ArticleJournal of burn care & research : official publication of the American Burn Association2020
Relationship Between Patient Characteristics and Number of Procedures as well as Length of Stay for Patients Surviving Severe Burn Injuries: Analysis of the American Burn Association National Burn Repository.
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 17 papers.
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Who cites it
17 citing papers in PubMed.
- Evaluation of the Effect ofInternational journal of clinical practice · 2024Trial
- Establishing a nomogram model for predicting hospital length of stay in children with II-III degree scald burns based on admission assessment indicators.Translational pediatrics · 2026Article
- Epidemiological Trends and Clinical Implications: An 8-Year Retrospective Study from a Burn Rehabilitation Center in Taiwan.Medicina (Kaunas, Lithuania) · 2026Article
- REsource Support To Optimize REcovery (RESTORE) document study: Evaluating aftercare resources for burn survivors.Burns : journal of the International Society for Burn Injuries · 2025Article
- Article
- Outcomes and costs in specialized burn care: Adapting the Quality Cost Indicator (QCI) model for burn care.PloS one · 2025Article
- Factors affecting intensive care length of stay in critically ill pediatric patients with burn injuries.Pediatric surgery international · 2024Article
- Could Fibrin Sealants (TISSEELMedical sciences (Basel, Switzerland) · 2024Article
- Article
- Epidemiology of work-related burn injuries: A ten-year retrospective study of 429 patients at a referral burn centre in the north of Iran.International wound journal · 2023Article
- Cost Analysis and Influencing Factors Amongst Severe Burn Patients.Annals of burns and fire disasters · 2023Article
- Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain.Scientific reports · 2023Article
- A National Analysis of Discharge Disposition in Older Adults with Burns-Estimating the Likelihood of Independence at Discharge.Journal of burn care & research : official publication of the American Burn Association · 2022Article
- Bio-Evaluation of the Wound Healing Activity ofAntioxidants (Basel, Switzerland) · 2022Article
- Evaluating Real-World National and Regional Trends in Definitive Closure in U.S. Burn Care: A Survey of U.S. Burn Centers.Journal of burn care & research : official publication of the American Burn Association · 2022Article
- The need for an Australasian burns critical care standardised data collection tool.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2021Article
- Peritraumatic Vitamin D Levels Predict Chronic Pain Severity and Contribute to Racial Differences in Pain Outcomes Following Major Thermal Burn Injury.Journal of burn care & research : official publication of the American Burn Association · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study establishes important, national benchmarks for burn centers to assess length of stay (LOS) and number of procedures across patient profiles. We examined the relationship between patient characteristics such as age and total body surface area (TBSA) burned and number of procedures and LOS in the United States, using the American Burn Association National Burn Repository (NBR) database version 8.0 (2002-2011). Among 21,175 surviving burn patients (TBSA > 10-60%), mean age was 33 years, and mean injury size was 19.9% TBSA. Outcomes included the number of debridement, excision, autograft procedures, and LOS. Independent variables considered were: age (linear, squared, and cubed to account for nonlinearity), TBSA, TBSAs of partial-thickness and mixed/full-thickness burns, sex, hospital-acquired infection, other infection, inhalation injury, and diabetes status. Regression methods included a mixed-effects model for LOS and ordinary least squares for number of procedures. A backward stepwise procedure (P <0.2) was used to select variables. Number of excision and autografting procedures increased with TBSA; however, this relationship did not hold for debridement. After adjusting for sex, age, and comorbidities, predicted LOS for adults (18+) was 12.1, 21.7, 32.2, 43.7, and 56.1 days for 10, 20, 30, 40, and 50% TBSA, respectively. Similarly, predicted LOS for pediatrics (age < 18) was 8.1, 18.8, 33.2, 47.6, and 56.1 days for the same TBSA groups, respectively. While average estimates for adults (1.12 days) and pediatrics (1.01) are close to the one day/TBSA rule-of-thumb, consideration of other important patient and burn features in the NBR can better refine predictions for LOS.
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