Progress in a Moscow children's burn unit: a joint Russian-American collaboration.
A joint Russian-American paediatric burn programme involving Childrens Hospital No. 9 in Moscow and Project HOPE in Millwood, Virginia emerged from the efforts of burn professionals from both countries in caring for a group of children seriously burned as a result of the train-pipeline catastrophe that occurred in June 1989 in the Ural Mountains. This paper describes the burn unit and its activities during the years 1985-93 and includes: (1) a general description of the physical and administrative structure of the unit; (2) the demography of burn admissions; (3) clinical activities; (4) a comparison of the clinical results of the years before the institution of the combined programme (1985-89) with those achieved during the first 4 years of the combined collaboration (1990-93). Among the important changes that have occurred since the onset of the combined programme are: (1) overall reduction in the crude burn mortality rate; (2) decrease in burn deaths in all burn size groups; (3) dramatic reduction in the length of stay of children with the deepest burns; (4) marked improvement in the take of skin grafts applied to burn wounds and an almost total elimination of complete skin graft failures.
Remensnyder
J P
JP
Project HOPE, Millwood, Virginia, USA.
Astrozjnikova
S
S
Bell
L
L
Budkevich
L
L
Buletova
A A
AA
DiCarlo
J
J
Featherston
D
D
Johnson
L
L
Kolotukin
A
A
Krassovsky
V
V
D000293:Adolescent; D002053:Burn Units / Q000458:organization & administration; D002056:Burns / Q000209:etiology / Q000401:mortality / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D009031:Moscow / Q000453:epidemiology