A collaborative systems approach to rural burn care

Scott G. Sagraves, Sachin V. Phade, Tamara Spain, Michael R. Bard, Claudia E. Goettler, Paul J. Schenarts, Eric A. Toschlog, Mark A. Newell, Bruce A. Claims, Michael D. Peck, Michael F. Rotondo

Research output: Contribution to journalReview article

27 Citations (Scopus)

Abstract

A collaborative systems approach was created between the regional verified burn center (BC) and the rural verified Level 1 trauma center (TC) to treat minor burns. This study assesses the feasibility of providing outpatient burn care at the TC. A retrospective review was performed from January 2000 to June 2005 of burn patients seen at the TC. Seven trauma/critical care surgeons and a dedicated burn nurse staffed the clinic twice a week. Burn surgeons from the BC provided consultation via email and telephone links and served as the regional resource. In the TC clinic, 314 injuries occurred in 311 patients. 196 patients were male with an average age of 34.5 ± 1.1 years. The mean burn TBSA was 2.9 ± 0.2%. Fourteen patients (4%) required skin grafts. Patients averaged 3.5 ± 0.1 clinic visits over a mean follow-up period of 42.9 ± 7.4 days from initial injury. There were 1252 scheduled appointments during the study period. Silver sulfadiazine or triple antibiotic ointment was applied in the majority of the cases. Thirty-one patients (9.9%) were documented to have complications, most of which were local wound infections. Long-term sequelae (scarring, chronic pain, and contractures) occurred in 13.4% of patients. Clinical success in outpatient burn care can be achieved at a non burn center with dedicated personnel. The successful collaboration between the BC and TC can unload some minor burn care from the burn center, while providing good clinical care to the local rural population.

Original languageEnglish (US)
Pages (from-to)111-114
Number of pages4
JournalJournal of Burn Care and Research
Volume28
Issue number1
DOIs
StatePublished - Jan 1 2007

Fingerprint

Systems Analysis
Burn Units
Trauma Centers
Ambulatory Care
Wounds and Injuries
Silver Sulfadiazine
Feasibility Studies
Contracture
Rural Population
Wound Infection
Critical Care
Ointments
Burns
Telephone
Chronic Pain
Cicatrix
Appointments and Schedules
Referral and Consultation
Nurses
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

Cite this

Sagraves, S. G., Phade, S. V., Spain, T., Bard, M. R., Goettler, C. E., Schenarts, P. J., ... Rotondo, M. F. (2007). A collaborative systems approach to rural burn care. Journal of Burn Care and Research, 28(1), 111-114. https://doi.org/10.1097/BCR.0B013E31802C893B

A collaborative systems approach to rural burn care. / Sagraves, Scott G.; Phade, Sachin V.; Spain, Tamara; Bard, Michael R.; Goettler, Claudia E.; Schenarts, Paul J.; Toschlog, Eric A.; Newell, Mark A.; Claims, Bruce A.; Peck, Michael D.; Rotondo, Michael F.

In: Journal of Burn Care and Research, Vol. 28, No. 1, 01.01.2007, p. 111-114.

Research output: Contribution to journalReview article

Sagraves, SG, Phade, SV, Spain, T, Bard, MR, Goettler, CE, Schenarts, PJ, Toschlog, EA, Newell, MA, Claims, BA, Peck, MD & Rotondo, MF 2007, 'A collaborative systems approach to rural burn care', Journal of Burn Care and Research, vol. 28, no. 1, pp. 111-114. https://doi.org/10.1097/BCR.0B013E31802C893B
Sagraves, Scott G. ; Phade, Sachin V. ; Spain, Tamara ; Bard, Michael R. ; Goettler, Claudia E. ; Schenarts, Paul J. ; Toschlog, Eric A. ; Newell, Mark A. ; Claims, Bruce A. ; Peck, Michael D. ; Rotondo, Michael F. / A collaborative systems approach to rural burn care. In: Journal of Burn Care and Research. 2007 ; Vol. 28, No. 1. pp. 111-114.
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