Evidence map›Paper›PMID 30104050›Full record

ArticleBurns : journal of the International Society for Burn Injuries2018

Contributors to the length-of-stay trajectory in burn-injured patients.

Reinhard Dolp, Sarah Rehou, Matthew R McCann, Marc G Jeschke

Abstract read
In one paragraph

Article in Burns : journal of the International Society for Burn Injuries, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Diagnosis and Management of Orbital Compartment Syndrome in Burn Patients-A Systematic Review.Journal of burn care & research : official publication of the American Burn Association · 2024
    Pooled it
  2. Pooled it
  3. Article
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  5. Sepsis in burn care: incidence and outcomes.Military Medical Research · 2025
    Article
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  14. Flir OneAnnals of burns and fire disasters · 2023
    Article
  15. Outbreak of Carbapenemase-Producing Enterobacteriaceae in a Regional Burn Center.Journal of burn care & research : official publication of the American Burn Association · 2022
    Article
  16. Massive Burns: Retrospective Analysis of Changes in Outcomes Indicators Across 18 Years.Journal of burn care & research : official publication of the American Burn Association · 2022
    Article
  17. Article
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  19. The length of stay and cost of burn patients and the affecting factors.International journal of burns and trauma · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Reinhard DolpSunnybrook Research Institute, Toronto, Ontario, Canada; Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Sarah RehouSunnybrook Research Institute, Toronto, Ontario, Canada; Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Matthew R McCannSunnybrook Research Institute, Toronto, Ontario, Canada.
Marc G JeschkeSunnybrook Research Institute, Toronto, Ontario, Canada; Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Immunology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Electronic address: marc.jeschke@sunnybrook.ca.

Funding

Hepatic ER stress contributes to morbidity and mortality after burn injury.R01GM087285 · NIGMS · SUNNYBROOK & WOMEN'S COLL HLTH SCIS CTR · PI BOEHNING, DARREN F, JESCHKE, MARC GERHARD · 2010 to 2018
$1.9M
NIGMS NIH HHS R01 GM087285
6 · The paper itself

Abstract

objectivesBurn patients have a highly variable length-of-stay (LOS) due to the complexity of the injury itself. The LOS for burn patients is estimated as one day per percent total body surface area (TBSA) burn. To focus care expectation and prognosis we aimed to identify key factors that contribute to prolonged LOS.

methodsThis was a retrospective cohort-study (2006-2016) in an adult burn-centre that included patients with ≥10% TBSA burn. Patients were stratified into expected-LOS (<2 days LOS/%TBSA) and longer-than-expected-LOS (≥2 days LOS/%TBSA). We assessed demographics, comorbidities, and in-hospital complications. Logistic regression and propensity matching was utilized.

resultsOf the 583 total patients, 477 had an expected-LOS whereas 106 a longer-than-expected-LOS. Non-modifiable factors such as age, 3rd degree TBSA%, inhalation injuries and comorbidities were greater in the exceeded LOS patients. Subsequent matched analysis revealed factors like number of procedures performed, days ventilated and in-hospital complications (bacteremia, pneumonia, sepsis, graft loss, and respiratory failure) were significantly increased in the longer-than-expected-LOS group.

conclusionsProgress has been made to update the conventional one day/%TBSA to better aid health care providers in giving appropriate outcomes for patients and their families and to supply intensive care units with valuable data to assess quality of care and to improve patient prognosis.

Indexed as

Quality Indicators, Health CareAdultAgedBacteremiaBody Surface AreaBurnsBurn UnitsCohort StudiesComorbidityFemaleHumansIntensive Care UnitsLength of StayLogistic ModelsMaleMiddle AgedBurnsComorbiditiesIn-hospital complicationsLength of stay

Identifiers

PMID30104050
PMCPMC6286222

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.