Multi-institutional analysis of independent predictors for burn mortality in the United States

Burns and Trauma
Dmitry ZavlinAnthony Echo

Abstract

Previous reports individually identified different factors that predict death after burns. The authors employed the multi-center American Burn Association's (ABA) National Burn Repository (NBR) to elucidate which parameters have the highest negative impact on burn mortality. We audited data from the NBR v8.0 for the years 2002-2011 and included 137,061 patients in our study. The cases were stratified into two cohorts based on the primary outcome of death/survival and then evaluated for demographic data, intraoperative details, and their morbidity after admission. A multivariable regression analysis aimed to identify independent risk factors associated with mortality. A total of 3.3% of patients in this analysis did not survive their burn injuries. Of those, 52.0% expired within 7 days after admission. Patients in the mortality cohort were of older age (p < 0.001), more frequently female (p < 0.001), and had more pre-existing comorbidities (p < 0.001). Total body surface area (TBSA), inhalation injury, hospitalization time, and occurrence of complications were higher compared to survivors (p < 0.001). Lack of insurance (odds ratio (OR) = 1.84, confidence interval (CI) 1.38-2.46), diabetes (OR = 1.24, CI 1.01-1.53), any complicat...Continue Reading

References

May 1, 1982·Annals of Emergency Medicine·J TobiasenR F Edlich
Mar 1, 1997·The Journal of Burn Care & Rehabilitation·J R Saffle
Feb 5, 1998·The New England Journal of Medicine·C M RyanR G Tompkins
Jul 5, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Sidney F MillerJohn A Krichbaum
Jul 5, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Jeffrey D KerbyLoring W Rue
Sep 18, 2007·Burns : Journal of the International Society for Burn Injuries·Gerald McGwinLoring W Rue
Jun 10, 2008·Burns : Journal of the International Society for Burn Injuries·G C BloemsmaI M M H Oen
Sep 12, 2008·The Journal of Trauma·Manuel GomezJoel S Fish
Sep 19, 2009·American Journal of Public Health·Andrew P WilperDavid U Himmelstein
Oct 15, 2009·Journal of Burn Care & Research : Official Publication of the American Burn Association·John Alfred CarrWilliam M Bowling
Jan 14, 2012·Journal of Burn Care & Research : Official Publication of the American Burn Association·Tam N PhamMatthew B Klein
Feb 9, 2012·The Journal of Trauma and Acute Care Surgery·Geoffrey RobertsPeter Dziewulski
Nov 7, 2012·Journal of Burn Care & Research : Official Publication of the American Burn Association·Sandra L TaylorTina L Palmieri
Mar 20, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·Palmer Q BesseyJohn A Krichbaum
Apr 11, 2014·Trauma Monthly·Shahram FazeliBahare Safari-Faramani
May 23, 2014·Burns : Journal of the International Society for Burn Injuries·Sandra L TaylorTina L Palmieri
Apr 19, 2015·BMC Health Services Research·Neophytos StylianouKen Dunn
Oct 29, 2015·Burns : Journal of the International Society for Burn Injuries·Laura PompermaierFolke Sjöberg
Sep 7, 2016·Burns : Journal of the International Society for Burn Injuries·Laquanda KnowlinAnthony Charles
Oct 25, 2016·Journal of Burn Care & Research : Official Publication of the American Burn Association·Paula D StrassleSamuel W Jones
Mar 7, 2017·Medical Care·Chandler McClellan
Apr 20, 2017·Journal of Burn Care & Research : Official Publication of the American Burn Association·Hala BedriLucy Wibbenmeyer
Jun 8, 2017·Burns and Trauma·Karen KarimiSharmila Dissanaike

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Citations

Dec 6, 2018·Expert Opinion on Pharmacotherapy·Michael R Hamblin
Jul 10, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·J E DvorakF Bokhari
Aug 20, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Rachel M Nygaard, Frederick W Endorf
Nov 29, 2020·Burns : Journal of the International Society for Burn Injuries·Jamie OhNicole S Gibran
Feb 11, 2021·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Eng-Kean Yeong, Wang-Huei Sheng
Aug 18, 2020·The Journal of Surgical Research·Joshua K LivingstonJeffry Nahmias
Feb 4, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Justin E DvorakFaran Bokhari
Jun 12, 2020·Burns : Journal of the International Society for Burn Injuries·Joseph BourgiGeorges Ghanimé
Jun 17, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Laura PompermaierMoustafa Elmasry
Jan 13, 2022·Journal of Burn Care & Research : Official Publication of the American Burn Association·Kiran DyamenahalliElizabeth J Kovacs

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