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Regional variations in pediatric burn reconstruction
Neil Mashruwala MD, Tahereh Soleimani, Tyler A Evans MD, Brett C Hartman DO, Ben L Zarzaur MD, Rajiv Sood MD
University training program
2016-02-01
Presenter: Neil Mashruwala
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. The program director is responsible for making a statement within the confines of the box below specific to how much of the work on this project represents the original work of the resident. All authors/submitters of each abstract should discuss this with their respective program director for accurate submission of information as well as the program director's approval for inclusion of his/her electronic signature.
Director Name: Dr. Rajiv Sood
Author Category: Other Specialty Resident
Presentation Category: Clinical
Abstract Category: General Reconstruction
Introduction
Burns are a major source of morbidity and mortality within the realm of trauma. After surviving the initial injury, reconstructive surgery is commonly performed for burn wound sequelae. In this study, regional variations in reconstructive surgery among burn survivors in the pediatric population were reviewed.
Methods
Nationwide Inpatient Sample (NIS) was used to identify inpatients with diagnosis code for acute burn (AB). Children were identified as age less than 18. The incidence and distribution of the acute burn and subsequent reconstruction was compared with regards to the four regions (Northeast, South, Midwest and West). Variables addressed included sex, race and type of insurance.
Results
During the study period, 81,328 children were hospitalized with AB. Regional distributions show that 23.3% of AB admissions have been in the Northeast, 24% in the Midwest, 31.9% in the South, and 20.7% in the West. However, more than 64.6% of reconstructions have taken place in the West. In all regions, females constituted a higher proportion of reconstruction. Furthermore, there were significant demographic differences in the West with reconstruction more likely to be Hispanic and covered by private insurance.
Conclusions
Regional variations in reconstructive surgery as well as variables such as race, sex and type of insurance exist amongst children survivors. Further investigation into these variables is imperative to enhance access to care and improve quality of life in all burn victims.
