A Pediatric Acute Wound Service: a novel approach in wound management

B. T. Bucher, J. Seigel, E. Rosenblum, C. Nesslein, S. Keswani, R. P. Foglia, P. A. Dillon, B. W. Warner, Martin S. Keller

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: In 2001, in response to an overwhelming increase in patient visits for various pediatric abscesses, burns, and other wounds, an ambulatory burn and procedural sedation program (Pediatric Acute Wound Service, or PAWS) was developed to minimize operating room utilization. The purpose of this study is to report our initial 7-year experience with the PAWS program. Methods: The hospital records of all children managed through PAWS from 2001 to 2007 were reviewed. Outcomes measured include patient demographics, number and location of visits per patient, procedure information, cause of wounds, and reimbursement. χ2 test and linear regression were performed using GraphPad Prism (GraphPad Software Inc, San Diego, CA). Results: Overall, 7620 children (age 0-18 years) received wound care through PAWS from 2001 to 2007. There were no differences in patient age, race, and sex during this time period. Between 2001 and 2007, the percentage of patients seen as outpatients increased from 51% to 68% (P < .05), and the average number of visits per patient decreased from 3.9 to 2.4 (P = .05). In, 2007, 46% of the children required only 1 visit. In 2007, 74% of the visits were for management of wound and soft tissue infections, compared with only 9% in 2001 (P < .05). The contribution margin of a PAWS visit and total contribution margin in 2007 were $1052 and $4.0 million, respectively. Conclusion: The creation of PAWS has allowed for the transition in management of most pediatric skin and soft tissue wounds and infections to an independent ambulatory setting, alleviating the need for operating room resources, while functioning at a profitable cost margin for the hospital.

Original languageEnglish (US)
Pages (from-to)167-170
Number of pages4
JournalJournal of Pediatric Surgery
Volume45
Issue number1
DOIs
StatePublished - Jan 2010

Fingerprint

Pediatrics
Wounds and Injuries
Soft Tissue Infections
Operating Rooms
Hospital Records
Hospital Costs
Wound Infection
Burns
Abscess
Linear Models
Outpatients
Software
Demography
Skin

Keywords

  • PAWS wound care
  • Skin and soft tissue infection

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Bucher, B. T., Seigel, J., Rosenblum, E., Nesslein, C., Keswani, S., Foglia, R. P., ... Keller, M. S. (2010). A Pediatric Acute Wound Service: a novel approach in wound management. Journal of Pediatric Surgery, 45(1), 167-170. https://doi.org/10.1016/j.jpedsurg.2009.10.031

A Pediatric Acute Wound Service : a novel approach in wound management. / Bucher, B. T.; Seigel, J.; Rosenblum, E.; Nesslein, C.; Keswani, S.; Foglia, R. P.; Dillon, P. A.; Warner, B. W.; Keller, Martin S.

In: Journal of Pediatric Surgery, Vol. 45, No. 1, 01.2010, p. 167-170.

Research output: Contribution to journalArticle

Bucher, BT, Seigel, J, Rosenblum, E, Nesslein, C, Keswani, S, Foglia, RP, Dillon, PA, Warner, BW & Keller, MS 2010, 'A Pediatric Acute Wound Service: a novel approach in wound management', Journal of Pediatric Surgery, vol. 45, no. 1, pp. 167-170. https://doi.org/10.1016/j.jpedsurg.2009.10.031
Bucher BT, Seigel J, Rosenblum E, Nesslein C, Keswani S, Foglia RP et al. A Pediatric Acute Wound Service: a novel approach in wound management. Journal of Pediatric Surgery. 2010 Jan;45(1):167-170. https://doi.org/10.1016/j.jpedsurg.2009.10.031
Bucher, B. T. ; Seigel, J. ; Rosenblum, E. ; Nesslein, C. ; Keswani, S. ; Foglia, R. P. ; Dillon, P. A. ; Warner, B. W. ; Keller, Martin S. / A Pediatric Acute Wound Service : a novel approach in wound management. In: Journal of Pediatric Surgery. 2010 ; Vol. 45, No. 1. pp. 167-170.
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