Postoperative Care After Reconstructive Surgery for Burn Contractures in Communities Affected by War: A Retrospective Study in Iraq
Notice bibliographique
Résumé
BACKGROUND: Burn injuries are a major health concern in conflict-affected settings, where displaced populations such as refugees and internally displaced persons (IDPs) face limited access to surgical and rehabilitative care. Postoperative follow-up is often limited by socioeconomic and logistical barriers beyond the patient's control. This study examines follow-up adherence, rehabilitation participation, and complication rates after secondary reconstructive surgery for complications resulting from burn injuries performed by Swisscross teams in northern Iraq. METHODS: A retrospective chart review was conducted for patients who underwent secondary reconstructive surgery for burn-related injuries between October 1, 2021, and February 6, 2025, through the Swisscross Foundation. A total of 147 episodes of care (EoCs) across 123 patients were included. Data on demographics, socioeconomic status, follow-up adherence, physical therapy participation, use of ad hoc care providers, and postoperative complications were collected and analyzed. Ethical approval was granted by the University of Toronto Research Ethics Board (protocol #00047579). RESULTS: Of the 123 patients, 59 were IDPs, 19 were refugees, and 45 were local residents. Full follow-up adherence was highest in locals (90%), followed by refugees (83%) and IDPs (64%). Overall noncompliance (< 20% adherence) was low at 4%. Formal physical therapy was prescribed in 34 cases, with the highest compliance among refugees (78%) and the lowest among IDPs (31%). Ad hoc care providers were used for rehabilitation in 47% of cases prescribed therapy, primarily among IDPs. Complications occurred in 36% of operations (53/147 EoCs), the majority being minor and manageable without surgery (35/147). Reoperation for immediate complications was required in 4% of cases and for relapse in 8%, with no significant difference between groups. CONCLUSIONS: Despite significant barriers, structured support and interagency coordination enabled meaningful follow-up and rehabilitation among displaced burn patients. Complex reconstructive care is both feasible and impactful in conflict settings, particularly when supported by transportation services and flexible rehabilitation strategies. These findings highlight the importance of targeted infrastructure to improve surgical outcomes in vulnerable populations.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,002 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».