Psychological Screening Rates Of Pediatric Burn Patients Across 5 Pediatric Burn Centers
*Carisa Parrish1, Sarah VerLee2
1Johns Hopkins School of Medicine, Baltimore, MD;2Nationwide Children's Hospital, Columbus, OH
Background (issue): There are limited guidelines and lack of benchmarking for screening youth following burn injuries. We present data from five pediatric burn centers regarding psychology screenings completed, in an effort to establish potential benchmarks.
Methods: Data were drawn from five centers participating in a national benchmarking quality improvement program over June 2019-December 2020. Each program submitted clinical variables (eg burn TBSA, LOS in days, psychology screening completion) to a central location. A central data manager kept hospital and patient identity anonymous, and data did not include patient specifiers (eg age, gender, ethnicity). We focused analysis on psychological screening, defined as “clinical psychology screening completed in either inpatient or outpatient setting within 1 month of injury.”
Findings: Of 904 patients met inclusion criteria for principal burn diagnosis (85% had TBSA < 10%) and inpatient hospitalization >12 hours across 5 pediatric burn centers (86% had LOS < 7 days), 65% received a psychology screening within 1 month of injury. There was considerable variability across sites in completion of psychology screenings, ranging from 45% to 91%. Most of psychology screenings (95%) occurred within 14 days of the injury, typically completed within two days of admission. Completion of psychology screenings appeared to be somewhat independent of burn patient volume.
Conclusions (implications for practice): This small national survey of psychological screenings completed with pediatric patients following a hospitalization for burn injuries indicates variability in practice. Defining benchmarks and review of practice data could assist programs with improved standardization in care delivery regarding psychological screenings among pediatric burn patients.
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