126 Predictors of Lengthened Admission in Adult Burn Patients, a Secondary Analysis of 1796 Cases
Abstract
Abstract Introduction Existing research has examined the relationship between the amount of total body surface area (TBSA) burn and length of stay (LOS). As a result, the conventional ratio of 1day LOS/1% TBSA ratio has been updated to 1.5days LOS/1% TBSA. In this study, we aim to elucidate patient and injury characteristics that affect our prognostic indicator, leading to a prolonged LOS. Methods This was a secondary analysis of a cohort study of surviving patients admitted to a tertiary adult burn center between January 1, 2006, and June 30, 2021. Adult patients less than 60 years of age were stratified into expected LOS ( 1.5 days days/%TBSA). Patient demographics, TBSA, burn etiology, inhalation injury, pre-admission co-morbidities, and in-hospital complications were tabulated Logistic regression was performed using IBM SPSS Statistics 29 and Stata Statistical Software: Release 18. Results 1796 patients with a mean age of 39 years were included for analysis of the adult population. 905 patients had the expected LOS/TBSA ratio, and 891 exceeded this ratio. Univariable analysis indicated patients with greater age [1.02 (1.01 – 1.03) p < 0.0001], female sex [1.84 (1.49 – 2.27) p < 0.001], diabetes [1.50 (1.00 – 2.24) p = 0.047], psychiatric illness [1.44 (1.11 – 1.88) p = 0.006], and those who experienced complications (such as infection, graft failure, pneumonia, sepsis) [1.44 (1.20 – 1.74) p < 0.0001] during admission were more likely to exceed their predicted LOS.…
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Evidence Hub reads this as a secondary / pooled analysis, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 1,796 participants or records.
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