Evidence map›Paper›PMID 25647236›Full record

ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2015

Burn center volume makes a difference for burned children.

Tina L Palmieri, Sandra Taylor, MaryBeth Lawless, Terese Curri, Soman Sen, David G Greenhalgh

Abstract read
In one paragraph

Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Critical Care of the Pediatric Burn Patient.Seminars in plastic surgery · 2024
    Review
  4. Nurse Staffing, the Clinical Work Environment, and Burn Patient Mortality.Journal of burn care & research : official publication of the American Burn Association · 2020
    Observational
  5. Article
  6. Inter-facility transfer of pediatric burn patients from U.S. Emergency Departments.Burns : journal of the International Society for Burn Injuries · 2016
    Article
  7. The Effect of Burn Center Volume on Mortality in a Pediatric Population: An Analysis of the National Burn Repository.Journal of burn care & research : official publication of the American Burn Association
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Tina L Palmieri1Burn Division, Department of Surgery, Shriners Hospital for Children Northern California, Sacramento, CA. 2Department of Surgery, University of California Davis, Sacramento, CA. 3Department of Public Health Sciences, University of California Davis Medical Center, Sacramento, CA.
Sandra Taylor
MaryBeth Lawless
Terese Curri
Soman Sen
David G Greenhalgh

Funding

UC DAVIS CLINICAL AND TRANSLATIONAL SCIENCE CENTER: BPCAUL1RR024146 · NCRR · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2006 to 2011
$27.0M
UC Davis Clinical and Translational Science CenterUL1TR000002 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2012 to 2015
$12.2M
UC Davis Clinical and Translational Science CenterKL2TR000134 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2012 to 2015
$3.1M
UC Davis Clinical and Translational Science CenterKL2RR024144 · NCRR · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2006 to 2011
$3.1M
NCATS NIH HHS KL2 TR000134NCATS NIH HHS TR000002NCATS NIH HHS UL1 TR000002NCRR NIH HHS KL2 RR024144NCRR NIH HHS UL1 RR024146NCRR NIH HHS UL1RR024146
6 · The paper itself

Abstract

objectivesDetermine the relationship between the volume of burn admissions and outcomes for children with burns.

designRetrospective review of the National Burn Repository from 2000-2009 using mixed effect logistic regression modeling.

settingTertiary 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.

interventionsNone. MEASUREMENTS AND MAIN

resultsOf 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).

conclusionsHigher 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.

Indexed as

AdolescentAge FactorsBody Surface AreaBurnsBurn UnitsChildChild, PreschoolFemaleHospital AdministrationHumansInfantInfant, NewbornLogistic ModelsMalePrognosisRetrospective Studies

Identifiers

PMID25647236
PMCPMC4955943

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.