Length of Stay per Total Body Surface Area Burn Relative to Mechanism: A Pediatric Injury Quality Improvement Collaborative Study

Author:

Patterson Kelli N1ORCID,Onwuka Amanda1,Horvath Kyle Z1,Fabia Renata23,Giles Sheila3,Marx Daniel4,Aguayo Pablo4,Ziegfeld Susan5,Garcia Alejandro5,Stewart F Dylan5,Fritzeen Jennifer6,Burd Randall S6,Vitale Lisa7,Klein Justin7,Thakkar Rajan K23

Affiliation:

1. Center for Surgical Outcomes Research, The Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA

2. Department of Pediatric Surgery, Nationwide Children’s Hospital, Columbus, OH, USA

3. Center for Pediatric Trauma Research, The Research Institute at Nationwide Children’s Hospital, Columbus, OH, USA

4. Department of Pediatric Surgery, Children’s Mercy Hospitals and Clinics, Kansas City, MO, USA

5. Department of Pediatric Surgery, Johns Hopkins Children’s Center, Baltimore, MD, USA

6. Division Trauma and Burn Surgery, Center for Surgical Care, Children’s National Medical Center, Washington, DC, USA

7. Department of Pediatric Surgery, Children’s Hospital of Michigan, Detroit Medical Center, Detroit, MI, USA

Abstract

Abstract Studies on length of stay (LOS) per total body surface area (TBSA) burn in pediatric patients are often limited to single institutions and are grouped in ranges of TBSA burn which lacks specific detail to counsel patients and families. A LOS to TBSA burn ratio of 1 has been widely accepted but not validated with multi-institution data. The objective of this study is to describe the current relationship of LOS per TBSA burn and LOS per TBSA burn relative to burn mechanism with the use of multi-institutional data. Data from the Pediatric Injury Quality Improvement Collaborative (PIQIC) were obtained for patients across five pediatric burn centers from July 2018 to September 2020. LOS per TBSA burn ratios were calculated. Descriptive statistics and generalized linear regression which modeled characteristics associated with LOS per TBSA ratio are described. Among the 1267 pediatric burn patients, the most common mechanism was scald (64%), followed by contact (17%) and flame (13%). The average LOS/TBSA burn ratio across all cases was 1.2 (SD = 2.1). In adjusted models, scald burns and chemical burns had similar LOS/TBSA burn ratios of 0.8 and 0.9, respectively, whereas all other burns had a significantly higher LOS/TBSA burn ratio (p<0.0001). LOS/TBSA burn ratios were similar across races, although Hispanics had a slightly higher ratio at 1.4 days. These data establish a multi-institution LOS per TBSA ratio across PIQIC centers and demonstrate a significant variation in the LOS per TBSA burn relative to the burn mechanism sustained.

Publisher

Oxford University Press (OUP)

Subject

Rehabilitation,Emergency Medicine,Surgery

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3