Epidemiology of burn patients admitted in the Netherlands: a nationwide registry study investigating incidence rates and hospital admission from 2014 to 2018

Abstract

Purpose The aim of this study was to gain insight into the epidemiology of burn patients admitted to a hospital without a burn center or referred to a burn center. Methods This retrospective, nationwide, cohort study included patients with burns or inhalation trauma, admitted between 2014 and 2018, from a national trauma registry. The primary outcome measure was admission to a hospital with or without a burn center. Secondary outcome measures were patient and injury characteristics, Intensive Care Unit (ICU) admission and length of stay, and hospital length of stay (HLOS). Results Of the 5524 included patients, 2787 (50.4%) were treated at a non-burn center, 1745 (31.6%) were subsequently transferred to a burn center, and 992 (18.0%) were primarily presented and treated at a burn center. The annual number of patients decreased from 1199 to 1055 (− 12.4%). At all admission locations, a clear incidence peak was observed in children ≤ 4 years and in patients of ≥ 80 years. The number of ICU admissions for the entire population increased from 201 to 233 (33.0%). The mean HLOS for the entire population was 8 (SD 14) days per patient. This number remained stable over the years in all groups. Conclusion Half of all burn patients were admitted in a non-burn center and the other half in a burn center. The number and incidence rate of patients admitted with burns or inhalation trauma decreased over time. An increased incidence rate was found in children and elderly. The number of patients admitted to the ICU increased, whereas mean hospital length of stay remained stable.

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

“…Burns were more frequent among men (61.6%)-a global trend due to the predominance of men working in metallurgy or agriculture. In our review, this incidence was somewhat lower than that reported in 1998 (64%), 2008 (65%), and 2018 (66%) 21,25,26 , and is consistent with the trend observed in other developed countries [6][7][8]15,[27][28][29][30] . In Palacios 31 , however, 51% of burn patients were men.…”

“…Mortality remained at 3.5% (0% in children under 16 years of age and 4.3% in adults). This rate is somewhat higher than that reported in most developed European countries 6 , 10 , 15 , 65 , 66 .…”

“…The number of admissions for burns has decreased dramatically from 6.6/10 5 population/year to 3.68/10 5 population/year This is a global trend 1,2,15,33,75 , despite significantly higher rates of admission reported in some of our European neighbours, such as 18.9/10 541 in Portugal, and 36.9/10 5 in Romania. 11 Both LOS and LOS/TBSA in Catalonia are above the average in developed countries 2,4,6,11,13,71 , possibly due to 2 factors: first, the average waiting time from burn event to surgery is 18 days, far higher than the average 14.7 days in the Netherlands 7 ; second, home care in our region is underdeveloped, a situation that places an additional burden on in-hospital care.…”

Establishment of a Bama miniature pig burn model with different burn depths

“…At present, about 265,000 people worldwide have died of burns (14). It has been reported that the incidence of burns was 0.19% in the United States, 2.43% in Southeast Asia, and 1.87% in the Mediterranean (15)(16)(17)(18). In China, >20 million patients suffer from different degrees of burns (19).…”