000			03867nam a22005777a 4500
008			201229s20202020 xxu||||| |||| 00| 0 eng d
022			_a1559-047X
024			_a10.1093/jbcr/iraa006 [doi]
024			_a5931792 [pii]
040			_aOvid MEDLINE(R)
099			_a33079173
245			_aCross-Sectional Assessment of Burn Center and Nonburn Center Patient Care: A Multi-Database Comparison.
251			_aJournal of Burn Care & Research. 42(3):376-380, 2021 05 07.
252			_aJ Burn Care Res. 42(3):376-380, 2021 05 07.
252			_zJ Burn Care Res. 2020 Oct 20
253			_aJournal of burn care & research : official publication of the American Burn Association
260			_c2021
260			_fFY2021
265			_saheadofprint
265			_sppublish
266			_d2020-12-29
268			_aJournal of Burn Care & Research. 2020 Oct 20
269			_fFY2021
501			_aAvailable online through MWHC library: 2006 - present, Available in print through MWHC library: 2006 - present
520			_aThe 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 _92k compared with _125k. This study has shown through the interpretation of multiple databases that not only do demographics differ between burn and nonburn center populations, but also do management strategies, particularly in operative intervention and cost. Copyright (c) The Author(s) 2020. Published by Oxford University Press on behalf of the American Burn Association. All rights reserved. For permissions, please e-mail: [email protected].
546			_aEnglish
650			_a*Burn Units/sn [Statistics & Numerical Data]
650			_a*Burns/th [Therapy]
650			_a*Databases, Factual
650			_aAdult
650			_aBurns/mo [Mortality]
650			_aCross-Sectional Studies
650			_aFemale
650			_aHealth Care Costs
650			_aHospital Mortality
650			_aHumans
650			_aLength of Stay/sn [Statistics & Numerical Data]
650			_aMale
650			_aPatient Readmission/sn [Statistics & Numerical Data]
651			_aMedStar Health Research Institute
651			_aMedStar Washington Hospital Center
656			_aFirefighters' Burn and Surgical Research Laboratory
656			_aSurgery/Burn Services
657			_aJournal Article
700			_aJohnson, Laura
700			_aPrindeze, Nicholas J
700			_aShupp, Jeffrey W
790			_aJohnson LS, Marano MA, Prindeze NJ, Shupp JW
856			_uhttps://dx.doi.org/10.1093/jbcr/iraa006 _zhttps://dx.doi.org/10.1093/jbcr/iraa006
942			_cART _dArticle
999			_c5873 _d5873