Citation

Soleimani T, Evans TA, Sood R, Hartman BC, Hadad I, Tholpady SS. J. Surg. Res. 2016; 201(2): 455-463.

Affiliation

Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address: stholpad@iupui.edu.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.jss.2015.11.034

PMID

27020832

Abstract

OBJECTIVE: Burn injuries are one of the leading causes of morbidity and mortality in young children. The Kids' Inpatient Database (KID) and National Burn Repository (NBR) are two large national databases that can be used to evaluate outcomes and help quality improvement in burn care. Differences in the design of the KID and NBR could lead to differing results affecting resultant conclusions and quality improvement programs. This study was designed to validate the use of KID for burn epidemiologic studies, as an adjunct to the NBR.

METHODS: Using the KID (2003, 2006, and 2009), a total of 17,300 nonelective burn patients younger than 20 y old were identified. Data from 13,828 similar patients were collected from the NBR. Outcome variables were compared between the two databases.

RESULTS: Comparisons revealed similar patient distribution by gender, race, and burn size. Inhalation injury was more common among the NBR patients and was associated with increased mortality. The rates of respiratory failure, wound infection, cellulitis, sepsis, and urinary tract infection were higher in the KID. Multiple regression analysis adjusting for potential confounders demonstrated similar mortality rate but significantly longer length of stay for patients in the NBR.

CONCLUSIONS: Despite differences in the design and sampling of the KID and NBR, the overall demographic and mortality results are similar. The differences in complication rate and length of stay should be explored by further studies to clarify underlying causes. Investigations into these differences should also better inform strategies to improve burn prevention and treatment.

Copyright © 2016 Elsevier Inc. All rights reserved.

Language: en