Pediatric burn-trauma patients have increased length of stay compared to trauma-only patients: A propensity matched analysis.
Burns
; 47(1): 78-83, 2021 02.
Article
in En
| MEDLINE
| ID: mdl-33293153
ABSTRACT
BACKGROUND:
Trauma is the leading cause of mortality in children. Burn injury involves intensive resources, especially in pediatric patients. We hypothesized that among pediatric trauma patients, combined burn-trauma (BT) patients have increased length of stay (LOS) and mortality compared to trauma-only (T) patients.METHODS:
The Pediatric Trauma Quality Improvement Program (2014-2016) was queried and BT patients were 12 propensity-score-matched to T patients based on age, gender, hypotension on admission, injury type and severity.RESULTS:
93 BT patients were matched to 186 T patients. There were no differences in matched characteristics. BT patients had a longer median LOS (4 vs 2 days, p<0.001) with no difference in mortality (1.1% vs 1.1%, p=1.00), intensive care unit (ICU) LOS (3 vs 3 days, p=0.55), or complications including decubitus ulcer (0% vs 1.1%, p=0.32), deep vein thrombosis (0% vs 0.5%, p=0.48), extremity compartment syndrome (1.1% vs 0%, p=0.16), and urinary tract infection (1.1% vs 1.1%, p=1.00).CONCLUSION:
Pediatric BT patients had twice the LOS compared to a matched group of pediatric T patients. There was no difference between the cohorts in ICU LOS, complications or mortality rate. When evaluating risk-stratified quality metrics such as LOS, concomitant burn injury should be incorporated.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pediatrics
/
Wounds and Injuries
/
Burns
/
Length of Stay
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
Burns
Journal subject:
TRAUMATOLOGIA
Year:
2021
Document type:
Article