TY  - BOOK
AU  - Flanagan, Katherine E
AU  - Jordan, Marion H
AU  - Matt, Sarah E
AU  - Shupp, Jeffrey W
TI  - When a hero becomes a patient: firefighter burn injuries in the National Burn Repository
SN  - 1559-047X
KW  - *Burns/ep [Epidemiology]
KW  - *Burns/et [Etiology]
KW  - *Firefighters/sn [Statistics & Numerical Data]
KW  - *Occupations
KW  - Adult
KW  - Age Distribution
KW  - Burn Units/ut [Utilization]
KW  - Burns/th [Therapy]
KW  - Databases, Factual
KW  - Female
KW  - Hospitalization/sn [Statistics & Numerical Data]
KW  - Humans
KW  - Incidence
KW  - Injury Severity Score
KW  - Intensive Care Units/ut [Utilization]
KW  - Linear Models
KW  - Male
KW  - Middle Aged
KW  - Multivariate Analysis
KW  - Patients
KW  - Prognosis
KW  - Registries
KW  - Retrospective Studies
KW  - Risk Assessment
KW  - Sex Distribution
KW  - Survival Rate
KW  - Treatment Outcome
KW  - Wound Healing/ph [Physiology]
KW  - Young Adult
KW  - MedStar Washington Hospital Center
KW  - Surgery/Burn Services
KW  - Comparative Study
KW  - Journal Article
N1  - Available online through MWHC library: 2006 - present, Available in print through MWHC library: 2006 - present
N2  - Firefighters receive significant training and are outfitted with state-of-the-art protective equipment. However, given the unpredictable nature of their work environment, injuries still occur. The National Burn Repository (NBR) was viewed as a resource for defining the epidemiology of these injuries on a national level and to identify predictive factors for outcomes in this population. The NBR was queried for the occupation of "firefighter" for the years 1990-2008. Records were screened for completeness, and 597 patients were identified for analysis. Data examined included demographics, %TBSA burn, length of stay (LOS), injury circumstance, and disposition. Multiple linear regression models were created to determine factors related to outcome measures. The majority of patients were white (84%) and male (96%). The mean age was 35 years. Most injuries were caused by fire/flame (73%). Only six deaths (1%) were reported. Most injuries were work-related (86%), and most patients were discharged home (92%). Inhalation injury was documented in 9% of patients. The mean LOS was 6.5 +/- 11.3 days (median 2 days), and few patients had critical care requirements. The average %TBSA was 6 +/- 11.7%. Patients with larger injuries had increased LOS. The presence of inhalation injury, elevated carboxyhemoglobin levels, and advancing age were significantly associated with larger burns. From the NBR data, most firefighter burn injuries were small, and few firefighter burn patients required critical care resources or had significant disability. Firefighters comprise a small number of burn center admissions each year, yet they are an important population to consider for burn prevention efforts
UR  - http://dx.doi.org/10.1097/BCR.0b013e31823dea3c
ER  -