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Burn Center Volume Makes a Difference for Burned Children*
| Content Provider | Scilit |
|---|---|
| Author | Palmieri, Tina L. Taylor, Sandra Lawless, Marybeth Curri, Terese Sen, Soman Greenhalgh, David G. |
| Copyright Year | 2015 |
| Description | Journal: Pediatric Critical Care Medicine Objectives: Determine the relationship between the volume of burn admissions and outcomes for children with burns. Design: Retrospective review of the National Burn Repository from 2000-2009 using mixed effect logistic regression modeling. Setting: Tertiary burn centers in the United States. Patients: All children <18 years of age admitted with burn injury to a burn center submitting data to the National Burn Repository. Interventions: None. Measurements and Main Results: Of the 210,683 records in the NBR from 2000-2009, 33,115 records for children ≤18 years of age met criteria for analysis; 26,280 had burn sizes smaller than 10%; only 32 of these children died. Volume of children treated varied greatly among facilities. Age, total body surface area burn, inhalation injury, and burn center volume influenced mortality (p < 0.05) An increase in the median yearly admissions of 100 decreased the odds of mortality by approximately 40%. High volume centers (admitting >200 pediatric patients/year) had the lowest mortality when adjusting for age and injury characteristics (p < 0.05). Conclusions: Higher volume pediatric burn centers had lower mortality, particularly at larger burn sizes. The lower mortality of children a high volume centers could reflect greater experience, resource, and specialized expertise in treating pediatric patients. |
| Related Links | http://europepmc.org/articles/pmc4955943?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4955943/pdf |
| Ending Page | 324 |
| Page Count | 6 |
| Starting Page | 319 |
| ISSN | 15297535 |
| DOI | 10.1097/pcc.0000000000000366 |
| Journal | Pediatric Critical Care Medicine |
| Issue Number | 4 |
| Volume Number | 16 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2015-05-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Pediatric Critical Care Medicine Pediatrics and Child Health |
| Content Type | Text |
| Resource Type | Article |
| Subject | Critical Care and Intensive Care Medicine Pediatrics, Perinatology and Child Health |
