Evidence map›Paper›PMID 39611327›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2025

Assessing the generalizability of a National Burn Database to the United States pediatric burn injury population.

Sujata Dalal, M Victoria Purvis Miles, Kyra Jeanine Solis-Beach, Bhaskar Thakur, Oscar E Suman-Vejas, Colleen M Ryan, Barclay T Stewart, Gretchen J Carrougher, Caitlin Orton, Karen Kowalske

Abstract read
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Sujata DalalTexas A&M School of Medicine, Bryan, Texas, USA.ORCID https://orcid.org/0000-0002-0859-2739
M Victoria Purvis MilesUT Southwestern Medical Center Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Kyra Jeanine Solis-BeachUT Southwestern Medical Center Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Bhaskar ThakurUT Southwestern Medical Center Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Oscar E Suman-VejasUniversity of Texas Medical Branch, Galveston, Texas, USA.
Colleen M RyanMassachusetts General Hospital, Boston, Massachusetts, USA.
Barclay T StewartUniversity of Washington, Seattle, Washington, USA.
Gretchen J CarrougherUniversity of Washington, Seattle, Washington, USA.
Caitlin OrtonUniversity of Washington, Seattle, Washington, USA.
Karen KowalskeUT Southwestern Medical Center Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Funding

ACL HHS 90DPBU0002
6 · The paper itself

Abstract

backgroundA national database is used to evaluate pediatric burn survivor outcomes, but the generalizability to the United States pediatric burn injury population is unclear, as only 60% of enrollees are U.S. residents. An increased understanding of population similarities and differences between residents of the United States and residents of Mexico treated in the United States within this database will help determine its ability to extrapolate.

objectiveAssess the generalizability of a national burn database to the U.S. pediatric burn injury population.

designThis retrospective cohort study analyzed pediatric enrollees in a burn database. Data were stratified into children who were residents of the United States or Mexico at time of injury and grouped by age into <5 years, 5-10 years, and >10 years.

settingNot applicable.

participantsA total of 2043 children enrolled in the database from 1998 to 2020.

interventionsNot applicable. MAIN OUTCOMES MEASURED: Determination of similarities and differences between gender, injury etiology, total body surface area injured, length of stay, and place of injury between the two groups.

resultsBoth groups showed an increased incidence of burn injury among males as they aged. In U.S. residents, the most frequent etiology in patients <5 years was scald (292 [53.6%]), followed by fire/flame (157 [28.8%]). In residents of Mexico, fire/flame burns were more frequent in all ages and electric burns were more common among children >5 years. In both groups, outdoor injuries became more common as children aged. Children from Mexico had larger burns and longer lengths of hospital stay than children from the United States across all ages.

conclusionDifferences between U.S. and Mexico groups were likely attributable to children with more severe burns being transferred to the United States for care, whereas those with low-severity burns were treated locally. This suggests that children from Mexico in the database were not representative of the pediatric burn injury population of the United States or Mexico more broadly and caution should be used before generalizations are made using this database.

Indexed as

BurnsDatabases, FactualAdolescentChildChild, PreschoolFemaleHumansIncidenceInfantLength of StayMaleMexicoRetrospective StudiesUnited States

Identifiers

PMID39611327
PMCPMC11974477

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LicenceCC BY-NC-ND
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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.