Epidemiology of burns patients admitted to the State-wide Adults Burns Service in Queensland: A 10-year Review

Ms Jacelle Warren1, Dr Cate Cameron1, Dr Michael Muller2

1Jamieson Trauma Institute, Herston, Australia, 2Royal Brisbane & Women’s Hospital Burns Unit, Herston, Australia

Abstract:

Introduction:The last epidemiological review of adult burn injuries in Queensland was 15 years ago. It is important to have updated data for this cohort so effective burns services can be maintained, and a base for assessing the impact of new treatments/initiatives (e.g. the introduction of the Skin Culture Centre, introduction of the National Injury Insurance Scheme Queensland (NIISQ)) can be established.

Aims: To describe the incidence, demographic, injury, acute treatment and acute outcomes of adult burn patients admitted to the RBWH Burns Unit.

Methods: A secondary analysis of data is being undertaken on adult burns patients admitted for acute treatment to the RBWH Burns Unit between 01 January 2008 and 31 December 2017.

Results: Between 2008 and 2017, there were 3,950 acute admissions to the RBWH Burns Unit. Males (Median age = 36yrs, IQR = 24 – 51yrs) accounted for 72% of acute admissions. Initial analyses suggest that flame-related burns were common, most burns occurred within a dwelling/yard, and 20% either involved motor vehicle or work-related accidents. As expected, there was frequent use of surgical interventions, ICU admissions and length of acute hospital stays (LOS) longer than 1 week. There were 69 (1.7%) deaths. Trend analyses over the 10 years in relation to demographic, injury, acute treatment and outcomes will be presented.

Conclusion: These finding are relevant to clinicians and trauma care services within Queensland, as well as to external key stakeholders such as WorkCover and Insurance Regulators, in light of the recently introduced NIISQ.


Biography:

Ms Warren is a Biostatistician in the Jamieson Trauma Institute and has previously spent ten years working in data management, data analysis and reporting of injury data collected by the Queensland Trauma Registry (QTR).

Ms Warren has extensive experience with statistical analysis of large injury datasets, both cross-sectional and longitudinal, and has a particular interest in the physical and psychological recovery of injured people.