ArticleBurns : journal of the International Society for Burn Injuries2021
Impact of the affordable care act's medicaid expansion on burn outcomes and disposition.
Article in Burns : journal of the International Society for Burn Injuries, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
The trial behind it
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Who cites it
6 citing papers in PubMed.
- Location, Payer Type, and Gender as Drivers of Burn Scar Reconstruction Utilization: A Burn Model Systems National Database Study.Annals of plastic surgery · 2025Article
- The impact of insurance disparities on long-term burn outcomes: A Burn Model System investigation.Burns : journal of the International Society for Burn Injuries · 2025Article
- Examination of Pediatric Burn Incidence and the Impact of Social Determinants of Health in Florida.Cureus · 2024Article
- Race and Ethnicity Influences Outcomes of Adult Burn Patients.Journal of burn care & research : official publication of the American Burn Association · 2023Article
- What Fuels the Fire: A Narrative Review of the Role Social Determinants of Health Play in Burn Injuries.European burn journal · 2022Review
- The Affordable Care Act and its Effects on Trauma Care Access, Short- and Long-term Outcomes and Financial Impact: A Review Article.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundWe aimed to analyze the impact of the Affordable Care Act's Medicaid Expansion on clinical outcomes and patient disposition after burn injury. We hypothesized that increased insurance coverage results in improved outcomes and higher rates of discharge to inpatient rehabilitation.
methodsWe reviewed the University of Washington Regional Burn Center registry data for patients admitted from 2011 to 2018. Patients were grouped into two categories: before (2011-2013) and after (2015-2018) Medicaid expansion; we excluded 2014 data to serve as a washout period. Outcomes assessed included length of hospital stay, patient disposition, and mortality. Multivariable logistic and linear regression models with covariates for sex, age, burn size, ethnicity ethnicity, distance from burn center, etiology of burn, and presence of inhalation injury were used to determine the impact of Medicaid expansion on outcomes.
resultsRates of uninsured patients decreased while Medicaid coverage increased. Despite increased median burn size after Medicaid expansion, inpatient mortality rates did not change, but average acute care length of stay increased. More patients were discharged to rehabilitation centers.
conclusionsOur study corroborates prior findings of increased insurance coverage since Medicaid expansion. Increased insurance coverage is associated with higher rates of discharge to inpatient rehabilitation programs after burn injury.
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