ubpsi annual report 2010-2011 final draft - interplast holland€¦ · ubpsi!! annual report...

Uganda Burns and Plastic Surgery Institute

ANNUAL REPORT

2010-2011

UBPSI Annual Report 2010-2011

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Cover page photograph: Folding gauze at the Holland Ward, Mulago Hospital

Uganda Burns and Plastic Surgery Institute

P.O. Box 586

Kampala, Uganda

Email: [email protected]


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Contents

List of tables 4

List of graphs 4

Acronyms 5

Message from the Chairperson 6

Foreword 7

1. Introduction 9

2. Activities of the Uganda Burns and Plastic Surgery Institute 11

2.1 Patient’s care 11

2.1.1 Burns 11

2.1.2 Plastic surgery 16

2.2 Burns Prevention Programme 17

2.3 Smile Train 18

3. Donors 20

4. Future of the Uganda Burns and Plastic Surgery Institute 21

5. Financial summary financial year 2010-2011 22

Annexes

1. Burns ICU statistics 25

2. Holland Ward statistics 27

3. Burns theatre statistics 29

4. Plastic surgery statistics 30

5. Smile Train statistics July 2008-June 2011 31


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List of tables 1. Smile Train statistics 2010-2011 and 2008-2011 19

List of graphs 1. Admission at ICU and Holland Ward in 2010-2011 (%) 11

2. The severity of burns (TBSA) at the Holland Ward (%) 14

3. Operational procedures in the Burns theatre (%) 15


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Acronyms ICU Intensive Care Unit

Ltd Limited

TBSA Total Body Surface Area

UBPSI Uganda Burns and Plastic Surgery Institute

Ugx Uganda Shilling


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Message from the Chairperson

Dear Friends,

On behalf of the Board of Directors and staff of the Uganda Burns and Plastic Surgery Institute (UBPSI), it is my pleasure to present to you the 2010-2011 Annual Report. We hope you will take a few minutes to read about our accomplishments over the past year.

Mulago Hospital has undergone many logistical changes, and the doctors and nurses saw their numbers drastically reduced during this financial year. However, UBPSI was still capable of keeping its operations going although with many challenges. An ambitious renovation plan will see Mulago Hospital come back in the years to come, benefitting the health industry as a whole.

We thank our patron, the First Lady, Mrs Janet K. Museveni, our well wishers and donors for their relentless financial and technical support and congratulate the staff at the Burns unit for their commitment in a not always easy working environment.

Dirk ten Brink

Chairperson

Board of Directors


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Foreword

The year 2010-2011 has come to pass, but not without lessons to us, with which we forge ahead to face the next year. UBPSI has continued to grow in depth of care with more patients with severe injuries surviving and returning to their societies. Due to repairs on the plastic surgery ward, which lasted 3 months, fewer elective patients were cared for in this segment.

On the clinical front, burns from hot liquids continue to lead as a cause for admissions, and children are still the biggest population to suffer. Areas outside Central Kampala have continued to be the commonest source of patients who get admitted. The Unit has continued to contribute towards attainment of the Millennium Development Goal 4 (combating child mortality rates). This has been through providing care to the children with burns, providing reconstructive surgery to those born with craniofacial defects like cleft lips and cleft palates, and enabling them to be accepted in society and to have equal access to opportunities.

On the other hand, women have been the main targets of acid attacks, of which most have received acute care and many continue to receive reconstructive surgery to facilitate re-integration in society, as well as resuming gainful employment and life.

All this would not have been possible without the dedicated, though grossly strained staff of the Unit. The UBPSI Board has as always been our guide and support in all ways. Very close to our hearts are our partners. The Ministry of Health, through Mulago Hospital has provided the support foundation upon which all other partners have built.

Partnership with Interplast Holland has continued to be a strong pillar of sponsorship to the unit and we are grateful for that. Besides funding the day-to-day running of UBPSI they also provide the means to carry out a burns prevention programme. Smile Train, a charitable


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organization aiming at giving every child born with a cleft a meaningful smile, sponsored over 150 children for operations. Other very important partnerships are with the private sector like Petro City Enterprises Ltd, who has supported UBPSI on a monthly basis.

Mr Robert Ssentongo

Head of Burns and Plastic Surgery Department

Mulago Hospital


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1. Introduction

The Uganda Burns and Plastic Surgery Institute (UBPSI) was established in 2003 as a Public-Private Partnership organization where the Ministry of Health, Mulago Hospital, Makerere University College of Health Science, Interplast Holland, and Interplast Uganda jointly work together for the plight of burns care and prevention and reconstructive plastic surgery especially for people who cannot afford proper treatment.

UBPSI aims to improve the care of burns patients, to perform plastic surgery, to create awareness about prevention and treatment of burns, and to train medical staff and paramedics in these fields.

UBPSI is based at Mulago Hospital in Kampala, Uganda and comprises of the Burns Unit and the Plastic Ward. The Burns Unit was opened in November 2004. It has a Burns Intensive Care Unit (ICU) with 8 private beds, the Holland (Burns) Ward –opened on 1st February 2007- with 17 beds for adults and 15 beds for children respectively, a theatre, a training room, a resource room, and a kitchen. The 3B Plastic Ward has 12 beds for children and 6 beds for adults. A broad spectrum of people including our committed financial supporters especially Interplast Holland have assisted the Institute to achieve significant milestones.

Once a week, there is a surgical outpatient clinic at the hospital. The plastic surgeons see their patients with plastics, reconstructive and (post)-burn problems. Nurses from the plastic surgery ward or the Holland Ward change the dressings of the patients.

UBPSI has realized a steady growth in number of admissions over the years, which implies that people are increasingly getting to know about the services offered at Burns Unit. It also makes clear that prevention of burns is an important avenue to follow in order to ensure that fewer burns happen within the communities. Therefore, initially an ad-hoc campaign known as the burns awareness week was organised. Since 2011 however, a community based burns prevention programme has been established.


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From mid 2008, UBPSI together with Smile Train has organized surgical camps for cleft patients all over the country. Over 130 -often small- children have been operated upon since the start of the programme.

Playing outside the Holland ward


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2. Activities of the Uganda Burns and Plastic Surgery Institute

The Uganda Burns and Plastic Surgery Institute carried out various activities during the financial year 2010-2011. The main activity remains were patients’ care for burns and plastic surgery patients within Mulago Hospital, burns prevention sensitization sessions in the slum areas around Mulago Hospital in Kampala, cleft lip and palate surgery in up-country hospitals and facilitation of students and medical personnel from abroad. Details about these activities can be found below.

2.1 Patient care

2.1.1 Burns

Patient care of burns patients is UBPSI’s biggest activity both in number of patients as well as in financial terms. During the year, 464 patients have been admitted in the Holland Ward while 104 admissions took place at the ICU. Graph 1 shows admissions per age group at the two locations.

Graph1: Admissions at ICU and Holland Ward in 2010-2011 (%)

0

10

20

30

40

50

60

< 5 years 5-14 years > 14 years Unknown

ICU

Holland Ward


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Both the ICU and the Holland Ward admitted a majority of children under 5 years of age (around 55%). Children under 5 years continue to be the most vulnerable group to burns. Their vulnerability to burns is a result of different factors among others are age itself where they learn new things and tend to experiment, negligence from parents, and poor conditions of living.

Gender related information showed that two thirds of admissions in the ICU were male while one third was female across all age groups. Overall figures for the Holland Ward revealed equal admission between the sexes but among children more girls than boys were admitted.

Compared with figures from the year 2009-2010, admissions in the ICU remained the same while there was a 16% increase in admissions in the Holland Ward.

The main cause of burn injuries are with over 70% hot fluids (boiling water and porridge) followed by flames, which are a result of cooking on open fire and use of paraffin lamps. However, chemicals that mainly include acid used for car batteries remains a factor at stake. Combating malaria as one of the components of Millennium Development Goal 6 has been aggressively addressed in Uganda’s community, especially through ensuring access to and use of mosquito nets. This however, has not been without challenges especially for people from neighbouring districts, which are characterized by poor conditions of living. For example those living in

Bennin has so far spent 3 weeks at Holland ward. The 4 year old was playing with friends when one of them pushed him to a kettle of boiling water which burnt his left arm and part of the chest. His mother who was not around by the time of the incident, says good Samaritans around rushed to apply sugar and cooking oil as a quick first aid. When the mother returned she rushed him to a clinic where the son got injections and the wound was dressed. “The next day I decided to come to Mulago Hospital, because I wanted my son to be better and Mulago Hospital is the biggest and best hospital in Uganda”.

The mother further narrates “since we have been here at the burns unit, he is getting better. At the beginning he was very sick, but now he is eating again, walking and even playing”. Bennin’s mother biggest worry now is money to buy her own food and feeding the rest of the children at home. She says although the hospital offers food, milk and porridge for the patients, it does not do the same for the caretakers. Her prayer is that Bennin should be accepted for the baby class in school.


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slum areas live in congested rooms with candles as the only source of light, often placed close to the highly flammable mosquito nets. This has resulted in disastrous fires, severely burnt people and deaths in many occasions. Unfortunately, it was not possible to identify the cause of burns in all patients.

Within the Holland Ward – the children’s section

The average stay of a patient in the Holland Ward during this year is around 21 days, which is similar to the year before. The range differs from 1 day to 180 days. Occupancy rates for the Holland Ward show that on average 82% of the beds is used. This makes the Holland Ward full nearly all the time. Figures for the ICU cannot be provided due to missing data but indications show lower numbers than in the Holland Ward.

Severity of burns is measured through percentage of Total Body Surface Area (TBSA) burnt. The higher the percentage of TBSA, the severer the burns are. If a greater part of the body surface area is burnt, treatment may not necessarily result in survival. Graph 2 shows TBSA percentages for patients in the Holland Ward.


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Graph 2: The severity of burns (TBSA) at the Holland Ward (%)

The majority of patients (67%) have burns up to 30% of TBSA. Noticeable, the category 30-60% TBSA nearly doubled compared with last year.

Compared with other disciplines, mortality rates in burns care are relatively high due to the severity of the injuries. The skin plays an important role in providing a barrier to many infections. If a larger part has been removed due to burns, the chance for infections becomes much higher as well. In the 2010-2011 financial year, mortality rates at the ICU reduced slightly from a total mortality rate of 41% in 2009-2010 to 36% in 2010/2011. The Holland Ward registered a mortality rate of 4% in the previous year while the year under report showed a 6% mortality rate.

Over 85% of patients reporting to UBPSI come from the districts neighbouring Kampala city. People in these areas have limited knowledge about burns prevention measures and first aid for burns injuries.

During the year, 257 operations were performed in the Burns theatre in 122 days. On average 2.1 patients per operating day were being treated. The majority of the patients (65%) underwent split skin grafting. Details about the operations can be found below in Graph 3.

<10%

10-20%

20-30%

30-60%

>60%

Unknown

Non-burns admission


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Graph 3: Operational procedures in the Burns theatre (%)

Some of the burns related operations were carried out in the Main theatre of which details can be found in Section 2.1.2 below.

UBPSI provided additional services to patients suffering from burn injuries and admitted to the Unit. They received breakfast and a meal per day from UBPSI’s own kitchen. High quality food is considered very important in the recovery of a burns patient. Taking the poor background of most patients into consideration, the relatives might

0 10 20 30 40 50 60 70

Split skin grafting

Re-dressing

Desloughing

Post burns contractures

Cleft lip or palate

Others

The 26-year-old Betty has spent 4 months at the Holland ward nursing serious burns which resulted from an epileptic attack. Betty, who has suffered from epilepsy for 12 years, did not know how to prevent the attacks whenever they would arise. She narrates: “I was cooking when I got an epileptic attack which made me to fall onto the charcoal stove”. The burns left her upper arm, neck, and her left side head with deep wounds. After the incident, Betty ran to the nearest clinic but she could not be helped due to the nature of the wounds. However, she found her way to Mulago Hospital later on where she had a lot of hope that she would be helped since it is the biggest Hospital in the country. The once worried Betty finally found the hope she expected at the Holland Ward. “Here at the Holland Ward doctors, nurses and therapists gave me a chance to heal, and provided me with medicines and dressings”. For my entire stay here, the only challenge is that I do not always have enough money to buy necessities. I am very happy though for the free medication to stop the attacks and I will continue using it even at home to deter further incidents associated with epilepsy. When I get discharged I would like to find a way to start my own shop, so that I can provide for myself.


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not have been in position to provide the patient with a nutritious meal on a daily basis.

More details about burns care statistics can be found in Annexes 1 to 3. These Annexes also include information about previous years, starting in the year July 2006 to June 2007.

2.1.2 Plastic surgery

The Ward received a wide range of people in need of different plastic surgeries and operations like cleft lips and palates, post-burn contractures and other burns related conditions, keloids and ulcers.

Unlike in the previous financial years, in 2010-2011, 3BP Ward for plastic surgery patients only received a total number of 180 patients. The reduction in patient numbers was due to the fact that the Ward was undergoing renovations from December 2010 until March 2012. However. The average number of patients during the time the Ward was open, was relatively high (23 patients in 2010-2011 vs. 18 patients in 2009-2010). The ratio male-female was as usual around 50:50. Over 50% of the patients who underwent plastic surgery were children with the majority of them being under 5 years of age.

Girl with contracture in wrist and elbow


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On average, patients stayed for around one week in the plastic surgery ward. This is a reduction of two days compared with previous year. Occupancy rates were on the lower side as on average only 5 beds out of the 18 beds were occupied.

More details about plastic surgery statistics can be found in Annex 4. This Annex also includes information about previous years, starting in the year July 2006 to June 2007.

2.2 Burns prevention programme

From 2006 to 2009, UBPSI has been carrying out an annual Burns Prevention Campaign, which used to run for almost one month nearly every year. Besides burns prevention activities like a walk through the capital city and media appearances, a symposium was organised targeting medical personnel from across the country where the latest developments in burns care were being discussed. However, sustainable awareness about how to prevent burns in the communities was not achieved.

Therefore, in the beginning of 2011, a regular burns prevention campaign was designed as a pilot with an initial focus on Mulago, Katanga, and Bwaise areas are around the hospital. A total of 39 sensitization activities were conducted, by a team of 13 people who received a thorough training from the Dutch Burns Foundation about how to conduct burns prevention sensitization in the communities. After mobilisation of a community, one or two burns prevention officers present with the assistance of a folder with pictures the different topics like causes of burns, prevention of burns and first aid in case of burns to the gathered community. They engage the community directly through questions and answers.


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Burns prevention session in the community using visual aids

The programme continues its awareness raising activities to vulnerable communities to enable them change attitudes and adopt preventive measures to dangers of burns. This will be measured through questionnaires administered before and after the programme.

2.3 Smile Train

Since mid 2008, UBPSI partners with Smile Train to ensure that especially children with cleft lips and palates coming from a poor background are operated upon when they are still young. This helps them to feed properly, learn to speak with fewer problems and experience fewer stigmas in the community. Surgeons specialised in plastic surgery from Mulago Hospital organised regular visits to up-country hospitals where they operated on selected patients. During the year 2010-2011, 53 patients have been treated. Fourty per cent of the clients were girls while sixty per cent were boys. The main condition that had been treated was the unilateral primary lip nose condition, followed by the bilateral lip nose condition and the primary cleft palate as can be seen from below Table 1. Figures since the start of the programme are provided in the next column and show a similar trend.


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Table 1: Smile Train statistics 2010-2011 and 2008-2011

2010-‐2011 2008-‐2011

Condition number percentage number percentage

Primary lip nose unilateral 35 66 108 69

Primary lip nose bilateral 6 11 18 12

Primary cleft palate 5 9 19 12

Lip nose revision 3 6 6 4

Fistula repair 3 6 4 3

Other 1 2 1 1

Total number of operations 53 100 156 100

Number females 21 40 62 40

Number males 32 60 94 60

More details about Smile Train earlier years can be found in Annex 5.

Child with cleft lip – before and after operation


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3. Donors

UBPSI is very grateful to all its donors who make its activities in the fields of burns care, burns prevention and plastic surgery possible.

Since the inception of UBPSI, Interplast Holland has been its major supporter with funding especially for the reconstruction and refurbishment of the Burns Unit in Mulago hospital, the day-to-day running of the Unit, and the various activities under the burns prevention programme. The latter receives funds through Interplast Holland from the Dutch Burns Foundation and Cordaid.

In the eighties, at the beginning of Interplast Holland’s collaboration with Uganda, they also funded cleft lips and pallets reconstruction through surgical camps. Nowadays, this has been taken over by Smile Train.

While private donors like Petro City Enterprises Ltd and Shell Uganda Ltd are very important to the running of UBPSI, their total contributions are still small compared to the traditional donors of UBPSI.


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4. Future of Uganda Burns and Plastic Surgery Institute

The Uganda Burns and Plastic Surgery Institute depends mainly on donor funds for its operations and activities. The fact that burns occur in the poorest sections of society makes that most of the patients are not able to pay for their –often long-term- treatment. UBPSI hopes to offset some of this with its burns prevention programme.

While Interplast Holland keeps supporting the Institute with funds for various programmes, sponsorship for the day-to-day running of the Unit is reducing gradually while costs are increasing due to inflation. Especially food items and drugs and other medical supplies cost have risen in price during this financial year. This makes the need for funding from other sources more important because burns patients will keep coming to Mulago hospital for treatment.

The development of a five-year strategic plan and a fundraising strategy will assist UBPSI in attaining its goals to provide quality care to burns patients, to perform reconstructive surgery, to create awareness about burns prevention and where people who got burned may receive treatment and to train medical and para-medical staff in the fields of burns and plastic surgery.

To help UBPSI to achieve its objectives, any type of assistance is most welcome.


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5. Financial summary

During the financial year 2010-2011, UBPSI received less income. This was mainly due to the fact that no burns awareness week and no Smile Train workshop were being held in 2010-2011. The number of admissions was slightly higher than the previous year. Below, the financial details with clarifications can be found.

FINANCIAL STATEMENT FOR THE FINANCIAL YEARS 2009-2010 AND 2010-2011

2009-2010 2010-2011

INCOME

Ugx '000 Ugx '000

Interplast Holland

330,486 307,581

Smile Train

78,433 35,675

Other donors

5,000 10,500

Other income

0 2,720

TOTAL

413,919 356,476

EXPENDITURE

Staff costs

Salaries

66,613 57,470

Allowances

47,864 48,445

National Social Security Fund contributions 5,667 5,037

Other staff costs

7,674 1,922

Local Service Tax

0 260

Smile Train nurses and anaesthetists

0 1,336

Smile Train accommodation and meals

0 150

Sub-total

127,818 114,620

Medical supplies- Food for patients

32,492 40,172

Medical supplies - Medical drugs and consumables 106,416 99,945

Equipment maintenance

5,756 3,922

Depreciation

17,495 6,808

Sub-total

162,159 150,847

Conferences and workshops

Burns awareness & prevention

52,962 13,440

Smile Train camps & expenses

54,372 33,095

Sub-total

107,334 46,535

Email & internet

1,706 1,382


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Stationery

1,696 3,773

Telephone

3,984 3,834

Insurance

0 318

Printing and photocopying

1,710 323

Postage and courier

234 1,053

Bank charges

3,144 2,479

Renovations & repairs

172 160

Licenses & permits

24 752

Consulting

0 4,263

Audit fees

6,608 7,739

Computer services

205 0

Transport - local travel

7,021 2,918

Transport - vehicle maintenance

1,892 169

Training

300 9

Clearing charges

1,490 2,486

Smile Train hospital fee

0 406

Disposals

0 900

Sub-total

30,186 32,964

TOTAL EXPENSES

427,497 344,966

Notes to financial summary 2010-2011

Income

Interplast Holland

This relates to funds received from the UBPSI core donor, Interplast Holland. The amount received in the 2010/2011 financial year was the equivalent of Ugx 307,580,813 compared to Ugx 330,486,000 received the previous year. This represented a reduction in income of almost 7%. The reduction can be attributed to the Burns Awareness campaign, which was carried out in the financial year 2009-2010 and not in the year under report.

Smile Train

This relates to the funds received from Smile Train equivalent to Ugx 35,675,000. This amount compared to the equivalent of Ugx 78,433,000 received the previous financial year represented a reduction of almost 54% in income. The reduction is attributed to the Smile Train workshop, which was carried out in the previous financial year and not in the current one.


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Other donors

This relates to income received from private donors namely Shell Uganda Ltd and Petro City Enterprises Ltd and amounted to Ugx 10,500,000. This amount compared to the Ugx 5,000,000 received the previous year represented an increase of over 100%.

Other income

This relates to income received from private patients during the financial year 2010-2011.

Expenditure

The overall decrease in income compared to the previous year is about 14% and this necessitated a decrease in expenditure in many of the budget lines. Conferences and workshops expenditure saw a reduction by nearly 57% due to decreased, staff expenses decreased by 10% and medical supplies and consumables by 5%. Administration expenses saw a slight increase by 2%. The actual expenditure of UBPSI for the financial year 2010-2011 was Ugx 344,965,043 and this included depreciation of assets amounting to Ugx 6,808,155.


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Annexes

Annex 1

Burns ICU statistics

Number of patients

2006-‐2007 2007-‐2008 2008-‐2009 2009-‐2010 2010-‐2011 Admissions of burn patients

104 93 461 105 103

Female 53 44 21 48 35 Male 51 49 25 58 68 Transferred patients

24 39 9 29 23

Discharged patients

18 4 4 20 14

Discharged against medical advice

0 3 0 2 4

Patients died 62 47 26 43 36

Patients who are still in the ICU at the 1st July

0 0 02 5 03

Number of days stay at ICU in total4

1,440 days by 90 patients

972 days by 89 patients




1 The ICU was closed for 6 months due to renovation. 2 From 7 patients it is not known what happened to them. 3 From 24 patients it is not known what happened. 4 From quite a few patients the duration of their stay in the ICU is unknown. This is because the date of discharge, dead, or transfer was not mentioned in the patient file. This means that the average stay and the occupancy rates can only be calculated based on the patients from whom the details are known or assumptions about the duration of the stay of the other patients have to be made.


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Age of patients 2010-‐2011 Number of patients Percentage Under 5 years 55 53 5 – 14 years 6 6 Over 14 years 41 40 Unknown 1 1 Total 103 100 Cause of burns 2010-‐2011

Number of females Number of males Total number

Flames5 7 12 19 Hot fluids 6 10 16 Electricity 0 2 2 Explosion 0 4 4 Unknown6 No data No data 62 Total 103

5 5 inhalation traumas are mentioned. 6 In many instances, the cause of burns was not mentioned in the medical file.


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Annex 2 Holland Ward statistics

Numbers of patients 2006-‐20077

2007-‐2008

2008-‐2009

2009-‐2010

2010-‐2011

Admissions of patients

142 318 360 400 464


9 8 1 48 109

Discharged Patients

121 290 22410 297 353


6 19 25 18 29

Patients died 6 9 60 16 28

Patients who are still in the Ward on 1st July or have not been recorded

0 0 0 77 54

Number of days stay at Ward in total11






7 The Holland Ward was opened on 01.02.2007. 8 Two patients have been transferred to the ICU and two elsewhere. 9 Eight patients have been transferred to the ICU, one to 3BP and one to 2CP. 10 From 50 patients it is not known what happened s their medical files does not indicate this. 11 From quite a few patients the duration of their stay in the Holland Ward is unknown. This is because the date of discharge, dead, or transfer was not mentioned in the patient file. This means that the average stay and the occupancy rates can only be calculated based on the patients from whom the details are known or assumptions about the duration of the stay of the other patients have to be made.


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TBSA12 burns

Number of patients 2009-‐2010 2010-‐2011

< 10% 101 98 10-‐20% 155 146 20-‐30% 67 70 30-‐60% 34 74 >60% 1 2 Unknown 42 63 No burns admissions

0 11

Total 400 464

Cause of burns

Number of patients 2009-‐2010 2010-‐2011

Total Female Male Total Female Male Acid 11 5 6 23 8 15 Flame 71 40 31 96 45 51 Hot Fluids 273 141 132 262 144 118 Electricity 6 0 6 14 4 10 Others 22 12 10 11 No data No data Unknown 29 No data No data 28 No data No data Total 412 No data No data 434 No data No data

12 TBSA = Total Body Surface Area


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Annex 3 Burns theatre statistics

2006-‐2007 2007-‐2008 2008-‐2009 2009-‐2010 2010-‐2011 Total number of operations

356 189 213 312 257

Split Skin Grafting (SSG)

147 83 54 118 167

Re-‐dressing 74 37 29 64 22 Cleft lip or palate

0 0 0 25 19

Hernia repair

0 0 0 2 0

Desloughing 0 0 0 0 16 Post burn contractures

0 0 0 0 14

Others 135 69 130 103 19 Number of operation days

105 91 94 136 122

Average number of operations per operating day

3.4 2.1 2.3 2.3 2.1


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Annex 4 Plastic surgery statistics

Number of patients

2006-‐2007 2007-‐2008

2008-‐2009 2009-‐2010 2010-‐201113

Admissions of patients

182 154 210 218 180


0 No data

2 2 114

Discharged patients

182 No data

169 144 12015


0 0 0 0 216

Patients died 0 No data

1 3 No data

Number of days stay at Ward in total17


No data

1,952 days by 172

patients

1,356 days by 148

patients

847 days by 123

patients

13 The ward was closed for four months from December 2010 until March 2011. 14 Number is estimated. 15 Number is estimated. 16 Number is estimated. 17 From quite a few patients the duration of their stay in the Ward 3BP is unknown. This is because the date of discharge, dead, or transfer was not mentioned in the patient file. This means that the average stay and the occupancy rates can only be calculated based on the patients from whom the details are known or assumptions about the duration of the stay of the other patients have to be made.


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Diagnosis 2009-‐2010 2010-‐2011 Post burn contractures

49 38

Burns 27 35 Cleft lip and/or palate

35 25

Ulcers 11 7 Keloids 6 15 Others 0 58 Unknown 90 2 Total 218 180

2009-‐2010 2010-‐2011 Total number of operations

146 10618

Cleft lip and/or palate repair

33 13

Split Skin Grafting (SSG) 9 19

Post burn contractures 25 37

Keloids 7 2 Others 72 35 Number of operating days

60

18 As the Ward was 4 months closed due to renovation, less operations were being performed.


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Annex 5 Smile Train Statistics July 2008- June 2011

2008-‐2009 2009-‐2010 2010-‐2011 2008-‐2011 Condition number percentage number percentage number percentage number percentage

Primary lip nose unilateral 38 68 35 74 35 66 108 69

Primary lip nose bilateral 5 9 7 15 6 11 18 12

Primary cleft palate 11 20 3 6 5 9 19 12

Lip nose revision 1 2 2 4 3 6 6 4

Fistula repair 1 2 0 0 3 6 4 3

Other 0 0 0 0 1 2 1 1

Total number of operations 56 100 47 100 53 100 156 100

Number females 26 46 15 32 21 40 62 40

Number males 30 54 32 68 32 60 94 60

ubpsi annual report 2010-2011 final draft - interplast holland€¦ · ubpsi!! annual report...

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