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Burn Center Volume Makes a Difference for Burned Children*
Published Web Location
https://doi.org/10.1097/pcc.0000000000000366Abstract
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.Many UC-authored scholarly publications are freely available on this site because of the UC's open access policies. Let us know how this access is important for you.
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