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Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...

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Outpatient burn data: an untapped resource.

Steven A Kahn1, Derek E Bell, Paige Hutchins

  • 1Department of Surgery, University of Rochester Medical Center, Rochester, New York, NY, USA.

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Outpatient burn patients are younger with smaller burns and different injury causes than inpatients. Outpatient data entry is also faster, suggesting separate registry reporting for a comprehensive view.

Keywords:
BurnEpidemiologyEtiologyInpatientOutpatient

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Area of Science:

  • Burn research
  • Trauma registry analysis
  • Public health data management

Background:

  • The National Burn Repository (NBR) lacks outpatient data, missing a majority of burn patients.
  • Current NBR reports do not represent the full spectrum of burn injuries and demographics.
  • Understanding outpatient burn characteristics is crucial for comprehensive burn care analysis.

Purpose of the Study:

  • To compare the aetiology and demographics of inpatient versus outpatient burn patients.
  • To analyze the differences in data entry workload for inpatient and outpatient burn records.
  • To inform burn registries about the need to include outpatient data.

Main Methods:

  • Prospective data collection of inpatient and outpatient burns over one fiscal year.
  • Comparison of demographics (age, burn size) and aetiology between patient groups using Fisher's exact test.
  • Measurement of data entry time for inpatient and outpatient records in the TRACS v5.0 database.

Main Results:

  • Outpatients were younger (26 vs. 32 years) with smaller burns (2.5% vs. 6.8%) and fewer full-thickness injuries (17% vs. 41%).
  • Flame injuries were more common in inpatients, while contact burns predominated in outpatients; scalds were similar.
  • Outpatient records took significantly less time to enter (6 min vs. 11 min).

Conclusions:

  • Significant differences in burn aetiology and demographics exist between inpatient and outpatient populations.
  • Outpatient burn data, particularly work-related injuries, are distinct and should be tracked separately.
  • Burn registries like the NBR should be updated to include outpatient data for a complete understanding of burn care.