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Pediatric burns: Kids' Inpatient Database vs the National Burn Repository

Tahereh Soleimani1, Tyler A Evans1, Rajiv Sood1

  • 1Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.

The Journal of Surgical Research
|March 30, 2016
PubMed

Insights

The Kids' Inpatient Database (KID) and National Burn Repository (NBR) show similar pediatric burn patient demographics and mortality. However, differences in complication rates and length of stay warrant further investigation for improved burn care quality.

Area of Science:

  • Pediatric Burn Care
  • Health Informatics
  • Epidemiology

Background:

  • Burn injuries are a major cause of death and illness in children.
  • The Kids' Inpatient Database (KID) and National Burn Repository (NBR) are crucial for burn care research and quality improvement.
  • Discrepancies in database design may impact study findings and quality initiatives.

Purpose of the Study:

  • To validate the Kids' Inpatient Database (KID) for pediatric burn epidemiology.
  • To compare the KID with the National Burn Repository (NBR) as an adjunct resource.
  • To assess the utility of the KID in burn outcome research.

Main Methods:

  • Utilized data from the Kids' Inpatient Database (KID) for 2003, 2006, and 2009.
  • Included 17,300 nonelective pediatric burn patients (<20 years old) from the KID.
  • Compared outcome variables with 13,828 similar patients from the National Burn Repository (NBR).

Main Results:

  • Demographics (gender, race, burn size) were comparable between KID and NBR.
  • Inhalation injury was more prevalent in NBR and linked to higher mortality.
  • KID showed higher rates of respiratory failure, wound infection, cellulitis, sepsis, and UTI.
  • Adjusted analyses revealed similar mortality but longer hospital stays in NBR.

Conclusions:

  • The Kids' Inpatient Database (KID) and National Burn Repository (NBR) yield similar demographic and mortality data for pediatric burns.
  • Investigating differences in complication rates and length of stay between KID and NBR is essential.
  • Understanding these discrepancies will enhance burn prevention and treatment strategies.
Abstract

Keywords:
BurnKids' Inpatient DatabaseNational Burn RepositoryOutcome

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