Cross-Sectional Assessment of Burn Center and Nonburn Center Patient Care: A Multi-Database Comparison.

Cross-Sectional Assessment of Burn Center and Nonburn Center Patient Care: A Multi-Database Comparison. - 2021

Available online through MWHC library: 2006 - present, Available in print through MWHC library: 2006 - present

The practice of burn care is complex and continues to be a rapidly evolving field. To assess how differences in management affect hospital stay characteristics and outcomes, the authors sought to compare outcomes data from two sources, such as burn center and nonburn center data. The National Burn Repository (NBR, version 8) and the 2014 Nationwide Readmission Database (NRD) were compared based on ICD-9 948-series burn-related diagnosis codes, generating a total of 83,068 and 14,131 burn patients from the NBR and NRD, respectively. Patients were stratified by burn size and compared based on demographic factors and hospital stay characteristics. t-Test and chi-squared statistics were performed with SAS, version 9.4. Burn patient populations from the NBR and NRD databases, when stratified by patient demographic factors, were found to have similar sex distributions, 68% and 64% male, respectively. The average age was significantly higher in the NRD data at 39.5 +/- 23.6 compared with 30.9 +/- 22.3 years. Hospital stay characteristics, including length of stay and mortality, were not found to differ significantly. Differences were identified in the number of trips to the OR, which was significantly greater in the NBR population as well as the total cost of care, which was significantly less in the NBR population at


English

1559-047X

10.1093/jbcr/iraa006 [doi] 5931792 [pii]


*Burn Units/sn [Statistics & Numerical Data]
*Burns/th [Therapy]
*Databases, Factual
Adult
Burns/mo [Mortality]
Cross-Sectional Studies
Female
Health Care Costs
Hospital Mortality
Humans
Length of Stay/sn [Statistics & Numerical Data]
Male
Patient Readmission/sn [Statistics & Numerical Data]


MedStar Health Research Institute
MedStar Washington Hospital Center


Firefighters' Burn and Surgical Research Laboratory
Surgery/Burn Services


Journal Article

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