Understanding Epidemiological Trends in Geriatric Burn Injuries: A National Multicenter Analysis from NEISS 2004-2022

Authors

Sam Boroumand, Division of Plastic & Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Beatrice Katsnelson, Division of Plastic & Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Alna Dony, Division of Plastic & Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Viola A. Stögner, Division of Plastic & Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.Follow
Lioba Huelsboemer, Division of Plastic & Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Neil Parikh, Division of Plastic & Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Seung Ju Oh, Division of Plastic & Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Martin Kauke-Navarro, Division of Plastic & Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.Follow
Alisa Savetamal, Department of Surgery, Connecticut Burn Center, Bridgeport Hospital, Bridgeport, CT, USA.Follow
Bohdan Pomahac, Division of Plastic & Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.Follow

Document Type

Article

Publication Title

Journal of burn care & research : official publication of the American Burn Association

Abstract

Burn injuries pose a significant source of patient morbidity/mortality and reconstructive challenges for burn surgeons, especially in vulnerable populations such as geriatric patients. Our study aims to provide new insights into burn epidemiology by analyzing the largest national, multicenter sample of geriatric patients to date. Utilizing the National Electronic Injury and Surveillance System (NEISS) database (2004-2022), individuals with a "Burn" diagnosis were extracted and divided into two comparison age groups of 18-64 and 65+. Variables including sex, race, affected body part, incident location, burn etiology, and clinical outcomes were assessed between the two groups utilizing two proportion z-tests. 60,581 adult patients who sustained burns were identified from the NEISS database with 6,630 of those patients categorized as geriatric (65+). Geriatric patients had a significantly greater frequency of scald burns (36.9% vs. 35.4%; p<0.01), and third degree/full-thickness burns (10.4% vs 5.5%, p<0.01) relative to non-geriatric adult patients with most of these burns occurring at home (75.9% vs 67.4%; p<0.01). The top five burn sites for geriatric patients were the hand, face, foot, lower arm, and lower leg and the top five burn injury sources were hot water, cookware, oven/ranges, home fires, and gasoline. Geriatric patients had over two times greater risk of hospital admission (OR: 2.32, 95% CI: 2.17-2.49, p<0.01) and over five times greater risk of ED mortality (OR: 6.22, 95% CI: 4.00-9.66, p<0.01) after incurring burn injuries. These results highlight the need for stronger awareness of preventative measures for geriatric burn injuries.

DOI

10.1093/jbcr/irae102

Publication Date

6-6-2024

Recommended Citation

Boroumand, Sam; Katsnelson, Beatrice; Dony, Alna; Stögner, Viola A.; Huelsboemer, Lioba; Parikh, Neil; Oh, Seung Ju; Kauke-Navarro, Martin; Savetamal, Alisa; and Pomahac, Bohdan, "Understanding Epidemiological Trends in Geriatric Burn Injuries: A National Multicenter Analysis from NEISS 2004-2022" (2024). Surgery. 4.
https://scholar.bridgeporthospital.org/surgery/4