Impact of a laser service line for burn scar on a dedicated burn OR's flow and productivity

Tarik D. Madni, John E. Hoopman, Xingchen Li, Jonathan B. Imran, Audra T. Clark, Holly B. Cunningham, Steven E Wolf, Jeffrey M Kenkel, Herbert Phelan

Research output: Contribution to journalArticle

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Abstract

Our group began performing erbium-YAG 2940 wavelength fractional resurfacing of burn scar in our burn center's dedicated burn operating room (OR) in January 2016. The impact of these procedures on the performance of a mature, dedicated burn OR is unknown. All burn OR cases performed between January 1, 2015 and December 31, 2015 served as a pre-laser (PRE-LSR) historical control. A postintervention cohort of laser-only cases (LSR) performed between January 1, 2016 and August 17, 2016 was then identified. PRE-LSR and LSR cases were retrospectively reviewed for OR component times, and work relative value units (wRVU) billed. A total of 628 burn OR cases were done in 2015 (PRE-LSR), while 488 burn OR cases were done between January 1 and August 17, 2016. Of these 488, 59 cases were LSR (12.1%). Calculated on a monthly basis, significantly more cases were done per day in the LSR era (2.2 ± 0.4 cases/d) than PRE-LSR (1.6 ± 2.0 cases/d; P < .0001). The LSR group was significantly shorter than the PRE-LSR group for all OR component times (induction, prep, and procedure all P < .0001; transport out, P = .01; room turnover, P = .004). Aggregate OR component time was 79.2 ± 33.4 minutes for LSR and 157.5 ± 65.0 minutes for PRE-LSR (P < .0001). LSR yielded 6.9 ± 3.2 wRVU/h, while PRE-LSR generated 12.2 ± 8.9 wRVU/h (P < .0001). Despite significantly shorter OR component times and more cases being done per day, laser treatment of burn scar using a single 17108 Current Procedural Terminology code cuts wRVUs generated per hour in a mature burn OR roughly in half.

Original languageEnglish (US)
Pages (from-to)811-814
Number of pages4
JournalJournal of Burn Care and Research
Volume39
Issue number5
DOIs
StatePublished - Jan 1 2018

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Cicatrix
Lasers
Operating Rooms
Current Procedural Terminology
Erbium
Burn Units

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

Cite this

Madni, T. D., Hoopman, J. E., Li, X., Imran, J. B., Clark, A. T., Cunningham, H. B., ... Phelan, H. (2018). Impact of a laser service line for burn scar on a dedicated burn OR's flow and productivity. Journal of Burn Care and Research, 39(5), 811-814. https://doi.org/10.1093/jbcr/irx056

Impact of a laser service line for burn scar on a dedicated burn OR's flow and productivity. / Madni, Tarik D.; Hoopman, John E.; Li, Xingchen; Imran, Jonathan B.; Clark, Audra T.; Cunningham, Holly B.; Wolf, Steven E; Kenkel, Jeffrey M; Phelan, Herbert.

In: Journal of Burn Care and Research, Vol. 39, No. 5, 01.01.2018, p. 811-814.

Research output: Contribution to journalArticle

Madni, TD, Hoopman, JE, Li, X, Imran, JB, Clark, AT, Cunningham, HB, Wolf, SE, Kenkel, JM & Phelan, H 2018, 'Impact of a laser service line for burn scar on a dedicated burn OR's flow and productivity', Journal of Burn Care and Research, vol. 39, no. 5, pp. 811-814. https://doi.org/10.1093/jbcr/irx056
Madni, Tarik D. ; Hoopman, John E. ; Li, Xingchen ; Imran, Jonathan B. ; Clark, Audra T. ; Cunningham, Holly B. ; Wolf, Steven E ; Kenkel, Jeffrey M ; Phelan, Herbert. / Impact of a laser service line for burn scar on a dedicated burn OR's flow and productivity. In: Journal of Burn Care and Research. 2018 ; Vol. 39, No. 5. pp. 811-814.
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