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Demographics and clinical outcomes of adult burn patients admitted to a single provincial burn centre: A 40-year review.

Authors
  • Nickel, Kevin J1
  • Omeis, Tyler2
  • Papp, Anthony3
  • 1 Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB, Canada. , (Canada)
  • 2 Division of Plastic Surgery, University of British Columbia, Vancouver, BC, Canada. , (Canada)
  • 3 Division of Plastic Surgery, University of British Columbia, Vancouver, BC, Canada. Electronic address: [email protected] , (Canada)
Type
Published Article
Journal
Burns : journal of the International Society for Burn Injuries
Publication Date
Dec 01, 2020
Volume
46
Issue
8
Pages
1958–1967
Identifiers
DOI: 10.1016/j.burns.2020.06.020
PMID: 32660831
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study evaluated trends in demographics and outcomes of cutaneous burns over a forty-year period at a Canadian burn centre. Retrospective review was performed of all consecutive adult burn admissions to the Vancouver General Hospital (VGH) between 1976 and 2015. Comparison was made to the 2016 American Burn Association - National Burn Repository. There were 4105 admissions during study period. Both overall admissions and admissions per 100,000 BC residents declined (p < 0.0001). Males represented three quarters of admissions. There was a decrease in large burns (p < 0.05). Flame burns were most commonly associated with larger TBSA, ICU stays, and mortality. Mortality decreased from 11.3% to 2.8% (p < 0.05). Factors found to affect mortality included: increased length of stay, age and burn size, male gender, and number of complications. Baux50 and rBaux50 increased, from 102.8 to 116.7 and 112.2 to 125.3 respectively (p < 0.05, respectively). This study represents the largest report on burn epidemiology in Canada. The incidence of burns has decreased significantly over the last forty years. Mortality has improved over this time frame, as evident by increases in Baux50 and rBaux50 scores. Further data is largely in concurrence with that of the National Burn Repository's amalgamation of US centres. Copyright © 2020 Elsevier Ltd and ISBI. All rights reserved.

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