2023-09-28 14:46:10 +00:00
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abstract: 'Postburn contracture is a source of significant morbidity in India, even
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though its occurrence can be reduced significantly by comprehensive
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postburn injury care, including surgical intervention. This study
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investigates whether limited access to initial medical care after burn
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injury has been associated with increased contracture formation among
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lower socioeconomic class patients in Mumbai, India. During a surgical
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mission in Mumbai, India, patients presenting with functionally
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debilitating burn contractures and minimal income were surveyed for
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initial care received immediately after burn injury. The survey
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consisted of questions regarding the history of burn injury and details
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of any initial treatment. Demographic data were collected by chart
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review. Thirty-eight patients from the state of Maharashtra participated
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in the study (mean age 28.1 years). The most common etiology of burn
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injury was from kerosene stove blasts (74\%), and the most common
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morbidities were contractures of the neck and upper extremity. On
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average, time elapsed since the original injury was 2.8 years. Nearly
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all patients sought initial medical care at hospitals (97\%) with the
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majority receiving only dressing changes for their full-thickness or
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deep-dermal burns (61\%). The most common reason for not seeking out
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delayed burn reconstruction was perceived cost (65\%). Ultimately, 60
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operations were performed, of which 9 (15\%) developed postsurgical
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complications. These data suggest that a subset of lower socioeconomic
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class burn patients in Maharashtra received suboptimal initial
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intervention. Comprehensive initial therapy after burn injury may
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provide better outcomes and limit the number of patients requiring
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delayed reconstruction. (J Burn Care Res 2012;33:e120-e126)'
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affiliation: 'Watkins, JF (Corresponding Author), Brigham \& Womens Hosp, Div Trauma
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\& Burn Surg, Dept Surg, 75 Francis St, Boston, MA 02115 USA.
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Kim, Francis S.; Watkins, James F., Brigham \& Womens Hosp, Div Burn Trauma \& Crit
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Care, Dept Surg, Boston, MA 02115 USA.
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Tran, Huong H., Univ Michigan, Sch Med, Dept Family Med, Ann Arbor, MI USA.
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Sinha, Indranil, Brigham \& Womens Hosp, Sect Plast Surg, Boston, MA 02115 USA.
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Patel, Anup, Yale Univ, Sch Med, Div Plast Surg, New Haven, CT USA.
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Nelson, Rebecca A., Mem Sloan Kettering Canc Ctr, New York, NY 10021 USA.
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Pandya, Ankur N., MDHU Portsmouth, Portsmouth Hosp, Dept Plast Surg, Portsmouth,
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Hants, England.
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Keswani, Sunil, Natl Burn Ctr, Bombay, Maharashtra, India.'
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author: Kim, Francis S. and Tran, Huong H. and Sinha, Indranil and Patel, Anup and
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Nelson, Rebecca A. and Pandya, Ankur N. and Keswani, Sunil and Watkins, James F.
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author_list:
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- family: Kim
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given: Francis S.
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- family: Tran
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given: Huong H.
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- family: Sinha
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given: Indranil
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- family: Patel
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given: Anup
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- family: Nelson
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given: Rebecca A.
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- family: Pandya
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given: Ankur N.
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- family: Keswani
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given: Sunil
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- family: Watkins
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given: James F.
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da: '2023-09-28'
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doi: 10.1097/BCR.0b013e3182335a00
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files: []
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issn: 1559-047X
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journal: JOURNAL OF BURN CARE \& RESEARCH
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keywords-plus: 'BURN INJURY; UPPER EXTREMITY; MANAGEMENT; PREVENTION; RETURN; WORK;
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STRATEGIES; BARRIERS; SCARS; CARE'
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language: English
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month: MAY-JUN
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note: '15th Meeting of the International-Society-for-Burn-Injuries (ISBI),
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Istanbul, TURKEY, JUN 25, 2010'
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number: '3'
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number-of-cited-references: '31'
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pages: E120-E126
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papis_id: 4e2d50a5b0406a3a2b4beb8dfa6c5c3b
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ref: Kim2012experiencecorrective
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times-cited: '7'
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title: Experience With Corrective Surgery for Postburn Contractures in Mumbai, India
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000303669600005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '7'
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volume: '33'
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web-of-science-categories: Critical Care Medicine; Dermatology; Surgery
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year: '2012'
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