Journal article
Evaluating Real-World National and Regional Trends in Definitive Closure in U.S. Burn Care: A Survey of U.S. Burn Centers
Journal of burn care & research, Vol.43(1), pp.141-148
01/05/2022
DOI: 10.1093/jbcr/irab151
PMCID: PMC8737084
PMID: 34329478
Abstract
Abstract
To better understand trends in burn treatment patterns related to definitive closure, this study sought to benchmark real-world survey data with national data contained within the National Burn Repository version 8.0 (NBR v8.0) across key burn center practice patterns, resource utilization, and clinical outcomes. A survey, administered to a representative sample of U.S. burn surgeons, collected information across several domains: burn center characteristics, patient characteristics including number of patients and burn size and depth, aggregate number of procedures, resource use such as autograft procedure time and dressing changes, and costs. Survey findings were aggregated by key outcomes (number of procedures, costs) nationally and regionally. Aggregated burn center data were also compared to the NBR to identify trends relative to current treatment patterns. Benchmarking survey results against the NBR v8.0 demonstrated shifts in burn center patient mix, with more severe cases being seen in the inpatient setting and less severe burns moving to the outpatient setting. An overall reduction in the number of autograft procedures was observed compared to NBR v8.0, and time efficiencies improved as the intervention time per TBSA decreases as TBSA increases. Both nationally and regionally, an increase in costs was observed. The results suggest resource use estimates from NBR v8.0 may be higher than current practices, thus highlighting the importance of improved and timely NBR reporting and further research on burn center standard of care practices. This study demonstrates significant variations in burn center characteristics, practice patterns, and resource utilization, thus increasing our understanding of burn center operations and behavior.
Details
- Title: Subtitle
- Evaluating Real-World National and Regional Trends in Definitive Closure in U.S. Burn Care: A Survey of U.S. Burn Centers
- Creators
- Jeffrey E Carter - University Medical Center New OrleansHamed Amani - Lehigh Valley Hospital-PoconoDamien Carter - Maine Medical CenterKevin N Foster - Valleywise HealthJohn A Griswold - UMC Timothy J. Harnar Regional Burn Center, Lubbock, Texas, USAWilliam L Hickerson - University of Tennessee Health Science CenterJames H Holmes - Atrium Health Wake Forest BaptistSamuel Jones - North Carolina Jaycee Burn Center, Chapel Hill, USAAnjay Khandelwal - MetroHealthNicole Kopari - California State University, FresnoJeffrey S Litt - University of Missouri Health SystemAlisa Savetamal - Bridgeport HospitalJeffrey W Shupp - MedStar Washington Hospital CenterRajiv Sood - Eskenazi Health FoundationCheryl P Ferrufino - IQVIAPratyusha Vadagam - IQVIAStacey Kowal - IQVIATom Walsh - Avita Medical, Valencia, California, USAJeremiah Sparks - Avita Medical, Valencia, California, USA
- Resource Type
- Journal article
- Publication Details
- Journal of burn care & research, Vol.43(1), pp.141-148
- DOI
- 10.1093/jbcr/irab151
- PMID
- 34329478
- PMCID
- PMC8737084
- NLM abbreviation
- J Burn Care Res
- ISSN
- 1559-047X
- eISSN
- 1559-0488
- Publisher
- Oxford University Press
- Number of pages
- 8
- Language
- English
- Date published
- 01/05/2022
- Academic Unit
- Surgery
- Record Identifier
- 9984755389502771
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