Analysis of admissions and outcomes in verified and nonverified burn centers

Journal of Burn Care & Research : Official Publication of the American Burn Association
Tina L PalmieriDavid G Greenhalgh

Abstract

The American Burn Association instituted a burn center verification process to ensure optimal care for patients with burn injury. Limited data exist regarding differences in admissions and outcomes between verified (VC) and nonverified burn centers (NVC). The study purpose was to compare demographics, treatment, and outcomes of VC and NVC. The five VC were compared with the 12 NVC using data from California's discharge database for the year 2003. A total of 2867 patients were admitted to a burn center, 1645 to NVC (132/center), and 1222 (244/center) to VC. NVC admitted 1496 (91%) of their patients from local area and 118 (7%) from other acute care hospitals; in contrast, 948 (78%) of VC patients were local and 253 (21%) were transfers from other acute care hospitals. VCs admitted twice as many burns > or =80% total body surface area as NVC. VCs admitted more patients with face burns (18% VC vs 14% NVC, P < .001), had more patients on mechanical ventilation (12.4% VC vs 9.9% NVC P < .04), and performed fewer operations (61% VC vs 66% NVC, P < .006). Mortality rate was 3% in NVC and 4% in VC. During the study period verified centers in California admitted more patients per center and treated more severely injured patients than no...Continue Reading

References

May 1, 1987·Archives of Surgery·S R ShackfordR W Virgilio
Jan 1, 1997·The Journal of Burn Care & Rehabilitation·K G SuppleR L Gamelli
Dec 8, 1998·JAMA : the Journal of the American Medical Association·C B BeggM F Brennan
Apr 12, 2002·The New England Journal of Medicine·John D BirkmeyerDavid E Wennberg
Jan 25, 2003·The Journal of Trauma·Jason A London, Felix D Battistella
Jun 19, 2003·The Journal of Trauma·Frank A PiontekUNKNOWN American College of Surgeons
Aug 14, 2003·JAMA : the Journal of the American Medical Association·Robert L Sheridan
Apr 4, 2006·Plastic and Reconstructive Surgery·Salvatore J PacellaPaul A Taheri

❮ Previous
Next ❯

Citations

Mar 17, 2009·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·David J Dries
Oct 18, 2011·Journal of Burn Care & Research : Official Publication of the American Burn Association·Laura L BlaisdellDavid E Clark
Nov 16, 2017·The Journal of Trauma and Acute Care Surgery·Lewis E KazisRonald G Tompkins
Aug 11, 2012·Journal of Burn Care & Research : Official Publication of the American Burn Association·James S DavisCarl I Schulman
Nov 7, 2012·Journal of Burn Care & Research : Official Publication of the American Burn Association·Sandra L TaylorTina L Palmieri
Dec 17, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·James H Holmes
Feb 11, 2020·Annals of Plastic Surgery·Leda F EspinozaJeffrey C Schneider
Jun 5, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Rachel M Nygaard, Frederick W Endorf
Feb 1, 2017·Korean Journal of Critical Care Medicine·David J Dries, John J Marini
Aug 18, 2020·The Journal of Surgical Research·Joshua K LivingstonJeffry Nahmias
Jan 23, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Alan D RogersRobert Cartotto
Mar 10, 2020·Anaesthesia Critical Care & Pain Medicine·Matthieu LegrandAlice Blet
Mar 11, 2021·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Michael C McCroryJames H Holmes

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Annals of Burns and Fire Disasters
W Haddadin
Journal of Burn Care & Research : Official Publication of the American Burn Association
Beth Ann ReimelNicole S Gibran
© 2021 Meta ULC. All rights reserved