No Difference in Mortality Between Level I and II Trauma Centers for Combined Burn and Trauma

Livingston, Joshua K; Grigorian, Areg; Kuza, Catherine M.; Galvin, Katie; Joe, Victor; Chin, Theresa L.; Bernal, Nicole P.; Nahmias, Jeffry

doi:10.1016/j.jss.2020.07.007

Cited by 6 publications

(2 citation statements)

References 39 publications

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“…In addition, in studies by Keshavarz et al, 7 and Hosseini et al, 20 similar to the results of the present study, mortality was significantly higher among patients with higher TBSA. Moreover, in this study, the mean TBSA and associated injuries such as inhalation injury were significantly associated with this finding, which is consistent with other results in India 31 . In this study, about 10% of patients developed TBI.…”

Section: Discussionsupporting

confidence: 93%

Traumatic Brain Injury in Child Burn

Sobouti

Ansari²,

Garahgheshlagh³

et al. 2022

WJPS

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BACKGROUNDBurns are one of the most important health problems in communities. Traumatic injuries, especially Traumatic Brain Injury (TBI) associated with burns, may increase disability and mortality. In addition to preventing burns, any action for a better treatment approach and early detection of concomitant traumatic injuries can reduce complications, disability, and treatment costs. We aimed to investigate the outcome of children with burn injury with and without TBI. METHODSIn this cross-sectional study, 392 children with burn injuries treated at Motahari Hospital in Tehran, Iran from 2018-2019 were enrolled. Patient demographics, burn injury information and TBI-related information including head trauma and fracture were recorded in a checklist. Patients were divided into two groups of death (24 people) or discharge (368 people) in terms of outcome and the underlying variables were compared in the two groups. RESULTSThere was no significant difference between the mean age of patients and gender in the two groups. The difference in the length of hospital stay, inhalation injury and skull fracture in the two groups was not statistically significant. The mean burn severity based on Total Body Surface Area (TBSA) and the frequency of TBI in the deceased group was significantly higher (P=0.001). CONCLUSIONThe severity of burns based on TBSA and TBI is associated with increased mortality among children with burn injuries. The results suggest the need to examine children with burn injuries for TBI using clinical examination or imaging.

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Section: Discussionsupporting

confidence: 93%

Traumatic Brain Injury in Child Burn

Sobouti

Ansari²,

Garahgheshlagh³

et al. 2022

WJPS

View full text Add to dashboard Cite

show abstract

“…Various (excluded) studies around the same theme are worth mentioning: no survival benefit for combined burn and MT patients in either Level I or II trauma centers, 59 survival benefit in Level I trauma centers for patients with severe specific injuries, 12 , 60 level I and II trauma centers with low mortality rates prevent and treat complications better in the severely injured, 54 , 61 and patients admitted to level I trauma centers with severe lower extremity injuries have a higher chance of limb salvage. 62 Several studies analyzed specific age groups in association to level of trauma care, the largest groups being pediatrics and geriatrics.…”

Section: Discussionmentioning

confidence: 99%