Matches in SemOpenAlex for { <https://semopenalex.org/work/W3139920998> ?p ?o ?g. }
Showing items 1 to 54 of
54
with 100 items per page.
- W3139920998 endingPage "S70" @default.
- W3139920998 startingPage "S70" @default.
- W3139920998 abstract "Abstract Introduction Evidence-based criteria for burn patient admission are poorly defined. Attempts have been made by commercial entities to align payors and providers with evidence-based admission criteria to optimize resource use. However, these admission criteria have not be examined critically to see if they are appropriate and effective. We developed an admission criteria algorithm based on these existing standards and have utilized it for nearly 18 months. The purpose of this study is to retrospectively review this algorithm with respect to inpatient needs and outcome to assess its effectiveness. Methods A retrospective chart review of patients admitted the burn center over a 1-year period was performed. Incomplete datasets were excluded. Patients were grouped by TBSA, < 10%, 10–20% and > 20%. Appropriateness of admission was measured used length of stay (LOS) as surrogate marker, hospitalizations of < 3 days, unless deceased, were deemed inappropriate (IAP) and 3 days or more as appropriate (AP). Results There were complete datasets for 530 patients, < 10% (n=423), 10–20% (n= 72), >20% (n=35). There were no significant differences in age, gender, or payor sources between the groups. Patients with larger TBSA burns were more likely to have suffered a flame/flash injury. All patients in the two larger TBSA groups met admission criteria per algorithm. All IAP were in the < 10% group. When compared to AP, IAP were younger, 31.6 vs. 44.0 years (p< .0001), had smaller TBSA injuries 2.8% vs. 3.5% (p=.0045), had fewer clinical findings 1.4 vs 1.8 (p< .0001), fewer interventions 1.8 vs 2.6 (p< .0001) but were more likely to have suffered burns to the head 30% vs 13% (< .00001) and neck 9% vs 3% (=.0164). AP patients were more likely to have suffered contact burns 27% vs. 17% (p=.0323), full-thickness injuries 39% vs 14% (p< .0001), involvement of a major joint 42% vs 29% (p=.0085), combined burn and trauma 3% vs. 0% (p=.0444) and burns to the buttocks 7% vs 2% (p=.0357). AP patients were also more likely to require IV analgesia 82% vs 71% (p=.0107) and evaluated as likely needing surgery 82% vs 15% (p< .00001). Conclusions The admission criteria algorithm performed perfectly in patients with a ≥ 10% TBSA injury. For patients with burn < 10% TBSA the algorithm was not followed as closely leading to some inappropriate admissions. Patients with smaller burns admitted appropriately were more likely to have full thickness burns, contact burns, burns over joints and to require surgery. The algorithm was highly accurate in patients with large burns, however additional refinement is needed for those patients with smaller burn injuries." @default.
- W3139920998 created "2021-04-13" @default.
- W3139920998 creator A5040554193 @default.
- W3139920998 creator A5048023112 @default.
- W3139920998 creator A5063062269 @default.
- W3139920998 date "2021-04-01" @default.
- W3139920998 modified "2023-09-23" @default.
- W3139920998 title "103 A Retrospective Review of the Utilization of Burn Admission Criteria" @default.
- W3139920998 doi "https://doi.org/10.1093/jbcr/irab032.107" @default.
- W3139920998 hasPublicationYear "2021" @default.
- W3139920998 type Work @default.
- W3139920998 sameAs 3139920998 @default.
- W3139920998 citedByCount "0" @default.
- W3139920998 crossrefType "journal-article" @default.
- W3139920998 hasAuthorship W3139920998A5040554193 @default.
- W3139920998 hasAuthorship W3139920998A5048023112 @default.
- W3139920998 hasAuthorship W3139920998A5063062269 @default.
- W3139920998 hasConcept C126322002 @default.
- W3139920998 hasConcept C167135981 @default.
- W3139920998 hasConcept C187212893 @default.
- W3139920998 hasConcept C194828623 @default.
- W3139920998 hasConcept C2778838822 @default.
- W3139920998 hasConcept C3017944768 @default.
- W3139920998 hasConcept C3019871722 @default.
- W3139920998 hasConcept C71924100 @default.
- W3139920998 hasConceptScore W3139920998C126322002 @default.
- W3139920998 hasConceptScore W3139920998C167135981 @default.
- W3139920998 hasConceptScore W3139920998C187212893 @default.
- W3139920998 hasConceptScore W3139920998C194828623 @default.
- W3139920998 hasConceptScore W3139920998C2778838822 @default.
- W3139920998 hasConceptScore W3139920998C3017944768 @default.
- W3139920998 hasConceptScore W3139920998C3019871722 @default.
- W3139920998 hasConceptScore W3139920998C71924100 @default.
- W3139920998 hasIssue "Supplement_1" @default.
- W3139920998 hasLocation W31399209981 @default.
- W3139920998 hasOpenAccess W3139920998 @default.
- W3139920998 hasPrimaryLocation W31399209981 @default.
- W3139920998 hasRelatedWork W159247329 @default.
- W3139920998 hasRelatedWork W2734334568 @default.
- W3139920998 hasRelatedWork W2969054337 @default.
- W3139920998 hasRelatedWork W3009720217 @default.
- W3139920998 hasRelatedWork W3013145321 @default.
- W3139920998 hasRelatedWork W3139920998 @default.
- W3139920998 hasRelatedWork W3208090289 @default.
- W3139920998 hasRelatedWork W3210359220 @default.
- W3139920998 hasRelatedWork W4255376461 @default.
- W3139920998 hasRelatedWork W4310705864 @default.
- W3139920998 hasVolume "42" @default.
- W3139920998 isParatext "false" @default.
- W3139920998 isRetracted "false" @default.
- W3139920998 magId "3139920998" @default.
- W3139920998 workType "article" @default.