Epidemiological and cost analysis of burn injuries admitted to the emergency department of a tertiary burn center.
BACKGROUND
Burn injury is an emergency medical condition that rapidly develops as a result of tissue exposure to electrical, chemical or thermal energy. Therefore, its treatment usually begins at the emergency department. In this study we aimed to perform an epidemiological analysis of burn injuries presenting to the emergency department of a tertiary burn center, and factors affecting the cost of their medical care.


METHODS
Patients who presented to Baskent University Ankara Hospital Adult Emergency Department with burn injuries between January 2012 and December 2014 were studied for age, sex, time of admission, type of burn injury, clinical prognosis, mortality rate, percent burn area, and total cost of care. A total of 264 patients were enrolled. Chi square test was used for the comparison of categorical variables. Non-parametric tests were used for the comparison of continuous variables.


RESULTS
This study included 179 (67.8 %) women and 85 (32.2 %) men. The most common types of burn injuries were hot water burns and scalding. Eleven point seven percent of the patients sustained burn injuries in occupational accidents. 95.1 % of the patients were discharged from the emergency and 4.5 % of them were hospitalized. Only 1 (0.4 %) patient died. There was no significant difference between patient outcomes (discharge vs. hospital admission) with respect to the cost of care (p = 0.846) No significant difference was found between the cost of care of surgical and non-surgical management of burn injuries (p = 0.206). No significant difference was found between the costs of care of different types of burn injuries (p = 0.053). There was a significant difference between burn degrees with respect to the cost of care (p = 0.038). A significant difference was found between the costs of care of patients with a percent burn area of less than 10 % and those with a percent burn area of more than 10 % (p < 0.001), indicating that as percent burn area increased, a proportional increase occurred in the cost of care.


CONCLUSIONS
Burn degree and percent burn area were the main determinants of the cost of care of burn injuries. In conclusion, burn injuries are preventable by taking occupational measures and raising public awareness about domestic accidents.
Department of Emergency, Faculty of Medicine, Baskent University, Fevzi Cakmak Street No: 45 Bahcelievler, Cankaya, Ankara, Turkey.
Tolga
T
Eser
Department of Emergency, Faculty of Medicine, Baskent University, Fevzi Cakmak Street No: 45 Bahcelievler, Cankaya, Ankara, Turkey.
Cemil
C
Kavalci
Department of General Surgery, Faculty of Medicine, Baskent University, Ankara, Turkey.
Cem
C
Aydogan
Department of Emergency, Faculty of Medicine, Baskent University, Fevzi Cakmak Street No: 45 Bahcelievler, Cankaya, Ankara, Turkey.
Afsin Emre
AE
Kayipmaz
Burns; Cost analysis; Emergency treatment; Epidemiology