Referral patterns and severity distribution of burn care: Implications for burn centers and surgical training

摘要: The purpose of this investigation was to examine burn-patient referral patterns and severity burn distribution, as well determine the impact these may have on education surgeons in training. Data from 1998-1999 National Inpatient Sample (NIS) Michigan Hospital Association (MHA) were analyzed based upon diagnostic-related groups (DRGs; 504-511) their distribution documented. Providers segregated into high-volume hospitals (HVHs) treating > 100 patients per year, moderate-volume 25 99 low-volume (LVHs) <25 year. Surgical training programs identified within state examined for an educational affiliation with a center. Across United States, 47.5% receive care at HVHs. Patients highest (ie, DRGs 504 505) usually (77%) treated Within Michigan, 4 HVHs identified, which represent 50.8% total admissions. At least 1 HVH received over 80% its admissions adjacent or distant counties subsequently represented higher proportion higher-severity DRG Twenty-three percent general surgical do not formal rotation regional center Several affiliations providers. most severe burns are reaching centers, but many continue remain LVHs. A wide variation patient occurs throughout States. Matching resident is essential effective residents.