ArticleProceedings (Baylor University. Medical Center)2026
The tale of two states: mortality outcomes and burn severity among in-state versus out-of-state burn victims treated in the Texas Panhandle.
Article in Proceedings (Baylor University. Medical Center), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundGeographic disparities in healthcare access may influence outcomes following burn injury. This study evaluated whether state of residence was associated with in-hospital mortality among burn patients treated at a regional American Burn Association-verified burn center in the Texas Panhandle and examined the effect of burn severity on survival.
methodsA retrospective cohort study was conducted of 2017 adult burn patients treated between 2019 and 2024. Patients were categorized by state of residence (Texas vs New Mexico). Multivariable logistic regression identified independent predictors of mortality, adjusting for comorbidities, total body surface area (TBSA) burned, length of stay, and intensive care unit days. A secondary model evaluated the association between second- and third-degree burn percentages and survival.
resultsMortality was higher among New Mexico patients than Texas patients (10.67% vs 4.26%;
conclusionsState of residence was not independently associated with burn mortality in this cohort after adjusting for distance to treatment and injury severity. These findings highlight geographic disparities and support consideration of system-level interventions.
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