J Dokter1, A F Vloemans2, G I J M Beerthuizen3, C H van der Vlies1, H Boxma1, R Breederveld4, W E Tuinebreijer5, E Middelkoop6, M E van Baar7. 1. Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands. 2. Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands. 3. Burn Centre, Martini Hospital, Groningen, The Netherlands. 4. Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands; Department of Surgery, University Medical Centre Leiden, The Netherlands. 5. Association of Dutch Burn Centres, Beverwijk, The Netherlands. 6. Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands; Association of Dutch Burn Centres, Beverwijk, The Netherlands; Department of Plastic, Reconstructive and Hand Surgery, Research Institute MOVE, VU University Medical Centre, Amsterdam, The Netherlands. 7. Association of Dutch Burn Centres, Maasstad Hospital, Rotterdam, The Netherlands; Department of Public Health, Erasmus MC, Rotterdam, The Netherlands. Electronic address: BaarM@maasstadziekenhuis.nl.
Abstract
INTRODUCTION: The aim of this study was to characterize the epidemiology of severe burns in the Netherlands, including trends in burn centre admissions, non burn centre admissions and differences by age. METHODS: Patients with burn-related primary admission in a Dutch centre from 1995 to 2011 were included. Nationwide prospectively collected data were used from three separate historical databases and the uniform Dutch Burn Repository R3 (2009 onwards). General hospital data were derived from the National Hospital Discharge Register. Age and gender-adjusted rates were calculated by direct standardization, using the 2005 population as the reference standard. RESULTS: The annual number of admitted patients increased from 430 in 1995 to 747 in 2011, incidence rates increased from 2.72 to 4.66 per 100,000. Incidence rates were high in young children, aged 0-4 years and doubled from 10.26 to 22.96 per 100,000. Incidence rates in persons from 5 up to 59 increased as well, in older adults (60 years and older) admission rates were stable. Overall burn centre mortality rate was 4.1%, and significantly decreased over time. There was a trend towards admissions of less extensive burns, median total burned surface area (TBSA) decreased from 8% to 4%. Length of stay and length of stay per percent TBSA decreased over time as well. CONCLUSIONS: Data on 9031 patients admitted in a 17-year period showed an increasing incidence rate of burn-related burn centre admissions, with a decreasing TBSA and decreasing in-burn centre mortality. These data are important for prevention and establishment of required burn care capacity.
INTRODUCTION: The aim of this study was to characterize the epidemiology of severe burns in the Netherlands, including trends in burn centre admissions, non burn centre admissions and differences by age. METHODS:Patients with burn-related primary admission in a Dutch centre from 1995 to 2011 were included. Nationwide prospectively collected data were used from three separate historical databases and the uniform Dutch Burn Repository R3 (2009 onwards). General hospital data were derived from the National Hospital Discharge Register. Age and gender-adjusted rates were calculated by direct standardization, using the 2005 population as the reference standard. RESULTS: The annual number of admitted patients increased from 430 in 1995 to 747 in 2011, incidence rates increased from 2.72 to 4.66 per 100,000. Incidence rates were high in young children, aged 0-4 years and doubled from 10.26 to 22.96 per 100,000. Incidence rates in persons from 5 up to 59 increased as well, in older adults (60 years and older) admission rates were stable. Overall burn centre mortality rate was 4.1%, and significantly decreased over time. There was a trend towards admissions of less extensive burns, median total burned surface area (TBSA) decreased from 8% to 4%. Length of stay and length of stay per percent TBSA decreased over time as well. CONCLUSIONS: Data on 9031 patients admitted in a 17-year period showed an increasing incidence rate of burn-related burn centre admissions, with a decreasing TBSA and decreasing in-burn centre mortality. These data are important for prevention and establishment of required burn care capacity.
Authors: Christian Smolle; Janos Cambiaso-Daniel; Abigail A Forbes; Paul Wurzer; Gabriel Hundeshagen; Ludwik K Branski; Fredrik Huss; Lars-Peter Kamolz Journal: Burns Date: 2016-09-03 Impact factor: 2.744
Authors: I Spronk; G J Bonsel; S Polinder; M E van Baar; M F Janssen; J A Haagsma Journal: Health Qual Life Outcomes Date: 2020-05-19 Impact factor: 3.186
Authors: Esther Mm Van Lieshout; Daan T Van Yperen; Margriet E Van Baar; Suzanne Polinder; Doeke Boersma; Anne Ymvp Cardon; Piet Ar De Rijcke; Marc Guijt; Taco Mal Klem; Koen Ww Lansink; Akkie N Ringburg; Maarten Staarink; Leon Van de Schoot; Alexander H Van der Veen; Floortje C Van Eijck; Percy V Van Eerten; Paul A Vegt; Dagmar I Vos; Marco Waleboer; Michael Hj Verhofstad; Cornelis H Van der Vlies Journal: BMJ Open Date: 2018-11-15 Impact factor: 2.692
Authors: Inge Spronk; Dale W Edgar; Margriet E van Baar; Fiona M Wood; Nancy E E Van Loey; Esther Middelkoop; Babette Renneberg; Caisa Öster; Lotti Orwelius; Asgjerd L Moi; Marianne Nieuwenhuis; Cornelis H van der Vlies; Suzanne Polinder; Juanita A Haagsma Journal: BMC Public Health Date: 2020-01-29 Impact factor: 3.295
Authors: Gabrielle S Dijksteel; Magda M W Ulrich; Marcel Vlig; Ana Sobota; Esther Middelkoop; Bouke K H L Boekema Journal: Ann Clin Microbiol Antimicrob Date: 2020-08-19 Impact factor: 3.944