Journal article
National Estimates and Outcomes for Supplemental Home Oxygen Therapy Injuries-a Burn Care Quality Platform Analysis
Journal of burn care & research, Vol.46(5), pp.1025-1030
09/19/2025
DOI: 10.1093/jbcr/iraf087
PMID: 40394868
Abstract
The incidence of admissions for burn and inhalation injuries related to home oxygen therapy remains poorly defined in the U.S. We analyzed the American Burn Association's Burn Care Quality Platform (BCQP) database (2013-2022) to generate national estimates of supplemental home oxygen therapy-related injuries and outcomes. Text string extraction identified cases using multiple search permutations related to home oxygen use. Patient demographics, injury characteristics, and inpatient outcomes were described. Logistic regression assessed predictors of oxygen therapy injuries, and Poisson regression estimated adjusted incidence rates. Of 207,364 burn admissions, 79,114 (28%) contained injury descriptions, with 3.0% (2,360 cases) attributed to home oxygen therapy. These patients had a median age of 65 years (IQR: 59-71), mean total body surface area (TBSA) of 4.1%, were predominantly male (62.6%) and white (79.0%). Medicare was the most common payer (57.7%). Inhalation injury was present in 11.4%, mean length of stay (LOS) was 8 days, and inpatient mortality was 6.1%. Smoking was the leading ignition source (63%), followed by cooking/stove (4%), while 22% had no identified cause. The adjusted incidence rate of supplemental home oxygen injuries was 3.6% (95% CI: 2.7-2.9%, p < 0.001), with a significant annual increase (incidence rate ratio: 1.03, 95% CI: 1.02-1.04). Oxygen therapy-related injuries account for 1,088 (95% CI: 1,065-1,113) burn admissions per year in the U.S. Despite smaller TBSA burns, mortality was twice the national average for burn patients, and for survivors, the odds of discharge home were 15% less likely. Targeted prevention strategies are needed to mitigate this growing public health problem.
Details
- Title: Subtitle
- National Estimates and Outcomes for Supplemental Home Oxygen Therapy Injuries-a Burn Care Quality Platform Analysis
- Creators
- Clifford Sheckter - Santa Clara Valley Medical CenterEloise Stanton - University of Southern CaliforniaKarla Klas - Michigan MedicineBart Phillips - XData CorporationRebecca Coffey - Parkland Memorial HospitalAlisa Savetamal - Bridgeport HospitalLucy Wibbenmeyer - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- Journal of burn care & research, Vol.46(5), pp.1025-1030
- DOI
- 10.1093/jbcr/iraf087
- PMID
- 40394868
- NLM abbreviation
- J Burn Care Res
- ISSN
- 1559-047X
- eISSN
- 1559-0488
- Publisher
- OXFORD UNIV PRESS
- Language
- English
- Electronic publication date
- 05/21/2025
- Date published
- 09/19/2025
- Academic Unit
- Surgery; Injury Prevention Research Center
- Record Identifier
- 9984824289502771
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