National Burn Repository 2005: A Ten-Year Review

Abstract

In the early 1990s, the American Burn Association (ABA) started its first burn registry development initiatives. The impetus for the registry development software originated from several directions, including the following: (1) the recognition that national registries were widespread and of proven benefit; (2) growing demands from accrediting institutions, payers, and patient advocacy groups for objective and verifiable data regarding patient costs, treatments, and outcomes; and (3) the shift toward "evidence-based" medicine and the ongoing analysis of treatment effectiveness. The ABA has issued three calls for burn registry data for its National Burn Repository (NBR): 1994, 2002, and 2005. In 1994, 28 burn centers contributed data for more than 6,400 patients treated from 1991 to 1993. The ABA announced its second call for data in 2001 and distributed the published results of more than 54,000 acute burn admissions treated from 1974 to 2002 at the Association's 2002 Annual Meeting. The third ABA call for data was issued in the Fall of 2005. The results are detailed in this report, which provides a summary of more than a quarter million acute burn admissions from 1995 to 2005, representing 70 hospitals from 30 states plus the District of Columbia. Statistics are presented in chart and table format to illustrate such key factors as patient age, burn size group, types of injuries, mortality rates, and average hospital charges by etiology and length of hospital stay. The data presented herein should help stimulate quality improvement programs in burn care, as burn centers compare their performance with the national data and as research is expanded using the NBR. The NBR will be published annually and, with continued refinements to the registry software, should become of increasing importance to clinicians, payers, researchers, and the public.

Sleep onset insomnia symptoms during hospitalization for major burn injury predict chronic pain

“…Amputations were performed in 6.0% of cases. These characteristics are similar to data reported in the National Burn Registry (NBR) for the period 1995 -2005 with records on more than 126,000 individuals admitted to hospitals in 30 states and the District of Columbia with burn injury (35).…”

The Hepatic Response to Thermal Injury: Is the Liver Important for Postburn Outcomes?

“…Over 440,000 children receive medical attention for burn injuries each year in the United States (3). With approximately 1,100 children dying of burnrelated injuries in the United States every year (4), severe burns represent the third most common cause of death in the pediatric patient population (5), and account for a significant number of hospital admissions in the United States (6,7). A severe burn, therefore, represents a devastating injury affecting nearly every body organ system and leads to significant patient morbidity and mortality (8).…”

Prospective Evaluation Of Biofield Energy Therapy For Burdensome Symptoms Of Burn Injury: A Pilot Study

“…Compared to patients burned prior to 1970, people now more commonly survive burn injuries. Before 1970, a burn injury greater than one third of the total body surface area (TBSA) was usually fatal [3], whereas a recent 10 year review of the National Burn Repository database showed that a 60-70% TBSA burn now has a survival rate of approximately 53% [4]. While advances have clearly been made in increasing the survival rates of burn patients, this success has not necessarily led to an improved ability to alleviate the longer-term symptoms of burn injury.…”