NDLI: National trends in burn and inhalation injury in burn patients: results of analysis of the nationwide inpatient sample database.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Veeravagu, Anand Yoon, Byung C. Jiang, Bowen Carvalho, Carla M. Rincon, Fred Maltenfort, Mitchell Jallo, Jack Ratliff, John K.
Spatial Coverage	United States
Description	Author Affiliation: Veeravagu A ( From the Departments of *Neurosurgery and Surgery, Stanford University School of Medicine, Palo Alto, California)
Abstract	The aim of this study was describe national trends in prevalence, demographics, hospital length of stay (LOS), hospital charges, and mortality for burn patients with and without inhalational injury and to compare to the National Burn Repository. Burns and inhalation injury cause considerable mortality and morbidity in the United States. There remains insufficient reporting of the demographics and outcomes surrounding such injuries. The National Inpatient Sample database, the nation's largest all-payer inpatient care data repository, was utilized to select 506,628 admissions for burns from 1988 to 2008 based on ICD-9-CM recording. The data were stratified based on the extent of injury (%TBSA) and presence or absence of inhalational injury. Inhalation injury was observed in only 2.2% of burns with <20% TBSA but 14% of burns with 80 to 99% TBSA. Burn patients with inhalation injury were more likely to expire in-hospital compared to those without (odds ratio, 3.6; 95% confidence interval, 2.7-5.0; P < .001). Other factors associated with higher mortality were African-American race, female sex, and urban practice setting. Patients treated at rural facilities and patients with hyperglycemia had lower mortality rates. Each increase in percent of TBSA of burns increased LOS by 2.5%. Patients with burns covering 50 to 59% of TBSA had the longest hospital stay at a median of 24 days (range, 17-55). The median in-hospital charge for a burn patient with inhalation injury was US\$32,070, compared to US\$17,600 for those without. Overall, patients who expired from burn injury accrued higher in-hospital charges (median, US\$50,690 vs US\$17,510). Geographically, California and New Jersey were the states with the highest charges, whereas Vermont and Maryland were states with the lowest charges. The study analysis provides a broad sampling of nationwide demographics, LOS, and in-hospital charges for patients with burns and inhalation injury.
File Format	HTM / HTML
ISSN	1559047X
Issue Number	2
Volume Number	36
e-ISSN	15590488
Journal	Journal of Burn Care & Research
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2015-03-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Traumatology Burns Epidemiology Therapy Registries Smoke Inhalation Injury Adult Age Distribution Aged Classification Female Humans Injury Severity Score Intensive Care Units Statistics & Numerical Data Length Of Stay Male Middle Aged Patient Admission Complications Survival Analysis Treatment Outcome United States Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine Rehabilitation Surgery

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