title: Pediatric burns: Kids' Inpatient Database vs the National Burn Repository.
abstract: OBJECTIVE
  Burn injuries are one of the leading causes of morbidity and mortality in young children. The Kids' Inpatient Database (KID) and National Burn Repository (NBR) are two large national databases that can be used to evaluate outcomes and help quality improvement in burn care. Differences in the design of the KID and NBR could lead to differing results affecting resultant conclusions and quality improvement programs. This study was designed to validate the use of KID for burn epidemiologic studies, as an adjunct to the NBR.
  
  
  METHODS
  Using the KID (2003, 2006, and 2009), a total of 17,300 nonelective burn patients younger than 20 y old were identified. Data from 13,828 similar patients were collected from the NBR. Outcome variables were compared between the two databases.
  
  
  RESULTS
  Comparisons revealed similar patient distribution by gender, race, and burn size. Inhalation injury was more common among the NBR patients and was associated with increased mortality. The rates of respiratory failure, wound infection, cellulitis, sepsis, and urinary tract infection were higher in the KID. Multiple regression analysis adjusting for potential confounders demonstrated similar mortality rate but significantly longer length of stay for patients in the NBR.
  
  
  CONCLUSIONS
  Despite differences in the design and sampling of the KID and NBR, the overall demographic and mortality results are similar. The differences in complication rate and length of stay should be explored by further studies to clarify underlying causes. Investigations into these differences should also better inform strategies to improve burn prevention and treatment.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
authors.forename: Tahereh
authors.initials: T
authors.lastname: Soleimani
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
authors.forename: Tyler A
authors.initials: TA
authors.lastname: Evans
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Sood
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
authors.forename: Brett C
authors.initials: BC
authors.lastname: Hartman
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
authors.forename: Ivan
authors.initials: I
authors.lastname: Hadad
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address: stholpad@iupui.edu.
authors.forename: Sunil S
authors.initials: SS
authors.lastname: Tholpady
mesh_terms: D000293:Adolescent; D002056:Burns / Q000150:complications / Q000401:mortality*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012042:Registries; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Burn; Kids' Inpatient Database; National Burn Repository; Outcome