• A Klingberg, L Wallis, H Rode, T Stenberg, L Laflamme, and M Hasselberg.
• Department of Public Health Sciences, Karolinska Institutet, Widerströmska Huset, Tomtebodavägen 18 A, 171 77 Stockholm, Sweden. Electronic address: anders.klingberg@ki.se.
• Burns. 2017 Aug 1; 43 (5): 1070-1077.

AimThe aim was to assess demographic and clinical factors associated with inter-facility referrals for patients with burns in a resource-constrained setting.MethodsThis was a cross-sectional case review of patients presenting with a burn at the trauma unit at the Red Cross War Memorial Children's Hospital (RXH) in Cape Town, South Africa.ResultsSix hundred and eleven-(71%) children were referred to the burns or the intensive care unit and 253 children were treated and discharged from the trauma unit. Of those admitted as inpatients 94% fulfilled at least one of the criteria for referral and 80% of those treated and discharged fulfilled the criteria for referral.ConclusionsAlmost three out of four children evaluated at the trauma unit were referred to the burns unit for further management. However, a large number of patients were treated and discharged from the trauma unit despite being eligible for referral.Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

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