Nonsurvival Distributions in Pediatric Burn Patients: A Comparative Study of Two National Databases

Author:

Wermine Kendall1,Gotewal Sunny1,Schober Marc A1,Africa Robert E1,Hallman Taylor1,Cuartas-Olarte Andres1,Ko Andrew1,Torres Mark Jordan M1,Peterson Joshua M2,Golovko Georgiy3,Song Juquan2,El Ayadi Amina2ORCID,Wolf Steven E2

Affiliation:

1. School of Medicine, University of Texas Medical Branch, Galveston, USA

2. Department of Surgery, University of Texas Medical Branch, Galveston, USA

3. Department of Pharmacology, University of Texas Medical Branch, Galveston, USA

Abstract

Abstract A contemporary, age-specific model for the distribution of burn mortality in children has not been developed for over a decade. Using data from TriNetX, a global federated health research network, and the American Burn Association’s Nation Burn Repository (NBR), we investigated nonsurvival distributions for pediatric burns in the United States. Pediatric burn patients aged 0 to 20 between 2010 and 2020 were identified in TriNetX from 41 Healthcare Organizations using ICD-10 codes (T.20-T.30) and identified as lived/died. These were compared to the nonsurvival data from 90 certified burn centers in the NBR database between 2016 and 2018. The patient population was stratified by age into subgroups of 0 to 4, 5 to 9, 10 to 14, and 15 to 20 years. Overall, mortality rates for pediatric burn patients were found to be 0.62% in NBR and 0.52% in TrinetX. Boys had a higher incidence of mortality than girls in both databases (0.34% vs 0.28% NBR, P = .13; 0.31% vs 0.21% TriNetX, P < .001). Comparison of ethnic cohorts between 2010 to 2015 and 2016 to 2020 subgroups showed that nonsurvival rates of African American children increased relative to white children (TriNetX, P < .001); however, evidence was insufficient to conclude that African American children die more frequently than other ethnicities (NBR, P = .054). When analyzing subgroups in TriNetX, burned children aged 5 to 9 had significantly increased frequency of nonsurvival (P < .001). However, NBR data suggested that children aged 0 to 4 experience the highest frequency of mortality (P < .001). The nonsurvival distributions between these two large databases accurately reflect nonsurvival rates in burned children.

Publisher

Oxford University Press (OUP)

Subject

Rehabilitation,Emergency Medicine,Surgery

Reference9 articles.

1. Emergency management of pediatric burns;Reed;Pediatr Emerg Care,2005

2. Pediatric burn injuries;Krishnamoorthy;Int J Crit Illn Inj Sci,2012

3. Special considerations in paediatric burn patients;Sharma;Indian J Plast Surg,2010

4. Predicting mortality from burns: the need for age-group specific models;Taylor;Burns,2014

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