Ms Jessica Callaghan
Dr Harini de Silva
The Burns Registry of Australia and New Zealand (BRANZ) is a clinical quality registry capturing epidemiological, quality of care, and outcome data for adult and paediatric burn patients across Australian and New Zealand burn units. The project is a collaboration between the Australian and New Zealand Burn Association (ANZBA) and Monash University, Department of Epidemiology and Preventive Medicine (DEPM).
The registry is co-funded by ANZBA and the Julian Burton Burns Trust with additional funding received from the Australian Commission on Safety and Quality in Health Care (2008-09), the Helen Macpherson Smith Trust (2010), the Thyne Reid Foundation (2011) and the Australasian Foundation for Plastic Surgery (2013-2016). Individual burns units have also contributed to co-funding the registry to ensure ongoing sustainability of the BRANZ.
The purpose of the registry is to monitor burn injury incidence, burn injury causation, and to identify objective and verifiable data on treatment, outcomes and quality of care with the principal objective to encourage higher standards of both burn injury prevention and patient care.
There are 17 designated burns units across Australia and New Zealand (Figure 1) and registry data collection has ethics approval at 16 units (as of Oct 2013). Routine quarterly reports are produced and the annual reports are publically available. Data requests for specific purposes include injury prevention awareness, research, education, benchmarking and service planning. Units are also able to download data for unit-specific purposes. The BRANZ is represented on an international working party and burn committees in three countries.
9,996 cases have been entered in the registry from Jul 2009 to June 2013. 15of the 17 Bi-NBR sites (12 out of 13 Australian sites and three out of four New Zealand sites) contributed data with 2,772 cases entered. Of these sites, five sites treat paediatric patients, five sites treat adult patients and five sites treat both paediatric and adult patients. Trends in epidemiology data are evident such as adult (vs. paediatric) cases accounting for the majority of cases (69%). Males (67%); flame (36%) and scald injury (36%) are also most common. Comparative data with respect to the quality indicators highlights variation in practice and provides opportunity to monitor and compare burn care performance.
Ian Loh (Master of Surgery Student)
Watterson D, Gabbe B J, Cleland H, Edgar D, Cameron P and Members of the Bi-NBR Steering Committee. (2012) Developing the first Bi-National clinical quality registry for burns-Lessons learned so far. Burns 38(1): 52-60.
Watterson D, Cleland H, Darton A, Edgar D, Fong J, Harvey J, Kavanagh S, Perrett T, Singer Y, Tonkin C, Cameron P. (2011) Developing clinical quality indicators for a Bi-National Burn Registry. Burns 37(8): 1296-308.
Gabbe B J, Watterson D, Singer Y, Darton A. (2015) Outpatient presentations to burn centers: Data from the Burns Registry of Australia and New Zealand outpatient pilot project. Burns 41(3): 446-453.
The Burns Registry of Australia and New Zealand would like to acknowledge the valuable donation of funds from the Australian and New Zealand Burn Association Pty Ltd; Australian Commission on Safety and Quality in Health Care (ACSQHC), Helen Macpherson Smith Trust; Thyne Reid Foundation through the Julian Burton Burns Trust; and the Australasian Foundation for Plastic Surgery.