title: Progress in a Moscow children's burn unit: a joint Russian-American collaboration.
abstract: 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.
authors.affiliation: Project HOPE, Millwood, Virginia, USA.
authors.forename: J P
authors.initials: JP
authors.lastname: Remensnyder
authors.forename: S
authors.initials: S
authors.lastname: Astrozjnikova
authors.forename: L
authors.initials: L
authors.lastname: Bell
authors.forename: L
authors.initials: L
authors.lastname: Budkevich
authors.forename: A A
authors.initials: AA
authors.lastname: Buletova
authors.forename: J
authors.initials: J
authors.lastname: DiCarlo
authors.forename: D
authors.initials: D
authors.lastname: Featherston
authors.forename: L
authors.initials: L
authors.lastname: Johnson
authors.forename: A
authors.initials: A
authors.lastname: Kolotukin
authors.forename: V
authors.initials: V
authors.lastname: Krassovsky
mesh_terms: 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