How long a shadow does epidemic obesity cast in the burn unit? A dietitian's analysis of the strengths and weaknesses of the available data in the National Burn Repository

Journal of Burn Care & Research : Official Publication of the American Burn Association
Annette M CarpenterMarion H Jordan

Abstract

To demonstrate the research potential of the National Burn Repository, we examined outcomes affecting the obese burn population, specifically length of stay and mortality. This retrospective analysis evaluates burn patients from the repository coded as "obese." We queried admissions from burn units between the years 2000 to 2006 (n = 101,450). We initially intended to associate and stratify obesity with several complications and outcomes using multivariate analysis. However, because of the lack of standardized data fields, a surrogate yard stick (length of stay > or =7 days) was a straightforward and sensible outcome measurement. Mortality was used as a second outcome measurement. Two statistical approaches were used: logistic regression and the Cochran-Mantel-Haenszel test. Obese patients were 4.1 times more likely to have a length of stay > or =7 days (P < .0001) and were 2.6 times more likely to die (P < .0001) than patients not described as obese. The results not only highlighted obesity as a major challenge in burn care, but also identified means of improving the National Burn Repository to facilitate future nutrition research. The repository has vast potential to be a useful research tool for the dietitian. With standardi...Continue Reading

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Citations

Mar 17, 2009·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·David J Dries
Jan 12, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Tam N PhamMatthew B Klein
Apr 29, 2015·The Journal of Surgical Research·Juliet J RayCarl I Schulman
Jun 9, 2016·Burns : Journal of the International Society for Burn Injuries·A A Sayampanathan
Feb 26, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Lina PatelNoreen Felich
May 11, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Theresa MayesRichard J Kagan
Jul 12, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Christian TapkingLudwik K Branski
Apr 30, 2017·The Journal of Trauma and Acute Care Surgery·Nehemiah T LiuJosé Salinas
Dec 9, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Tam N PhamMatthew B Klein
Apr 22, 2017·Burns and Trauma·Audra ClarkSteven E Wolf
Jun 12, 2021·Shock·Itay AyalonJennifer Kaplan
Dec 7, 2010·Burns : Journal of the International Society for Burn Injuries·Ali M GhanemOdhran P Shelley

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