The Impact of Flame Burn Injuries on Patients Who Sustain Mild Injuries From Motor Vehicle Crashes

This article reports on a study of flame burn injuries in patients who had mild injuries (Injury Severity Score less than 15) compared to those with similar crash injuries but without burns. The authors reviewed data from the American College of Surgeons National Trauma Data Bank (NTDB) between 2007 and 2017. International Classification of Diseases-9 and -10 revisions and External Injury Codes were used to identify patients who were divided into MVC only (Group 1) and MVC with additional flame burn injury (Group 2). The primary outcome was in-hospital mortality and secondary outcomes were intensive care unit (ICU) admission, ICU length of stay (LOS), hospital LOS, sepsis, deep vein thrombosis, acute respiratory distress syndrome, and pneumonia. The study found that the mean length of stay and the ICU length of stay were longer in the group with flame burn injuries (5.9 vs 4.0 days and 1.2 vs 0.6 days, respectively), with more of the burn patients being admitted to the ICU overall (22.9% vs 17.3%). Other secondary outcomes were also markedly worse in the burn group: pneumonia (0.8% vs 0.5%), deep vein thrombosis (0.6% vs 0.4%), and acute respiratory distress syndrome (0.5% vs 0.3%). However, there was no significant difference in mortality between groups. The authors conclude with a brief discussion of the data included in the NTDB and how it may have impacted the findings.

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  • English

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  • Accession Number: 01890282
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Aug 21 2023 9:08AM