@article{ref1,
title="Assessing burn care in Brazil: an epidemiologic, cross-sectional, nationwide study",
journal="Surgery",
year="2018",
author="Citron, Isabelle and Amundson, Julia and Saluja, Saurabh and Guilloux, Aline and Jenny, Hillary and Scheffer, Mario and Shrime, Mark and Alonso, Nivaldo",
volume="163",
number="5",
pages="1165-1172",
abstract="BACKGROUND: The aim of this study was to describe the national epidemiology of burns in Brazil and evaluate regional access to care by defining the contribution of out-of-hospital mortality to total burn deaths. <br><br>METHODS: We reviewed admissions data for Brazil's single-payer, free-at-point-of-care, public-sector provider and national death registry data abstracted from DATASUS for 2008-2014. Admissions, in-hospital mortality, hospital reimbursement, and total deaths from the death registry were assessed for records coded under ICD-10 codes corresponding to flame, scald, contact, and electrical burns. <br><br>RESULTS: A total of 17,264 burn deaths occurred between 2008-2014 (mean annual 2,466 [SD 202]). Of all burns deaths 79.1% occurred out of hospital, with marked regional differences in the proportion of out-of-hospital deaths (P < 0.001), the greatest being in the North region. The mean annual number of admissions >24 hours was 18,551 (SD 1,504) with the greatest prevalence of flame burns overall (43.98%) and scalds prevailing in < 5 years (57.8%). Regional differences were found in per-capita admissions (P < 0.001) with the greatest number in the Central-West region. A mean of $1,022 (SD $94) US dollars was reimbursed per burn admission. <br><br>CONCLUSION: Given that nearly 80% of burns mortalities occurred out of hospital, prevention of burns alongside interventions improving prehospital and access to care have potential for the greatest impact.<br><br>Copyright © 2017 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0039-6060",
doi="10.1016/j.surg.2017.11.023",
url="http://dx.doi.org/10.1016/j.surg.2017.11.023"
}