Effect of primary admission to burn centers on the outcomes of severely burned patients

Burns : Journal of the International Society for Burn Injuries
Denis EhrlP Niclas Broer

Abstract

Burns represent a special form of severe trauma. Due to long hospitalization, rehabilitation, and extensive scar treatment, severe burn injuries rank among the most expensive traumatic injuries regarding associated health care costs. The presented single-burn-center experiences evaluated the effects of primary versus secondary burn intensive care unit (BICU) admissions on outcomes in severely burned patients. Within 30 months, 186 patients were admitted to the BICU. The cases were divided into two groups depending on their admission type: "primary" vs. "secondary". All patients were analyzed retrospectively regarding the need for surgery, encountered complications, time of hospitalization and overall survival. The incidence of primary BICU-admissions was 65.1%. Both patient groups were comparable regarding demographics, comorbidities, % TBSA burn, associated inhalation injuries, ABSI scores and intubation rates (p>0.05). Both groups received similar numbers of operations and had overall comparable mortality rates (p>0.05). However, duration until first burn excision, length of ventilation, as well as BICU- and overall hospital length of stay were significantly shorter in the "primary"- compared to the "secondary" group (p<0.05)...Continue Reading

Citations

Jan 4, 2019·Disaster Medicine and Public Health Preparedness·Akihiko KondoYouichi Yanagawa
Mar 10, 2020·Anaesthesia Critical Care & Pain Medicine·Matthieu LegrandAlice Blet
Mar 25, 2021·Revista brasileira de enfermagem·William Campo MeschialMagda Lúcia Félix de Oliveira
Apr 23, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Joachim N MeuliWassim Raffoul
Jun 5, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Nathan E BodilyMatthew C Bozeman

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