abstract: 'Postburn contracture is a source of significant morbidity in India, even

  though its occurrence can be reduced significantly by comprehensive

  postburn injury care, including surgical intervention. This study

  investigates whether limited access to initial medical care after burn

  injury has been associated with increased contracture formation among

  lower socioeconomic class patients in Mumbai, India. During a surgical

  mission in Mumbai, India, patients presenting with functionally

  debilitating burn contractures and minimal income were surveyed for

  initial care received immediately after burn injury. The survey

  consisted of questions regarding the history of burn injury and details

  of any initial treatment. Demographic data were collected by chart

  review. Thirty-eight patients from the state of Maharashtra participated

  in the study (mean age 28.1 years). The most common etiology of burn

  injury was from kerosene stove blasts (74\%), and the most common

  morbidities were contractures of the neck and upper extremity. On

  average, time elapsed since the original injury was 2.8 years. Nearly

  all patients sought initial medical care at hospitals (97\%) with the

  majority receiving only dressing changes for their full-thickness or

  deep-dermal burns (61\%). The most common reason for not seeking out

  delayed burn reconstruction was perceived cost (65\%). Ultimately, 60

  operations were performed, of which 9 (15\%) developed postsurgical

  complications. These data suggest that a subset of lower socioeconomic

  class burn patients in Maharashtra received suboptimal initial

  intervention. Comprehensive initial therapy after burn injury may

  provide better outcomes and limit the number of patients requiring

  delayed reconstruction. (J Burn Care Res 2012;33:e120-e126)'
affiliation: 'Watkins, JF (Corresponding Author), Brigham \& Womens Hosp, Div Trauma
  \& Burn Surg, Dept Surg, 75 Francis St, Boston, MA 02115 USA.

  Kim, Francis S.; Watkins, James F., Brigham \& Womens Hosp, Div Burn Trauma \& Crit
  Care, Dept Surg, Boston, MA 02115 USA.

  Tran, Huong H., Univ Michigan, Sch Med, Dept Family Med, Ann Arbor, MI USA.

  Sinha, Indranil, Brigham \& Womens Hosp, Sect Plast Surg, Boston, MA 02115 USA.

  Patel, Anup, Yale Univ, Sch Med, Div Plast Surg, New Haven, CT USA.

  Nelson, Rebecca A., Mem Sloan Kettering Canc Ctr, New York, NY 10021 USA.

  Pandya, Ankur N., MDHU Portsmouth, Portsmouth Hosp, Dept Plast Surg, Portsmouth,
  Hants, England.

  Keswani, Sunil, Natl Burn Ctr, Bombay, Maharashtra, India.'
author: Kim, Francis S. and Tran, Huong H. and Sinha, Indranil and Patel, Anup and
  Nelson, Rebecca A. and Pandya, Ankur N. and Keswani, Sunil and Watkins, James F.
author_list:
- family: Kim
  given: Francis S.
- family: Tran
  given: Huong H.
- family: Sinha
  given: Indranil
- family: Patel
  given: Anup
- family: Nelson
  given: Rebecca A.
- family: Pandya
  given: Ankur N.
- family: Keswani
  given: Sunil
- family: Watkins
  given: James F.
da: '2023-09-28'
doi: 10.1097/BCR.0b013e3182335a00
files: []
issn: 1559-047X
journal: JOURNAL OF BURN CARE \& RESEARCH
keywords-plus: 'BURN INJURY; UPPER EXTREMITY; MANAGEMENT; PREVENTION; RETURN; WORK;

  STRATEGIES; BARRIERS; SCARS; CARE'
language: English
month: MAY-JUN
note: '15th Meeting of the International-Society-for-Burn-Injuries (ISBI),

  Istanbul, TURKEY, JUN 25, 2010'
number: '3'
number-of-cited-references: '31'
pages: E120-E126
papis_id: 4e2d50a5b0406a3a2b4beb8dfa6c5c3b
ref: Kim2012experiencecorrective
times-cited: '7'
title: Experience With Corrective Surgery for Postburn Contractures in Mumbai, India
type: Article; Proceedings Paper
unique-id: WOS:000303669600005
usage-count-last-180-days: '0'
usage-count-since-2013: '7'
volume: '33'
web-of-science-categories: Critical Care Medicine; Dermatology; Surgery
year: '2012'