A competing risk analysis for hospital length of stay in patients with burns

JAMA Surgery
Sandra L TaylorTina L Palmieri

Abstract

Current outcome predictors for illness and injury are measured at a single time point-admission. However, patient prognosis often changes during hospitalization, limiting the usefulness of those predictions. Accurate depiction of the dynamic interaction between competing events during hospitalization may enable real-time outcome assessment. To determine how the effects of burn outcome predictors (ie, age, total body surface area burn, and inhalation injury) and the outcomes of interest (ie, mortality and length of stay) vary as a function of time throughout hospitalization. In this retrospective study, we used the American Burn Association's National Burn Repository, containing outcomes and patient and injury characteristics, to identify 95 579 patients admitted with an acute burn injury to 80 tertiary American Burn Association burn centers from 2000 through 2009. We applied competing risk statistical methods to analyze patient outcomes. We estimated the cause-specific hazard rates for death and discharge to assess how the instantaneous risk of these events changed across time. We further evaluated the varying effects of patient age, total body surface area burn, and inhalation injury on the probability of discharge and death a...Continue Reading

Citations

Jul 24, 2015·Journal of Burn Care & Research : Official Publication of the American Burn Association·Yee M WongMatthias Majetschak
Mar 22, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Claire M KeeneMavuto Mukaka
Jun 20, 2018·Journal of Burn Care & Research : Official Publication of the American Burn Association·Rachel M Nygaard, Frederick W Endorf
Oct 30, 2018·Journal of Burn Care & Research : Official Publication of the American Burn Association·Christian TapkingLudwik K Branski
Mar 29, 2018·Archives of Disease in Childhood. Fetal and Neonatal Edition·Sarah E SeatonUNKNOWN UK Neonatal Collaborative
Jun 13, 2019·The New England Journal of Medicine·David G Greenhalgh
Oct 1, 2019·Current Opinion in Critical Care·Shawn TejiramTina L Palmieri
Dec 2, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G RamsayJ O Jansen
Dec 13, 2019·Advances in Wound Care·Thomas Charles LangChristopher John Jackson
Nov 29, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Miranda YelvingtonJeffrey C Schneider
Oct 5, 2020·Burns : Journal of the International Society for Burn Injuries·David L Neil
Jun 6, 2020·Burns : Journal of the International Society for Burn Injuries·Hsu MaChi-Hung Lin
Nov 6, 2020·Burns : Journal of the International Society for Burn Injuries·Yuya YoshimuraManabu Nemoto
Jan 4, 2017·Burns : Journal of the International Society for Burn Injuries·Sandra L TaylorTina L Palmieri
Mar 28, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Gauthier Bahizire MurhulaLaura Pompermaier
Apr 23, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Joachim N MeuliWassim Raffoul

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