Journal article
Improved Survival of Patients With Extensive Burns: Trends in Patient Characteristics and Mortality Among Burn Patients in a Tertiary Care Burn Facility, 2004-2013
Journal of burn care & research, Vol.38(3), pp.187-193
05/01/2017
DOI: 10.1097/BCR.0000000000000456
PMCID: PMC5393966
PMID: 27775983
Abstract
Classic determinants of burn mortality are age, burn size, and the presence of inhalation injury. Our objective was to describe temporal trends in patient and burn characteristics, inpatient mortality, and the relationship between these characteristics and inpatient mortality over time. All patients aged 18 years or older and admitted with burn injury, including inhalation injury only, between 2004 and 2013 were included. Adjusted Cox proportional hazards regression models were used to estimate the relationship between admit year and inpatient mortality. A total of 5540 patients were admitted between 2004 and 2013. Significant differences in sex, race/ethnicity, burn mechanisms, TBSA, inhalation injury, and inpatient mortality were observed across calendar years. Patients admitted between 2011 and 2013 were more likely to be women, non-Hispanic Caucasian, with smaller burn size, and less likely to have an inhalation injury, in comparison with patients admitted from 2004 to 2010. After controlling for patient demographics, burn mechanisms, and differential lengths of stay, no calendar year trends in inpatient mortality were detected. However, a significant decrease in inpatient mortality was observed among patients with extensive burns (>= 75% TBSA) in more recent calendar years. This large, tertiary care referral burn center has maintained low inpatient mortality rates among burn patients over the past 10 years. While observed decreases in mortality during this time are largely due to changes in patient and burn characteristics, survival among patients with extensive burns has improved.
Details
- Title: Subtitle
- Improved Survival of Patients With Extensive Burns: Trends in Patient Characteristics and Mortality Among Burn Patients in a Tertiary Care Burn Facility, 2004-2013
- Creators
- Paula D. Strassle - University of North Carolina at Chapel HillFelicia N. Williams - University of North Carolina at Chapel HillSonia Napravnik - University of North Carolina at Chapel HillDavid van Duin - University of North Carolina at Chapel HillDavid J. Weber - University of North Carolina at Chapel HillAnthony Charles - University of North Carolina at Chapel HillBruce A. Cairns - University of North Carolina at Chapel HillSamuel W. Jones - University of North Carolina at Chapel Hill
- Resource Type
- Journal article
- Publication Details
- Journal of burn care & research, Vol.38(3), pp.187-193
- DOI
- 10.1097/BCR.0000000000000456
- PMID
- 27775983
- PMCID
- PMC5393966
- NLM abbreviation
- J Burn Care Res
- ISSN
- 1559-047X
- eISSN
- 1559-0488
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 7
- Grant note
- UL1TR001111 / National Center for Advancing Translational Sciences (NCATS), National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) K08GM109106-02 / NIGMS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS) UL1TR001111 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) K08GM109106 / NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS) T32AI007517 / NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID)
- Language
- English
- Date published
- 05/01/2017
- Academic Unit
- Surgery
- Record Identifier
- 9984756262602771
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