Abstract
OBJECTIVES:: Determine the relationship between the volume of burn admissions and outcomes for children with burns.
DESIGN:: Retrospective review of the National Burn Repository from 2000-2009 using mixed effect logistic regression modeling.
SETTING:: Tertiary burn centers in the United States.
PATIENTS:: All children <18 years of age admitted with burn injury to a burn center submitting data to the National Burn Repository.
INTERVENTIONS:: None.
MEASUREMENTS AND MAIN RESULTS:: Of the 210,683 records in the NBR from 2000-2009, 33,115 records for children ≤18 years of age met criteria for analysis; 26,280 had burn sizes smaller than 10%; only 32 of these children died. Volume of children treated varied greatly among facilities. Age, total body surface area burn, inhalation injury, and burn center volume influenced mortality (p < 0.05) An increase in the median yearly admissions of 100 decreased the odds of mortality by approximately 40%. High volume centers (admitting >200 pediatric patients/year) had the lowest mortality when adjusting for age and injury characteristics (p < 0.05).
CONCLUSIONS:: Higher volume pediatric burn centers had lower mortality, particularly at larger burn sizes. The lower mortality of children a high volume centers could reflect greater experience, resource, and specialized expertise in treating pediatric patients.
| Original language | English (US) |
|---|---|
| Journal | Pediatric Critical Care Medicine |
| DOIs | |
| State | Accepted/In press - Feb 2 2015 |
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ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Critical Care and Intensive Care Medicine
Cite this
Burn Center Volume Makes a Difference for Burned Children. / Palmieri, Tina L; Taylor, Sandra; Lawless, Marybeth; Curri, Terese; Sen, Soman; Greenhalgh, David G.
In: Pediatric Critical Care Medicine, 02.02.2015.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Burn Center Volume Makes a Difference for Burned Children
AU - Palmieri, Tina L
AU - Taylor, Sandra
AU - Lawless, Marybeth
AU - Curri, Terese
AU - Sen, Soman
AU - Greenhalgh, David G
PY - 2015/2/2
Y1 - 2015/2/2
N2 - OBJECTIVES:: Determine the relationship between the volume of burn admissions and outcomes for children with burns.DESIGN:: Retrospective review of the National Burn Repository from 2000-2009 using mixed effect logistic regression modeling.SETTING:: Tertiary burn centers in the United States.PATIENTS:: All children <18 years of age admitted with burn injury to a burn center submitting data to the National Burn Repository.INTERVENTIONS:: None.MEASUREMENTS AND MAIN RESULTS:: Of the 210,683 records in the NBR from 2000-2009, 33,115 records for children ≤18 years of age met criteria for analysis; 26,280 had burn sizes smaller than 10%; only 32 of these children died. Volume of children treated varied greatly among facilities. Age, total body surface area burn, inhalation injury, and burn center volume influenced mortality (p < 0.05) An increase in the median yearly admissions of 100 decreased the odds of mortality by approximately 40%. High volume centers (admitting >200 pediatric patients/year) had the lowest mortality when adjusting for age and injury characteristics (p < 0.05).CONCLUSIONS:: Higher volume pediatric burn centers had lower mortality, particularly at larger burn sizes. The lower mortality of children a high volume centers could reflect greater experience, resource, and specialized expertise in treating pediatric patients.
AB - OBJECTIVES:: Determine the relationship between the volume of burn admissions and outcomes for children with burns.DESIGN:: Retrospective review of the National Burn Repository from 2000-2009 using mixed effect logistic regression modeling.SETTING:: Tertiary burn centers in the United States.PATIENTS:: All children <18 years of age admitted with burn injury to a burn center submitting data to the National Burn Repository.INTERVENTIONS:: None.MEASUREMENTS AND MAIN RESULTS:: Of the 210,683 records in the NBR from 2000-2009, 33,115 records for children ≤18 years of age met criteria for analysis; 26,280 had burn sizes smaller than 10%; only 32 of these children died. Volume of children treated varied greatly among facilities. Age, total body surface area burn, inhalation injury, and burn center volume influenced mortality (p < 0.05) An increase in the median yearly admissions of 100 decreased the odds of mortality by approximately 40%. High volume centers (admitting >200 pediatric patients/year) had the lowest mortality when adjusting for age and injury characteristics (p < 0.05).CONCLUSIONS:: Higher volume pediatric burn centers had lower mortality, particularly at larger burn sizes. The lower mortality of children a high volume centers could reflect greater experience, resource, and specialized expertise in treating pediatric patients.
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UR - http://www.scopus.com/inward/citedby.url?scp=84922213577&partnerID=8YFLogxK
U2 - 10.1097/PCC.0000000000000366
DO - 10.1097/PCC.0000000000000366
M3 - Article
C2 - 25647236
AN - SCOPUS:84937630708
JO - Pediatric Critical Care Medicine
JF - Pediatric Critical Care Medicine
SN - 1529-7535
ER -