1
|
Van Lieshout EM, Van Yperen DT, Van Baar ME, Polinder S, Boersma D, Cardon AY, De Rijcke PA, Guijt M, Klem TM, Lansink KW, Ringburg AN, Staarink M, Van de Schoot L, Van der Veen AH, Van Eijck FC, Van Eerten PV, Vegt PA, Vos DI, Waleboer M, Verhofstad MH, Van der Vlies CH. Epidemiology of injuries, treatment (costs) and outcome in burn patients admitted to a hospital with or without dedicated burn centre (Burn-Pro): protocol for a multicentre prospective observational study. BMJ Open 2018; 8:e023709. [PMID: 30446574 PMCID: PMC6252702 DOI: 10.1136/bmjopen-2018-023709] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION The Emergency Management of Severe Burns (EMSB) referral criteria have been implemented for optimal triaging of burn patients. Admission to a burn centre is indicated for patients with severe burns or with specific characteristics like older age or comorbidities. Patients not meeting these criteria can also be treated in a hospital without burn centre. Limited information is available about the organisation of care and referral of these patients. The aims of this study are to determine the burn injury characteristics, treatment (costs), quality of life and scar quality of burn patients admitted to a hospital without dedicated burn centre. These data will subsequently be compared with data from patients with<10% total bodysurface area (TBSA) burned who are admitted (or secondarily referred) to a burn centre. If admissions were in agreement with the EMSB, referral criteria will also be determined. METHODS AND ANALYSIS In this multicentre, prospective, observational study (cohort study), the following two groups of patients will be followed: 1) all patients (no age limit) admitted with burn-related injuries to a hospital without a dedicated burn centre in the Southwest Netherlands or Brabant Trauma Region and 2) all patients (no age limit) with<10% TBSA burned who are primarily admitted (or secondarily referred) to the burn centre of Maasstad Hospital. Data on the burn injury characteristics (primary outcome), EMSB compliance, treatment, treatment costs and outcome will be collected from the patients' medical files. At 3 weeks and at 3, 6 and 12 months after trauma, patients will be asked to complete the quality of life questionnaire (EuroQoL-5D), and the patient-reported part of the Patient and Observer Scar Assessment Scale (POSAS). At those time visits, the coordinating investigator or research assistant will complete the observer-reported part of the POSAS. ETHICS AND DISSEMINATION This study has been exempted by the medical research ethics committee Erasmus MC (Rotterdam, The Netherlands). Each participant will provide written consent to participate and remain encoded during the study. The results of the study are planned to be published in an international, peer-reviewed journal. TRIAL REGISTRATION NUMBER NTR6565.
Collapse
Affiliation(s)
- Esther Mm Van Lieshout
- Trauma Research Unit Department of Surgery, University Medical Center Rotterdam, Rotterdam, The Netherlands
| | - Daan T Van Yperen
- Trauma Research Unit Department of Surgery, University Medical Center Rotterdam, Rotterdam, The Netherlands
- Burn Center, Maasstad Hospital, Rotterdam, Zuid-Holland, The Netherlands
| | - Margriet E Van Baar
- Association of Dutch Burn Centers, Maasstad Hospital, Rotterdam, Zuid-Holland, The Netherlands
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Zuid-Holland, The Netherlands
| | - Suzanne Polinder
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Zuid-Holland, The Netherlands
| | - Doeke Boersma
- Department of Surgery, Jeroen Bosch Ziekenhuis, Den Bosch, Noord-Brabant, The Netherlands
| | - Anne Ymvp Cardon
- Department of Surgery, ZorgSaam Zeeuws-Vlaanderen, Terneuzen, Zeeland, The Netherlands
| | - Piet Ar De Rijcke
- Department of Surgery, IJsselland Ziekenhuis, Capelle aan den IJssel, Zuid-Holland, The Netherlands
| | - Marc Guijt
- Department of Surgery, Elkerliek Ziekenhuis, Helmond, The Netherlands
| | - Taco Mal Klem
- Department of Surgery, Franciscus Gasthuis&Vlietland, Rotterdam, Zuid-Holland, The Netherlands
| | - Koen Ww Lansink
- Department of Surgery, Elisabeth-TweeSteden Ziekenhuis, Tilburg, Noord-Brabant, The Netherlands
| | - Akkie N Ringburg
- Department of Surgery, Ikazia Ziekenhuis, Rotterdam, Zuid-Holland, The Netherlands
| | - Maarten Staarink
- Department of Surgery, Van Weel-Bethesda Ziekenhuis, Middelharnis, Zuid-Holland, The Netherlands
| | - Leon Van de Schoot
- Department of Surgery, Beatrix Ziekenhuis/Rivas, Gorinchem, Zuid-Holland, The Netherlands
| | | | - Floortje C Van Eijck
- Department of Surgery, Bravis Ziekenhuis, Bergen op Zoom, Noord-Brabant, The Netherlands
| | - Percy V Van Eerten
- Department of Surgery, Máxima Medisch Centrum, Veldhoven, Noord-Brabant, The Netherlands
| | - Paul A Vegt
- Department of Surgery, Albert Schweitzer Ziekenhuis, Dordrecht, Zuid-Holland, The Netherlands
| | - Dagmar I Vos
- Department of Surgery, Amphia Ziekenhuis, Breda, The Netherlands
| | - Marco Waleboer
- Department of Surgery, Admiraal De Ruyter Ziekenhuis, Goes, Zeeland, The Netherlands
| | - Michael Hj Verhofstad
- Trauma Research Unit Department of Surgery, University Medical Center Rotterdam, Rotterdam, The Netherlands
| | - Cornelis H Van der Vlies
- Trauma Research Unit Department of Surgery, University Medical Center Rotterdam, Rotterdam, The Netherlands
- Burn Center, Maasstad Hospital, Rotterdam, Zuid-Holland, The Netherlands
| |
Collapse
|