TY - JOUR
T1 - Burn injury characteristics, referral pattern, treatment (costs), and outcome in burn patients admitted to a hospital with or without a specialized Burn Centre (BURN-Pro)
AU - van Yperen, Daan T.
AU - van Lieshout, Esther M. M.
AU - van Baar, Margriet E.
AU - Polinder, Suzanne
AU - Verhofstad, Michael H. J.
AU - van der Vlies, Cornelis H.
AU - BURN-Pro Study Group
AU - Cardon, Anne Y. M. V. P.
AU - de Rijcke, Piet A. R.
AU - Guijt, Marc
AU - Klem, Taco M. A. L.
AU - Lansink, Koen W. W.
AU - Punt, Bas J.
AU - Ringburg, Akkie N.
AU - Staarink, Maarten
AU - van der Veen, Alexander H.
AU - van Eerten, Percy V.
AU - van Eijck, Floortje C.
AU - Vegt, Paul A.
AU - Vos, Dagmar I.
AU - Waleboer, Marco
N1 - Funding Information: We thank Nicole Trommel (Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands) for her help in the data collection. We also thank Sandra Geraerds (Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands) for her assistance in the cost analysis. Collaborators: BURN-Pro Study Group: Anne Y. M. V. P. Cardon, Department of Surgery, ZorgSaam Zeeuws-Vlaanderen, Terneuzen, The Netherlands; Piet A. R. De Rijcke, Department of Surgery, IJsselland Hospital, Capelle aan den IJssel, The Netherlands; Marc Guijt, Department of Surgery, Elkerliek Hospital, Helmond, The Netherlands; Taco M. A. L. Klem, Department of Surgery, Franciscus Gasthuis&Vlietland, Rotterdam, The Netherlands; Koen W. W. Lansink, Department of Surgery, Elisabeth TweeSteden Hospital, Tilburg, The Netherlands; Bas J. Punt, Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands; Akkie N. Ringburg, Department of Surgery, Ikazia Hospital, Rotterdam, The Netherlands; Maarten Staarink, Department of Surgery, Van Weel-Bethesda Hospital, Dirksland, The Netherlands; Alexander H. Van der Veen, Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands; Percy V. Van Eerten, Department of Surgery, Máxima Medisch Centrum, Veldhoven, The Netherlands; Floortje C. Van Eijck, Department of Surgery, Bravis Hospital, Roosendaal, The Netherlands; Paul A. Vegt, Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands; Dagmar I. Vos, Department of Surgery, Amphia Hospital, Breda, The Netherlands; Marco Waleboer, Department of Surgery, Admiraal De Ruyter Hospital, Goes, The Netherlands. Funding Information: This research received a specific grant from the Dutch Burns Foundation (Beverwijk, the Netherlands; reference number WO/16.110). The funder of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report. The authors had complete access to the study data that support this publication. Publisher Copyright: © 2023, The Author(s).
PY - 2023/6
Y1 - 2023/6
N2 - Purpose: Data on the epidemiology, treatment, and outcome of burn patients treated at non-burn centre hospitals are not available. The primary aim was to compare the burn characteristics of patients admitted to a hospital with or without a specialized burn centre. Methods: This multicentre, prospective, cohort study enrolled patients with burns admitted to a hospital without a burn centre and patients with < 10% total body surface area (TBSA) burned admitted to the burn centre. Primary outcome measure was the burn-related injury characteristics. Secondary outcome measures were adherence to the Emergency Management of Severe Burns (EMSB) referral criteria, treatment (costs), quality of life, and scar quality. Results: During the 2-year study period, 48 patients were admitted to a non-burn centre and 148 patients to the burn centre. In the non-burn centre group, age [44 (P 25–P 75 26–61) versus 30 (P 25–P 75 8–52) years; P = 0.007] and Injury Severity Score [2 (P 25–P 75 1–4) versus 1 (P 25–P 75 1–1); P < 0.001] were higher. In the burn centre group, the TBSA burned was significantly higher [4% (P 25–P 75 2–6) versus 2% (P 25–P 75 1–4); P = 0.001], and more surgical procedures were performed (in 54 versus 7 patients; P = 0.004). At 12 months, > 85% of the non-burn centre group and > 75% of the burn centre group reported no problems in quality of life. Scar quality score was < 1.5 in both groups, with significantly poorer scores in the burn centre group (P ≤ 0.007). Conclusion: Both groups differed in patient, burn, and treatment characteristics. At 12 months, quality of life and scar quality were good in both groups. Significantly poorer scar quality scores were found in the burn centre group. This might be related to their larger burns and more frequent surgery. The organization of burn care in the Netherlands seems to work adequately. Patients are treated locally when possible and are transferred when necessary.
AB - Purpose: Data on the epidemiology, treatment, and outcome of burn patients treated at non-burn centre hospitals are not available. The primary aim was to compare the burn characteristics of patients admitted to a hospital with or without a specialized burn centre. Methods: This multicentre, prospective, cohort study enrolled patients with burns admitted to a hospital without a burn centre and patients with < 10% total body surface area (TBSA) burned admitted to the burn centre. Primary outcome measure was the burn-related injury characteristics. Secondary outcome measures were adherence to the Emergency Management of Severe Burns (EMSB) referral criteria, treatment (costs), quality of life, and scar quality. Results: During the 2-year study period, 48 patients were admitted to a non-burn centre and 148 patients to the burn centre. In the non-burn centre group, age [44 (P 25–P 75 26–61) versus 30 (P 25–P 75 8–52) years; P = 0.007] and Injury Severity Score [2 (P 25–P 75 1–4) versus 1 (P 25–P 75 1–1); P < 0.001] were higher. In the burn centre group, the TBSA burned was significantly higher [4% (P 25–P 75 2–6) versus 2% (P 25–P 75 1–4); P = 0.001], and more surgical procedures were performed (in 54 versus 7 patients; P = 0.004). At 12 months, > 85% of the non-burn centre group and > 75% of the burn centre group reported no problems in quality of life. Scar quality score was < 1.5 in both groups, with significantly poorer scores in the burn centre group (P ≤ 0.007). Conclusion: Both groups differed in patient, burn, and treatment characteristics. At 12 months, quality of life and scar quality were good in both groups. Significantly poorer scar quality scores were found in the burn centre group. This might be related to their larger burns and more frequent surgery. The organization of burn care in the Netherlands seems to work adequately. Patients are treated locally when possible and are transferred when necessary.
KW - Burn care
KW - Non-burn centre hospital
KW - Outcomes
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=85147379183&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00068-023-02233-9
DO - https://doi.org/10.1007/s00068-023-02233-9
M3 - Article
C2 - 36735021
SN - 1863-9933
VL - 49
SP - 1505
EP - 1515
JO - European journal of trauma and emergency surgery
JF - European journal of trauma and emergency surgery
IS - 3
ER -