Author/Authors :
Bazzi, Ali Department of Medical-Surgical Nursing - School of Nursing and Midwifery - Guilan University of Medical Sciences, Rasht, Iran , Ghazanfari, Mohammad Javad Burn and Regenerative Medicine Research Center - Guilan University of Medical Sciences, Rasht, Iran , Norouzi, Masoumeh Department of Medical-Surgical Nursing - School of Nursing and Midwifery - Guilan University of Medical Sciences, Rasht, Iran , Mobayen, Mohammadreza Burn and Regenerative Medicine Research Center - Guilan University of Medical Sciences, Rasht, Iran , Jafaraghaee, Fateme School of Nursing and Midwifery - Guilan University of Medical Sciences, Rasht, Iran , Emami Zeydi, Amir Department of Medical-Surgical Nursing - Nasibeh School of Nursing and Midwifery - Mazandaran University of Medical Sciences, Sari, Iran , Osuji, Joseph School of Nursing and Midwifery - Faculty of Health, Community, and Education - Mount Royal University, Calgary, Canada , Karkhah, Samad Department of Medical-Surgical Nursing - School of Nursing and Midwifery - Guilan University of Medical Sciences, Rasht, Iran
Abstract :
Introduction: Burn injuries are under-appreciated trauma, associated with substantial morbidity and mortality.
It is necessary to refer patients in need of specialized care to more specialized centers for treatment and rehabilitation
of burn injuries. This systematic review aimed to assess the adherence to referral criteria for burn patients.
Methods: An extensive search was conducted on Scopus, PubMed, and Web of Science online databases using
the relevant keywords from the earliest to October 7, 2021. The quality of the included studies was assessed
using the appraisal tool for cross-sectional studies (AXIS tool). Results: Among a total of 7,455 burn patients
included in the nine studies, 60.95% were male. The most frequently burned areas were the hands (n=3) and
the face (n=2). The most and least common burn mechanisms were scalds (62.76%) and electrical or chemical
(2.88%), respectively. 51.88% of burn patients had met ¸ 1 referral criteria. The overall adherence to the referral
criteria for burn patients was 58.28% (17.37 to 93.39%). The highest and lowest adherence rates were related to
Western Cape Provincial (WCP) (26.70%) and National Burn Care Review (NBCR) (4.97%) criteria, respectively.
Conclusion: The overall adherence to the referral criteria for burn patients was relatively desirable. Therefore,
well-designed future studies are suggested in order to uncover approaches to improve adherence to referral criteria
for burn patients.
Keywords :
Burns , Guideline adherence , Referral and consultation , Systematic review
