of Dutch Burn Care (ADBC), Burn Centre, Maasstad Hospital, Rotterdam, the Netherlands; Erasmus MC, University Medical Centre Rotterdam, Department of Public Health, Rotterdam, the NetherlandsTrauma Research Unit Department of Surgery, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands; Alliance of Dutch Burn Care (ADBC), Burn Centre, Maasstad Hospital, Rotterdam, the Netherlands; Department of Trauma and Burn Surgery, Maasstad Hospital, Rotterdam, the Netherlands; Corresponding author.Early excision and grafting are standard care for severe burns, though implementation varies globally. In the Netherlands, surgery for moderate and severe burns tends to be relatively late. This study analysed the timing of surgery in Dutch burn care by examining patient, injury and treatment characteristics, and clinical outcomes. A multicentre registry-based cohort study was conducted using data from the Dutch Burn Repository R3 (2009–2021), including adult patients who underwent surgery at a Dutch burn centre. The primary outcome was surgical timing, with patients classified into early (≤7 days) and late surgery (>7 days) groups. Multivariable logistic regression identified predictors of early surgery, while trends in timing were assessed with quantile regression. The median time to surgery was 14 days (Q1–Q3: 9.0–19.0), with 670 of 3291 patients receiving early surgery (20 %). Surgical timing increased slightly over the 13-year period. Predictors of early surgery included older age, larger total body surface area burned, psychiatric medical history, and flame, flash, and contact burns compared to scald burns. This study underscores the nuanced Dutch policy regarding surgery and the influence of burn severity on surgical timing. Further research is needed, focusing on patient-centred outcomes and international perspectives.http://www.sciencedirect.com/science/article/pii/S2468912224000798Burn surgeryBurn registrySurgical timingEarly surgery |
| spellingShingle | Roos F.C. Salemans Denise van Uden Ymke Lucas Anouk Pijpe Eelke Bosma Esther Middelkoop Michiel H.J. Verhofstad Margriet E. van Baar Cornelis H. van der Vlies Timing of surgery in acute burn care: A multicentre registry-based cohort study Burns Open Burn surgery Burn registry Surgical timing Early surgery |
| title | Timing of surgery in acute burn care: A multicentre registry-based cohort study |
| title_full | Timing of surgery in acute burn care: A multicentre registry-based cohort study |
| title_fullStr | Timing of surgery in acute burn care: A multicentre registry-based cohort study |
| title_full_unstemmed | Timing of surgery in acute burn care: A multicentre registry-based cohort study |
| title_short | Timing of surgery in acute burn care: A multicentre registry-based cohort study |
| title_sort | timing of surgery in acute burn care a multicentre registry based cohort study |
| topic | Burn surgery Burn registry Surgical timing Early surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2468912224000798 |
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