Surgical burn care in sub-Saharan Africa: A systematic review

M. Botman, J.A. Beijneveld, V.L. Negenborn, T.C.C. Hendriks, L.J. Schoonmade, D.P. Mackie, P.P.M. van Zuijlen

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Burn injuries are still one of the most common and devastating global health problems worldwide. The vast majority of burns occur in low- and middle-income countries, particularly in sub-Saharan Africa (SSA). A certain standard of surgical and anesthesia care is essential to minimize morbidity and mortality. The aim of this study is to obtain baseline information on surgical burn care in SSA and to determine how this can be improved. A systematic review (PRISMA) was conducted. Data were extracted regarding patient characteristics, surgical care, dressing techniques and outcome. Forty-seven articles from 12 different countries were included. The mean TBSA was 18.2%. Overall mortality was 12.6%. Of the included patients, 47% underwent an operation. Seventeen studies (36% of included studies) reported on the number of patients with deep burn wounds in their population. In this group, 90% was grafted (reported in 17 studies), 25% was done early (
Original languageEnglish
Pages (from-to)129-134
Number of pages6
JournalBurns Open
Issue number4
Publication statusPublished - Oct 2019

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