ArticleBurns : journal of the International Society for Burn Injuries2016
Inter-facility transfer of pediatric burn patients from U.S. Emergency Departments.
Article in Burns : journal of the International Society for Burn Injuries, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Current Status of US Children's Burn Care and Opportunities for Change.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Review
- Adherence to Burn Center Referral Criteria for Pediatric Burns.JAMA network open · 2026Article
- Comparative Efficacy of Cultivated Epidermal Allograft and Hydrocolloid Dressings in Pediatric Burn Injuries.Cureus · 2026Article
- A Characterization of Pediatric Burn Injury Patients Presenting to a Zonal Referral Hospital in Northern Tanzania.Journal of burn care & research : official publication of the American Burn Association · 2026Observational
- Article
- Pediatric Burns - Who Requires Follow-up? A Study of Urban Pediatric Emergency Department Patients.The western journal of emergency medicine · 2024Article
- Review
- Clinical decision-support for acute burn referral and triage at specialized centres - Contribution from routine and digital health tools.Global health action · 2022Article
- Knowledge level on the management of pediatric burn patients among physicians working in the emergency department.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- A cohort of pediatric injury patients from a hospital-based trauma registry in Northern Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Mobile phone virtual reality game for pediatric home burn dressing pain management: a randomized feasibility clinical trial.Pilot and feasibility studies · 2022Article
- Burn related injuries: a nationwide analysis of adult inter-facility transfers over a six-year period in the United States.BMC emergency medicine · 2022Article
- Global trends in pediatric burn injuries and care capacity from the World Health Organization Global Burn Registry.Frontiers in pediatrics · 2022Article
- Epidemiological and Clinical Characteristics of 5,569 Pediatric Burns in Central China From 2013 to 2019.Frontiers in public health · 2022Article
- Updating the Burn Center Referral Criteria: Results From the 2018 eDelphi Consensus Study.Journal of burn care & research : official publication of the American Burn Association · 2020Article
- US pediatric trauma patient unplanned 30-day readmissions.Journal of pediatric surgery · 2018Article
- Implementation and Maintenance of a Pediatric Severe Burn Guidelines Quality Improvement Project.Pediatric quality & safetyArticle
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Authors and funding
8 authors.
Funding
Abstract
purposeTo describe the epidemiology of pediatric burn patients seen in U.S. emergency departments (EDs) and to determine factors associated with inter-facility transfer.
methodsWe analyzed data from the 2012 Nationwide Emergency Department Sample. Current American Burn Association (ABA) Guidelines were used to identify children <18 who met criteria for referral to burn centers. Burn patient admission volume was used as a proxy for burn expertise. Logistic models were fitted to examine the odds of transfer from low volume hospitals.
resultsIn 2012, there were an estimated 126,742 (95% CI: 116,104-137,380) pediatric burn ED visits in the U.S. Of the 69,003 (54.4%) meeting referral criteria, 83.2% were in low volume hospitals. Only 8.2% of patients meeting criteria were transferred from low volume hospitals. Of the 52,604 (95% CI: 48,433-56,775) not transferred, 98.3% were treated and released and 1.7% were admitted without transfer; 54.7% of burns involved hands.
conclusionsOver 90% of pediatric burn ED patients meet ABA burn referral criteria but are not transferred from low volume hospitals. Perhaps a portion of the 92% of patients currently receiving definitive care in low volume hospitals are under-referred and would have improved clinical outcomes if transferred at the time of presentation.
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