Neighborhood risk: Socioeconomic status and hospital admission for pediatric burn patients

Hunter, Mary A; Schlichting, Lauren E.; Rogers, Michelle L.; Harrington, David; Vivier, Patrick M.

doi:10.1016/j.burns.2020.12.002

Cited by 13 publications

(8 citation statements)

References 12 publications

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“…One study, for example, found that burned children were much more likely to be admitted the farther away they lived from home. 49 Similar trends could exist that prevent efficient discharging of patients who may live farther away from burn centers or lack the social support to arrange pickup and transportation as readily, but more research is needed to evaluate this hypothesis.…”

Section: Improving Inpatient Burn Disparities Of Carementioning

confidence: 99%

The Impact of Race/Ethnicity on the Outcomes of Burn Patients: A Systematic Review of the Literature

Bello

Spera

et al. 2021

Journal of Burn Care &Amp; Research

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Racial and ethnic disparities are endemic to the United States and are only beginning to attract the attention of researchers. With an increasingly diverse population, focused and tailored medicine to provide more equitable care is needed. For surgical trauma populations, this topic is a small but expanding field and still rarely mentioned in burn medicine. Disparities in prevention, treatment, and recovery outcomes between different racial and ethnic minorities who are burned are rarely discussed. The purpose of this study is to determine the current status of identified disparities of care in the burn population literature and areas of future research. A systematic review was conducted of literature utilizing PubMed for articles published between 2000-2020. Searches were used to identify articles that crossed the burn term (burn patient OR burn recovery OR burn survivor OR burn care) and a race/ethnicity and insurance status-related term (race/ethnicity OR African-American OR Black OR Asian OR Hispanic OR Latino OR Native American OR Indigenous OR Mixed race OR 2 or more races OR socioeconomic status OR insurance status). Inclusion criteria were English studies in the US that discussed disparities in burn injury outcomes or risk factors associated with race/ethnicity. 1,169 papers were populated, 55 were reviewed, and 36 articles met inclusion criteria. Most studies showed minorities had poorer inpatient and outpatient outcomes. While this is a concerning trend, there is a paucity of literature in this field and more research is needed to create culturally-tailored medical care and address the needs of disadvantaged burn survivors.

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Section: Improving Inpatient Burn Disparities Of Carementioning

confidence: 99%

The Impact of Race/Ethnicity on the Outcomes of Burn Patients: A Systematic Review of the Literature

Bello

Spera

et al. 2021

Journal of Burn Care &Amp; Research

View full text Add to dashboard Cite

show abstract

“…De acordo com a Organização Mundial da Saúde (OMS), as queimaduras se configuram enquanto um problema de saúde pública significativo. As estimativas globais revelam cerca de 200 mil mortes anuais decorrentes de queimaduras (LEE et al, 2022;HUGHES et al, 2021). Sabe-se que os países de baixa e média renda compreendem os de maior prevalência de queimados, sendo este tipo de lesão a principal causa de anos de vida perdidos ajustados por incapacidade (DALY) (HUGHES et al, 2021;MALTA et al, 2020).…”

Section: Introductionunclassified

“…As estimativas globais revelam cerca de 200 mil mortes anuais decorrentes de queimaduras (LEE et al, 2022;HUGHES et al, 2021). Sabe-se que os países de baixa e média renda compreendem os de maior prevalência de queimados, sendo este tipo de lesão a principal causa de anos de vida perdidos ajustados por incapacidade (DALY) (HUGHES et al, 2021;MALTA et al, 2020). No que tange a pacientes pediátricos, a queimadura é listada pela OMS como a 11ª causa de morte em crianças de 1 a 9 anos de idade e o 5º agente causador de lesões não fatais nesse perfil etário.…”

Section: Introductionunclassified

“…Como já mencionado, as queimaduras são um grande problema relacionado ao trauma capaz de causar significativa morbidade e mortalidade principalmente nas crianças (HUNTER et al, 2021). No manejo ao paciente, na linha de emergência, é salutar a classificação das queimaduras pela equipe multidisciplinar no que tange ao cuidado, identificando o agente causador da lesão, a qual pode advir de fatores térmicos, elétricos, químicos ou mesmo radioativos (MALTA et al, 2020).…”

Section: Introductionunclassified

“…O manejo inicial é regido pelo cálculo da extensão da lesão, expresso como a porcentagem da área de superfície corporal total (ATSB), obtido, comumente, no local do incidente por prestadores de serviços médicos préhospitalares ou de emergência (TRAN et al, 2022). Contudo, mesmo que a avaliação da ATSB propicie verdadeiro suporte para abordagem e triagem inicial de queimaduras, por vezes, a subestima ou superestima recorrentes desta configuram a necessidade de reavaliação e nova triagem na chegada ao hospital receptor e, a posteriori, por profissionais experientes em queimaduras (HUGHES et al, 2021).…”

Section: Introductionunclassified

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