title: Retrospective study on early outcome of acute burn injuries treated at Nepal Cleft and Burn Centre of Public Health Concern Trust-Nepal.
abstract: BACKGROUND
  Nepal Cleft & Burn Center, Kirtipur Hospital, Kathmandu has been providing the acute burn care since 2013 with 10 ICU beds, 32 general beds and two operating rooms. This study analyses the demographics of and early outcome in the acute burn patients.
  
  
  METHODS
  This is a descriptive retrospective study of the clinical data of acute burn patients admitted from January 1 to December 31, 2014.
  
  
  RESULTS
  There were 78 patients from 3 months to 88 years of age with a median age of 29 years. Forty six (58.9%) were females and 32 (41.1%) were males. Most of the injuries (n=57; 73%) occurred inside the house. Flame burn was the commonest mode of injury (n= 48, 61.6%). Only eleven (14.1%) patients arrived on the same day of the injury. The time elapsed was from 1 to 67 days with a median of 5 days. Only two (2.5%) patients had poured water for more than 20 minutes. Range of total body surface area (TBSA) involved was 1% to 70% with a median of 12%. Range of hospital stay was 1 to 105 days with a median of 17 days. Sixty (76.9%) patients underwent 102 surgical operations. Twenty six (33.3%) patients needed blood transfusion. A total of 15 (19.2%) patients died. None survived a burn injury of more than 40% TBSA.
  
  
  CONCLUSIONS
  Treatment of acute burn is very challenging with high mortality rate. A lot of effort is needed to change the present standard of care. Awareness programs on First Aid treatment of burn injuries together with the preventive programs focused on high risk population such as females and children in a large scale needs to be organized as soon as possible.
authors.affiliation: Department of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital and Kirtipur Hospital, Public Health Concern Trust- Nepal.
authors.forename: S M
authors.initials: SM
authors.lastname: Rai
authors.affiliation: Department of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital and Kirtipur Hospital, Public Health Concern Trust- Nepal.
authors.forename: B
authors.initials: B
authors.lastname: Karki
authors.affiliation: Department of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital and Kirtipur Hospital, Public Health Concern Trust- Nepal.
authors.forename: K
authors.initials: K
authors.lastname: Nakarmi
authors.affiliation: Department of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital and Kirtipur Hospital, Public Health Concern Trust- Nepal.
authors.forename: M
authors.initials: M
authors.lastname: Ghartimagar
authors.affiliation: Department of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital and Kirtipur Hospital, Public Health Concern Trust- Nepal.
authors.forename: K
authors.initials: K
authors.lastname: Nagarkoti
authors.affiliation: Department of Burns, Plastic and Reconstructive Surgery, Kathmandu Model Hospital and Kirtipur Hospital, Public Health Concern Trust- Nepal.
authors.forename: K D
authors.initials: KD
authors.lastname: Joshi
authors.affiliation: Department of Anesthesia, Kathmandu Model Hospital and Kirtipur Hospital, Public Health Concern Trust- Nepal.
authors.forename: P K
authors.initials: PK
authors.lastname: Rajbhandari
authors.affiliation: Matron, Kathmandu Model Hospital and Kirtipur Hospital, Public Health Concern Trust- Nepal.
authors.forename: B
authors.initials: B
authors.lastname: Gurung
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002053:Burn Units / Q000706:statistics & numerical data*; D002056:Burns / Q000209:etiology / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009390:Nepal / Q000453:epidemiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: acute burn; burn injury; burn mortality; burn outcome; epidemiology.