Evolving treatment in a decade of pediatric burn care

Robert P. Foglia, Robin Moushey, Lisa Meadows, Jennifer Seigel, Maureen Smith

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Backround Over the last decade, an ambulatory burn care (ABC) and procedural sedation (PS) program was instituted at St Louis Children's Hospital (SLCH). This study assessed the effect of these interventions on resource utilization. Methods The authors reviewed the hospital experience comparing 1993 with 2002 data regarding gender, age, burn depth, patient admissions, inpatient days, and ABC visits. Outcome measures included length of stay (LOS), incidence of infection, and hospital charges. Results Gender, age, and burn depth were similar; 192 patients were admitted in 1993. In 2002, there were 167 admissions and 118 patients treated solely on an ABC basis resulting in a total of 285 burn patients treated (+48%). Hospital days decreased from 2,041 (1993) to 963 (2002 [-53%]). LOS declined from 10.4 ± 8.3 days (1993) to 5.8 ± 14.2 days (2002 [-44%; P < .05]). PS was used sporadically in 1993, and increased to 71% in patients in 2002. There were no ABC visits in 1993 and 501 visits in 2002. The incidence of infection was 5.2% in 1993 versus 3.0% in 2002 (P < .05) Average charge per patient fell 45% from $13,286 (1993) to $7,372 (2002), adjusted to 1993 dollars using medical care price index. Conclusions Over a 10-year period, the program achieved a significant reduction in resource utilization while increasing the number of patients treated and maintaining a low incidence of infection. This was due in large part to a shift to ABC and the use of PS.

Original languageEnglish (US)
Pages (from-to)957-960
Number of pages4
JournalJournal of Pediatric Surgery
Volume39
Issue number6
DOIs
StatePublished - Jun 2004

Fingerprint

Ambulatory Care
Pediatrics
Patient Admission
Length of Stay
Incidence
Infection
Hospital Charges
Therapeutics
Inpatients
Outcome Assessment (Health Care)

Keywords

  • ambulatory care
  • Burns
  • resource utilization

ASJC Scopus subject areas

  • Surgery

Cite this

Evolving treatment in a decade of pediatric burn care. / Foglia, Robert P.; Moushey, Robin; Meadows, Lisa; Seigel, Jennifer; Smith, Maureen.

In: Journal of Pediatric Surgery, Vol. 39, No. 6, 06.2004, p. 957-960.

Research output: Contribution to journalArticle

Foglia, Robert P. ; Moushey, Robin ; Meadows, Lisa ; Seigel, Jennifer ; Smith, Maureen. / Evolving treatment in a decade of pediatric burn care. In: Journal of Pediatric Surgery. 2004 ; Vol. 39, No. 6. pp. 957-960.
@article{fb41eeb814e14cac92d3e9a9befea2cc,
title = "Evolving treatment in a decade of pediatric burn care",
abstract = "Backround Over the last decade, an ambulatory burn care (ABC) and procedural sedation (PS) program was instituted at St Louis Children's Hospital (SLCH). This study assessed the effect of these interventions on resource utilization. Methods The authors reviewed the hospital experience comparing 1993 with 2002 data regarding gender, age, burn depth, patient admissions, inpatient days, and ABC visits. Outcome measures included length of stay (LOS), incidence of infection, and hospital charges. Results Gender, age, and burn depth were similar; 192 patients were admitted in 1993. In 2002, there were 167 admissions and 118 patients treated solely on an ABC basis resulting in a total of 285 burn patients treated (+48{\%}). Hospital days decreased from 2,041 (1993) to 963 (2002 [-53{\%}]). LOS declined from 10.4 ± 8.3 days (1993) to 5.8 ± 14.2 days (2002 [-44{\%}; P < .05]). PS was used sporadically in 1993, and increased to 71{\%} in patients in 2002. There were no ABC visits in 1993 and 501 visits in 2002. The incidence of infection was 5.2{\%} in 1993 versus 3.0{\%} in 2002 (P < .05) Average charge per patient fell 45{\%} from $13,286 (1993) to $7,372 (2002), adjusted to 1993 dollars using medical care price index. Conclusions Over a 10-year period, the program achieved a significant reduction in resource utilization while increasing the number of patients treated and maintaining a low incidence of infection. This was due in large part to a shift to ABC and the use of PS.",
keywords = "ambulatory care, Burns, resource utilization",
author = "Foglia, {Robert P.} and Robin Moushey and Lisa Meadows and Jennifer Seigel and Maureen Smith",
year = "2004",
month = "6",
doi = "10.1016/j.jpedsurg.2004.04.001",
language = "English (US)",
volume = "39",
pages = "957--960",
journal = "Journal of Pediatric Surgery",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",
number = "6",

}

TY - JOUR

T1 - Evolving treatment in a decade of pediatric burn care

AU - Foglia, Robert P.

AU - Moushey, Robin

AU - Meadows, Lisa

AU - Seigel, Jennifer

AU - Smith, Maureen

PY - 2004/6

Y1 - 2004/6

N2 - Backround Over the last decade, an ambulatory burn care (ABC) and procedural sedation (PS) program was instituted at St Louis Children's Hospital (SLCH). This study assessed the effect of these interventions on resource utilization. Methods The authors reviewed the hospital experience comparing 1993 with 2002 data regarding gender, age, burn depth, patient admissions, inpatient days, and ABC visits. Outcome measures included length of stay (LOS), incidence of infection, and hospital charges. Results Gender, age, and burn depth were similar; 192 patients were admitted in 1993. In 2002, there were 167 admissions and 118 patients treated solely on an ABC basis resulting in a total of 285 burn patients treated (+48%). Hospital days decreased from 2,041 (1993) to 963 (2002 [-53%]). LOS declined from 10.4 ± 8.3 days (1993) to 5.8 ± 14.2 days (2002 [-44%; P < .05]). PS was used sporadically in 1993, and increased to 71% in patients in 2002. There were no ABC visits in 1993 and 501 visits in 2002. The incidence of infection was 5.2% in 1993 versus 3.0% in 2002 (P < .05) Average charge per patient fell 45% from $13,286 (1993) to $7,372 (2002), adjusted to 1993 dollars using medical care price index. Conclusions Over a 10-year period, the program achieved a significant reduction in resource utilization while increasing the number of patients treated and maintaining a low incidence of infection. This was due in large part to a shift to ABC and the use of PS.

AB - Backround Over the last decade, an ambulatory burn care (ABC) and procedural sedation (PS) program was instituted at St Louis Children's Hospital (SLCH). This study assessed the effect of these interventions on resource utilization. Methods The authors reviewed the hospital experience comparing 1993 with 2002 data regarding gender, age, burn depth, patient admissions, inpatient days, and ABC visits. Outcome measures included length of stay (LOS), incidence of infection, and hospital charges. Results Gender, age, and burn depth were similar; 192 patients were admitted in 1993. In 2002, there were 167 admissions and 118 patients treated solely on an ABC basis resulting in a total of 285 burn patients treated (+48%). Hospital days decreased from 2,041 (1993) to 963 (2002 [-53%]). LOS declined from 10.4 ± 8.3 days (1993) to 5.8 ± 14.2 days (2002 [-44%; P < .05]). PS was used sporadically in 1993, and increased to 71% in patients in 2002. There were no ABC visits in 1993 and 501 visits in 2002. The incidence of infection was 5.2% in 1993 versus 3.0% in 2002 (P < .05) Average charge per patient fell 45% from $13,286 (1993) to $7,372 (2002), adjusted to 1993 dollars using medical care price index. Conclusions Over a 10-year period, the program achieved a significant reduction in resource utilization while increasing the number of patients treated and maintaining a low incidence of infection. This was due in large part to a shift to ABC and the use of PS.

KW - ambulatory care

KW - Burns

KW - resource utilization

UR - http://www.scopus.com/inward/record.url?scp=3042672588&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3042672588&partnerID=8YFLogxK

U2 - 10.1016/j.jpedsurg.2004.04.001

DO - 10.1016/j.jpedsurg.2004.04.001

M3 - Article

VL - 39

SP - 957

EP - 960

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

IS - 6

ER -