A review of the international Burn Injury Database (iBID) for England and Wales: descriptive analysis of burn injuries 2003-2011

Neophytos Stylianou, Iain Buchan, Ken W Dunn, Neophytos Stylianou, Iain Buchan, Ken W Dunn

Abstract

Objective: To describe, for the first time, distribution (by geography, age, sex) and time trends in burn injury in England and Wales over the period that the international Burn Injury Database (iBID) has been in place.

Setting: Data from the iBID for the years 2003-2011 were used for a retrospective descriptive observational study of specialised services workload and admissions in England and Wales.

Participants: All patients who have been visited or admitted to the burn injury specialised health service of England and Wales during the time period 2003-2011. Data cleaning was performed omitting patients with incomplete records (missingness never exceeded 5%).

Outcome measures: Workload, admissions, mortality, length of stay (LOS), geographical distribution, sex differences, age differences, total burn surface area, mechanism of Injury.

Results: During 2003-2011, 81,181 patients attended the specialised burn service for assessment and admission in England and Wales. Of these, 57,801 were admitted to the services. Males accounted for 63% of the total workload in specialised burn injury services, and females for 37%. The median (IQR) burn surface area was 1.5% (3.5%). The most frequent reason for burn injury was scald (38%). The median (IQR) age for all the referred workload for both genders was 21 (40). The overall mortality of the admitted patients was 1.51% and the median (IQR) LOS was 1 (5) days.

Conclusions: Mortality from burn injuries in England and Wales is decreasing in line with western world trends. There is an observed increase in admissions to burn services but that could be explained in various ways. These results are vital for service development and planning, as well as the development and monitoring of prevention strategies and for healthcare commissioning.

Keywords: UK; admissions; burn; workload.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Figures

Figure 1
Figure 1
(A) Workload of burn injury specialised service in England and Wales for 2003–2011. (B) Admissions only to burn injury specialised service in England and Wales for 2003–2011.
Figure 2
Figure 2
Population adjusted specialised burn injury admissions in England and Wales 2003–2011 based on geographical catchment area of each Primary Care Trust and Local Health Board (for ease to the reader in identifying each location, a map from the Office for National Statistics can be found in the online supplementary information19).

References

    1. Al-Mousawi AM, Mecott-Rivera GA, Jeschke MG et al. . Burn teams and burn centers: the importance of a comprehensive team approach to burn care. Clin Plast Surg 2009;36:547–54. 10.1016/j.cps.2009.05.015
    1. WHO. The global burden of disease 2004. Geneva, 2008.
    1. Heimbach D. Burn patients, then and now. Burns 1999;25:1–2. (accessed 17 Jan 2012). 10.1016/S0305-4179(98)00154-5
    1. Kalson NS, Jenks T, Woodford M et al. . Burns represent a significant proportion of the total serious trauma workload in England and Wales. Burns 2012;38:330–9. 10.1016/j.burns.2011.09.017
    1. Roberts AH. Burn prevention—where now? Burns 2000;26:419–21. 10.1016/S0305-4179(00)00002-4
    1. Dunn KW. Standards and Strategy for Burn Care 2001. (accessed 14 Oct 2011).
    1. National Network for Burn Care. National Burn Care Referral Guidance 2012.
    1. London Health Programmes, Specialised Burns Project. Specialised burns model of care—draft outline. London, 2011.
    1. Wilkinson E. The epidemiology of burns in secondary care, in a population of 2.6 million people. Burns 1998;24:139–43. 10.1016/S0305-4179(98)80001-6
    1. Dunn KW, Armfield R. The epidemiology and continued monitoring of burn injury in England and Wales. Inj Prev 2010;16:A211 Ken Dunn.pdf (accessed 5 Oct 2011). 10.1136/ip.2010.029215.753
    1. Lawrence JC. Some aspects of burns and burns research Birmingham Accident Hospital 1944–93: A.B. Wallace Memorial Lecture, 1994. Burns 1995;21:403–13. 10.1016/0305-4179(95)00016-5
    1. Rajpura A. The epidemiology of burns and smoke inhalation in secondary care: a population-based study covering Lancashire and South Cumbria. Burns 2002;28:121–30. 10.1016/S0305-4179(01)00087-0
    1. Rawlins JM, Khan AA, Shenton AF et al. . Epidemiology and outcome analysis of 208 children with burns attending an emergency department. Pediatr Emerg Care 2007;23:289–93. (accessed 25 Nov 2011). 10.1097/01.pec.0000248698.42175.2b
    1. Brewster CT, Coyle B, Varma S. Trends in hospital admissions for burns in England, 1991–2010: a descriptive population-based study. Burns 2013;39:1526–34. (accessed 27 Dec 2013). 10.1016/j.burns.2013.09.019
    1. HES Online: Hospital Episode Statistics 2012. (accessed 20 Mar 2012).
    1. Sharp J. The quality of nationally submitted health and social care data. Anual Report England: Experimental Statistics, 2013.
    1. International Burn Injury Database. (accessed 1 May 2014).
    1. ONS Geography ons. geography@ons. gsi. gov. u. UK map collection. (accessed 29 Apr 2014).
    1. ONS. Primary Care Georgraphy 2012.
    1. Peck MD. Epidemiology of burns throughout the world. Part I: distribution and risk factors. Burns 2011;37:1087–100. 10.1016/j.burns.2011.06.005
    1. Wood S, Bellis MA, Atherton J. Burns: a review of evidence for prevention from the UK focal point for violence and injury prevention 2010.
    1. WHO. Global burden of disease 2008 summary tables. Geneva, 2008. (accessed 2 Nov 2011).
    1. WHO. Global burden of disease 2004 summary tables. Geneva, 2004. (accessed 3 Nov 2011).
    1. WHO. A WHO plan for burn prevention and care. Geneva, 2008. (accessed 23 Nov 2011).
    1. National Burn Reposiroty. National Burn Repository: report of data from 2002–2011 2012.
    1. Muller MJ, Pegg SP, Rule MR. Determinants of death following burn injury. Br J Surg 2001;88:583–7. 10.1046/j.1365-2168.2001.01726.x
    1. British Medical Association. Injury prevention. London, 2001.
    1. Office for National Statistics. Population Estimates for England and Wales, Mid-2002 to Mid-2010 Revised (National) 2012.
    1. Spencer SA, Davies MP. Hospital episode statistics: improving the quality and value of hospital data: a national internet e-survey of hospital consultants. BMJ Open 2012;2:e001651 10.1136/bmjopen-2012-001651

Source: PubMed

赞助者和合作者

医疗条件

药物干预

3
订阅