ArticleThe journal of trauma and acute care surgery2017
Trends in the epidemiology of major burn injury among hospitalized patients: A population-based analysis.
Article in The journal of trauma and acute care surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Exploring the Prevalence of Post-traumatic Stress Disorder and Post-traumatic Stress Symptoms in Parents Within 12 Months of Child Burn Injury: A Systematic Review.Journal of burn care & research : official publication of the American Burn Association · 2024Pooled it
- A systematic review assessing the effectiveness of hand therapy programmes in adults with burns using the International Classification of Functioning, Disability and Health framework.Nagoya journal of medical science · 2022Pooled it
- Epidemiology of burn injuries in a Canadian population during the COVID-19 pandemic.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026Article
- Functional Recovery and Emotional Burden After Burn Injury: A Quality of Life Assessment in Romanian Burn Survivors.Diseases (Basel, Switzerland) · 2026Article
- Outcomes of Burn Patients Admitted Initially to a Non-Burn Center Intensive Care Unit in Romania: A Retrospective Exploratory Study.Medicina (Kaunas, Lithuania) · 2026Observational
- Investigation of high-risk areas of electrical damage in the province of tehran.Annals of burns and fire disasters · 2024Article
- Article
- The Burden of Plastic Surgery Related Disease in Canada: A Perspective Based on the 2019 Global Burden of Disease Study.Plastic surgery (Oakville, Ont.) · 2024Article
- Article
- Comparison of Rapid-, Kaolin-, and Native-TEG Parameters in Burn Patient Cohorts With Acute Burn-induced Coagulopathy and Abnormal Fibrinolytic Function.Journal of burn care & research : official publication of the American Burn Association · 2024Article
- The Trend of Burn Injury Patients in Ningbo between 2012 and 2021: A Clinical Study.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Cost analysis of severe burn victims in Southwest China: A 7-year retrospective study.Frontiers in public health · 2022Article
- Epidemiological and Clinical Characteristics of 5,569 Pediatric Burns in Central China From 2013 to 2019.Frontiers in public health · 2022Article
- The effect of COVID-19 in a newly established burn center.Burns open : an international open access journal for burn injuries · 2021Article
- Epidemiology And Outcomes Of Radiator Burns At A High Throughput Burns Centre.Annals of burns and fire disasters · 2021Article
- Study on the Effect and Mechanism of Antibacterial Adhesive Hydrogel on Wound Healing.Computational and mathematical methods in medicine · 2021Observational
- Effects of COVID-19 pandemic on burns epidemiology.Burns : journal of the International Society for Burn Injuries · 2020Article
- Epidemiology and outcome analysis of 3030 burn patients with an ICD-10 approach.Annals of burns and fire disasters · 2020Article
- Mortality analysis of adult burn patients in Uruguay.Revista Brasileira de terapia intensiva · 2020Observational
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundBurn-related mortality has decreased significantly over the past several decades. Although often attributed in part to regionalization of burn care, this has not been evaluated at the population level.
methodsWe conducted a retrospective, population-based cohort study of all patients with 20% or higher total body surface area burn injury in Ontario, Canada. Adult (≥16 years) patients injured between 2003 and 2013 were included. Deaths in the emergency department were excluded. Logistic generalized estimating equations were used to estimate risk-adjusted 30-day mortality. Mortality trends were compared at burn and nonburn centers.
resultsSeven hundred seventy-two patients were identified at 84 centers (2 burn, 82 nonburn). Patients were 74% (n = 570) male, of median age 46 (interquartile range [IQR], 35-60) years and median total body surface area 35% (IQR, 25-45). Mortality at 30 days was 19% (n = 149). The proportion of patients treated at a burn center increased from 57% to 71% between 2003 and 2013 (p = 0.07). Average risk-adjusted 30-day mortality rates decreased over time; there were significantly reduced odds of death in 2010 to 2013 compared with 2003 to 2006 (odds ratio [OR], 0.39; 95% confidence interval [CI], 0.25-0.61). Burn centers exhibited significantly reduced mortality from 2003-2006 to 2010-2013 (OR, 0.36; 95% CI, 0.34-0.38) compared with nonburn centers (OR, 0.41; 95% CI, 0.13-1.24).
conclusionMortality rates have decreased over time; significant improvements have occurred at burn centers, whereas mortality rates at nonburn centers vary widely. A high proportion of patients continue to receive care outside of burn centers. These data suggest that there are further opportunities to regionalize burn care and in so doing, potentially lower burn-related mortality. LEVEL OF EVIDENCE: Epidemiological study, level III; Therapy, level IV.
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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.