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Global Burn Registry Perspective on Head and Neck Burns
Ledibabari M Ngaage1, Mimi R Borrelli2, John A Rose3
1From the Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Annals of Plastic Surgery
|November 16, 2020
Summary
Head and neck burn patients in lower-middle-income countries (LMICs) receive less surgical treatment and face higher mortality risks. Global health initiatives should prioritize these regions to improve outcomes for burn injuries.
Area of Science:
- Global Health
- Burn Epidemiology
- Surgical Outcomes
Background:
- Head and neck burns pose significant risks due to the cosmetic and functional importance of these areas.
- Burns in these regions can lead to substantial morbidity and mortality.
Purpose of the Study:
- To identify factors predicting surgical treatment and patient outcomes for head and neck burn injuries internationally.
- To compare outcomes between different income-level countries.
Main Methods:
- An epidemiological study analyzed data from 1014 patients with head and neck burns across 14 countries using the World Health Organization Global Burn Registry.
- Multivariate regression identified predictors for surgical intervention and discharge condition.
Main Results:
- Patients in lower-middle-income countries (LMICs) were less likely to receive surgical treatment compared to higher-income countries.
- For children, increasing age and total surface body area (TBSA) predicted surgery. For adults, TBSA, associated injuries, ocular burns, female sex, and LMIC residency predicted mortality.
- TBSA was the sole independent predictor of mortality in children.
Conclusions:
- Specific patient groups face higher risks of adverse outcomes after head and neck burn injuries.
- Targeted global health initiatives are crucial for LMICs due to reduced surgical intervention and increased mortality rates.
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