Demographics and clinical outcomes of adult burn patients admitted to a single provincial burn centre: A 40-year review. Issue 8 (December 2020)

• Record Type: Journal Article
• Authors: Nickel, Kevin J.; Omeis, Tyler; Papp, Anthony
• Is Part Of: Burns. Volume 46:Issue 8(2020)
• Page Start: 1958
• Page End: 1967
• Publication Date: 2020-12
• Subjects: Outcomes -- Epidemiology -- Mortality -- Thermal burn; Burns and scalds -- Periodicals; 617.11
• DOI: 10.1016/j.burns.2020.06.020
• Languages: English
• ISSNs: 0305-4179

Abstract

Highlights: Overall number thermal injuries at our centre is decreasing despite increasing catchment population. Burn mortality has decreased significantly over the last forty years. Improved burn care is being delivered as evident by increasing Baux50 and rBaux50 scores. Abstract: Introduction: This study evaluated trends in demographics and outcomes of cutaneous burns over a forty-year period at a Canadian burn centre. Methods: 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. Results: 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). Conclusions: 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.