Disparities in Burn Injury Prevalence and Outcomes: Results of a Community-Based Burn Prevention Program
Adel Elkbuli, MD, MPH; Valerie Polcz, MS; Brenda Benson, RN, CEN; Shaikh Hai, MD, FACS; Mark McKenney, MD, MBA; Dessy Boneva, MD
Kendall Regional Medical Center, Miami, FL
Background: Ethnicity, education and socioeconomic status (SES) have all been associated with increased incidence and mortality due to burn injury. The aim of this study is to evaluate the effect of a targeted community outreach program for burn injury prevention on reducing disparities in burn injuries and outcomes in our institution's catchment area.
Methods: A three-year review of patient data was performed using our institution's Burn Registry to identify adult patients presenting with bun injuries ≥20% of total body surface area (TBSA). Patients were stratified for analysis by race and zip codes corresponding to burn outreach programs implemented by our institution. ISS, TBSA, ICU length of stay (ICULOS) and mortality were compared between groups and chi squared, ANOVA and t-test analysis were used with significance defined as p<0.05.
Results: A total of 34 adult trauma patients were admitted in the study period with ≥20% TBSA. 30/34 (88%) patients resided in zip codes corresponding to burn prevention community outreach programming. Patients were predominantly male (85%) and Caucasian (79%), with an average age of 42 (± 19). There was no difference between groups in ISS, ICULOS, TBSA or mortality (p>0.05) based on zip code. Similarly, there was no significant difference in ISS, ICULOS, TBSA or mortality based on race.
Conclusion: Our findings suggest that our institution's targeted burn outreach program was appropriately aimed at areas of high risk.
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