ArticleJournal of burn care & research : official publication of the American Burn Association2020
Updating the Burn Center Referral Criteria: Results From the 2018 eDelphi Consensus Study.
Article in Journal of burn care & research : official publication of the American Burn Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Geographic Accessibility of Burn Centers in the United States.JAMA network open · 2026Article
- Measurement of Central Nervous System-Related Biomarkers in Plasma of Burn Patients.Shock (Augusta, Ga.) · 2026Article
- Epidemiological Characteristics and Prognostic Factors for Mortality in Severe Burns: A 32-Year Analysis (1993-2024) From a National Referral Center in the Dominican Republic.World journal of surgery · 2026Article
- Article
- Outcomes of Burn Patients Admitted Initially to a Non-Burn Center Intensive Care Unit in Romania: A Retrospective Exploratory Study.Medicina (Kaunas, Lithuania) · 2026Observational
- The Impact of Nursing Resources on Chronic Wound Management: A Cross-Sectional Analysis.Journal of clinical nursing · 2026Observational
- Nurse Staffing and Patient Outcomes: A Call to Action for Chronic Wound Care Policy Reform.Advances in wound care · 2025Article
- Using Implementation Science to Understand Barriers to Telemedicine Use for Burn Care During a Crisis.Journal of burn care & research : official publication of the American Burn Association · 2025Article
- Chronic liver injury scores are superior prognostic indicators of outcomes in severe alcohol-related burns.Scientific reports · 2025Article
- Surgical management of burns in functional areas: a 5-year retrospective study.Journal of medicine and life · 2025Article
- An Epidemiological Survey of Hand Burn Injuries Admitted to a Large Burn Center in the New York City Metropolitan Area.Annals of plastic surgery · 2025Article
- Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Observational
- Pediatric Burns - Who Requires Follow-up? A Study of Urban Pediatric Emergency Department Patients.The western journal of emergency medicine · 2024Article
- Management of Pediatric Superficial Partial-Thickness Burns with Polyhexamethylene Biguanide: Outcomes and Influencing Factors.Journal of clinical medicine · 2024Article
- Non-invasive Assessment of Intracranial Pressure in Severe Burned Patients: From Animal Models to Bedside.Translational medicine @ UniSa · 2024Article
- Clinical decision-support for acute burn referral and triage at specialized centres - Contribution from routine and digital health tools.Global health action · 2022Article
- A 1% TBSA Chart Reduces Math Errors While Retaining Acceptable First-Estimate Accuracy.Journal of burn care & research : official publication of the American Burn Association · 2022Article
- Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Guide for Nurses.AACN advanced critical care · 2020Article
- Toxic epidermal necrolysis - clinicopathological aspects and therapeutic management.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologieArticle
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Authors and funding
13 authors.
Funding
Abstract
Existing burn center referral criteria were developed several years ago, and subsequent innovations in burn care have occurred. Coupled with frequent errors in the estimation of extent of burn injury and depth by referring providers, patients are both over and under-triaged when the existing criteria are used to support patient care decisions. In the absence of compelling clinical trial data on appropriate burn patient triage, we convened a multidisciplinary panel of experts to execute an iterative eDelphi consensus process to facilitate a revision. The eDelphi process panel consisted of n = 61 burn stakeholders and experts and progressed through four rounds before reaching consensus on key clinical domains. The major findings are that 1) burn center consultation is strongly recommended for all patients with deep partial-thickness or deeper burns ≥ 10% TBSA burned, for full-thickness burns ≥ 5% TBSA burned, for children and older adults with specific dressing and medical needs, and for special burn circumstances including electrical, chemical, and radiation injuries; 2) smaller burns are ideally followed in burn center outpatient settings as soon as possible after injury, preferably without delays of a week or more; 3) frostbite, Stevens-Johnson syndrome/TENS, and necrotizing soft-tissue infection patients benefit from burn center treatment; and 4) telemedicine and technological solutions are of likely benefit in achieving this standard. Unlike the original criteria, the revised consensus-based guidelines create a framework promoting communication so that triage and treatment are specifically tailored to individual patient characteristics, injury severity, geography, and the capabilities of referring institutions.
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