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Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center
BACKGROUND: Burn injury is an emergency medical condition that rapidly develops as a result of tissue exposure to electrical, chemical or thermal energy. Therefore, its treatment usually begins at the emergency department. In this study we aimed to perform an epidemiological analysis of burn injurie...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996807/ https://www.ncbi.nlm.nih.gov/pubmed/27610329 http://dx.doi.org/10.1186/s40064-016-3107-3 |
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author | Eser, Tolga Kavalci, Cemil Aydogan, Cem Kayipmaz, Afsin Emre |
author_facet | Eser, Tolga Kavalci, Cemil Aydogan, Cem Kayipmaz, Afsin Emre |
author_sort | Eser, Tolga |
collection | PubMed |
description | BACKGROUND: Burn injury is an emergency medical condition that rapidly develops as a result of tissue exposure to electrical, chemical or thermal energy. Therefore, its treatment usually begins at the emergency department. In this study we aimed to perform an epidemiological analysis of burn injuries presenting to the emergency department of a tertiary burn center, and factors affecting the cost of their medical care. METHODS: Patients who presented to Baskent University Ankara Hospital Adult Emergency Department with burn injuries between January 2012 and December 2014 were studied for age, sex, time of admission, type of burn injury, clinical prognosis, mortality rate, percent burn area, and total cost of care. A total of 264 patients were enrolled. Chi square test was used for the comparison of categorical variables. Non-parametric tests were used for the comparison of continuous variables. RESULTS: This study included 179 (67.8 %) women and 85 (32.2 %) men. The most common types of burn injuries were hot water burns and scalding. Eleven point seven percent of the patients sustained burn injuries in occupational accidents. 95.1 % of the patients were discharged from the emergency and 4.5 % of them were hospitalized. Only 1 (0.4 %) patient died. There was no significant difference between patient outcomes (discharge vs. hospital admission) with respect to the cost of care (p = 0.846) No significant difference was found between the cost of care of surgical and non-surgical management of burn injuries (p = 0.206). No significant difference was found between the costs of care of different types of burn injuries (p = 0.053). There was a significant difference between burn degrees with respect to the cost of care (p = 0.038). A significant difference was found between the costs of care of patients with a percent burn area of less than 10 % and those with a percent burn area of more than 10 % (p < 0.001), indicating that as percent burn area increased, a proportional increase occurred in the cost of care. CONCLUSIONS: Burn degree and percent burn area were the main determinants of the cost of care of burn injuries. In conclusion, burn injuries are preventable by taking occupational measures and raising public awareness about domestic accidents. |
format | Online Article Text |
id | pubmed-4996807 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-49968072016-09-08 Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center Eser, Tolga Kavalci, Cemil Aydogan, Cem Kayipmaz, Afsin Emre Springerplus Research BACKGROUND: Burn injury is an emergency medical condition that rapidly develops as a result of tissue exposure to electrical, chemical or thermal energy. Therefore, its treatment usually begins at the emergency department. In this study we aimed to perform an epidemiological analysis of burn injuries presenting to the emergency department of a tertiary burn center, and factors affecting the cost of their medical care. METHODS: Patients who presented to Baskent University Ankara Hospital Adult Emergency Department with burn injuries between January 2012 and December 2014 were studied for age, sex, time of admission, type of burn injury, clinical prognosis, mortality rate, percent burn area, and total cost of care. A total of 264 patients were enrolled. Chi square test was used for the comparison of categorical variables. Non-parametric tests were used for the comparison of continuous variables. RESULTS: This study included 179 (67.8 %) women and 85 (32.2 %) men. The most common types of burn injuries were hot water burns and scalding. Eleven point seven percent of the patients sustained burn injuries in occupational accidents. 95.1 % of the patients were discharged from the emergency and 4.5 % of them were hospitalized. Only 1 (0.4 %) patient died. There was no significant difference between patient outcomes (discharge vs. hospital admission) with respect to the cost of care (p = 0.846) No significant difference was found between the cost of care of surgical and non-surgical management of burn injuries (p = 0.206). No significant difference was found between the costs of care of different types of burn injuries (p = 0.053). There was a significant difference between burn degrees with respect to the cost of care (p = 0.038). A significant difference was found between the costs of care of patients with a percent burn area of less than 10 % and those with a percent burn area of more than 10 % (p < 0.001), indicating that as percent burn area increased, a proportional increase occurred in the cost of care. CONCLUSIONS: Burn degree and percent burn area were the main determinants of the cost of care of burn injuries. In conclusion, burn injuries are preventable by taking occupational measures and raising public awareness about domestic accidents. Springer International Publishing 2016-08-24 /pmc/articles/PMC4996807/ /pubmed/27610329 http://dx.doi.org/10.1186/s40064-016-3107-3 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Eser, Tolga Kavalci, Cemil Aydogan, Cem Kayipmaz, Afsin Emre Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center |
title | Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center |
title_full | Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center |
title_fullStr | Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center |
title_full_unstemmed | Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center |
title_short | Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center |
title_sort | epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996807/ https://www.ncbi.nlm.nih.gov/pubmed/27610329 http://dx.doi.org/10.1186/s40064-016-3107-3 |
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