Hospital-Based Emergency Department Visits With Pediatric Burns: Characteristics and Outcomes.

Published online

Journal Article

OBJECTIVE: The objective of this study was to examine the characteristics and outcomes in children presenting to emergency departments (EDs) with burn injuries. METHODS: The Nationwide Emergency Department Sample (NEDS) for the years 2008 to 2013 was used. All patients younger than 18 years who visited a hospital-based ED with a burn injury were selected. The study focused on (1) demographics (age, sex, insurance status), (2) characteristics of burns (types, causes), (3) disposition status after ED/hospitalization, (4) charges (ED and hospital), and (5) patient outcomes. Inclusion criteria were a visit to ED in the United States with a burn. Descriptive statistics were used to summarize the findings. RESULTS: During the study period, there were 746,593 ED visits due to burn injuries. Majority were insured by Medicaid (52.8%). Most frequent injuries were burns of wrists/hands (39.5%), lower limbs (24.1%), and upper limb-except wrist/hand (20.1%). The most common causes of burns were heat from electric appliances (37.1%) or hot liquids and vapors (24.8%). Following the ED visit, 89.1% were discharged routinely, and 4.3% were admitted. Mean charge per patient per ED visit was $1117. Total ED charges across the United States was $708.7 million. When admitted, mean length of stay was 5.7 days. Total hospitalization charge across the United States was $1.7 billion. CONCLUSIONS: Pediatric burn injuries require significant resources for stabilization and treatment by EDs. The present study highlights the burden and impact of pediatric burn injuries in the United States.

Full Text

Duke Authors

Cited Authors

  • Abramowicz, S; Allareddy, V; Lee, MK; Nalliah, RP; Rampa, S; Allareddy, V

Published Date

  • January 7, 2019

Published In

PubMed ID

  • 30624417

Pubmed Central ID

  • 30624417

Electronic International Standard Serial Number (EISSN)

  • 1535-1815

Digital Object Identifier (DOI)

  • 10.1097/PEC.0000000000001699

Language

  • eng

Conference Location

  • United States