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Published on: February 23, 2024
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Is Burn Center Admission Necessary After Home Oxygen Ignition Injury?
Hope E Werenski1, Anju Saraswat1, James H Holmes1
1Department of Surgery, Atrium Health Wake Forest Baptist Medical Center, Wake Forest University School of Medicine, Winston-Salem, NC 27157, United States.
Summary
Accidental home oxygen fires do not always require immediate intubation. This study found no significant outcome differences for patients treated at burn centers versus non-burn services, suggesting intubation may be avoidable.
Area of Science:
- Emergency Medicine
- Burn Care
- Trauma Surgery
Background:
- Home oxygen use increases fire risk, leading to thermal injuries.
- Patients with these burns are often initially managed in burn units.
- The benefit of specialized American Burn Association (ABA)-verified burn centers for these injuries is unclear.
Purpose of the Study:
- To determine if admission to an ABA-verified burn center improves outcomes for patients with home oxygen-related burn injuries.
- To compare outcomes between patients managed by burn services and non-burn services.
Main Methods:
- A retrospective review of adult patients admitted with home oxygen-related burn injuries from January 2016 to May 2022.
- Comparison of outcomes (ventilator days, ICU days, length of stay, mortality) between patients managed by burn services and non-burn services.
- Analysis of intubated and non-intubated patient groups.
Main Results:
- No significant differences in ventilator days, ICU days, length of stay, or mortality were observed between burn and non-burn services for either intubated or non-intubated patients.
- Most intubated patients required only short-term ventilation.
- This single-center review found no outcome benefit for ABA-verified burn center care.
Conclusions:
- Admission to an ABA-verified burn center does not appear to offer outcome advantages over non-burn services for home oxygen ignition burns.
- Intubation may often be avoidable in this patient population, with many requiring only short-term ventilation.
- Further investigation into optimal management pathways for home oxygen-related burns is warranted.
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