{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:03:23Z","timestamp":1790845403521,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Burn severity assessment traditionally relies on clinical and injury\u2010related factors. However, the influence of social determinants of health on burn outcomes remains poorly understood. We aimed to develop a multidimensional prediction model of burn severity, defined as intensive care unit (ICU) admission, incorporating both clinical and social factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of burn patients aged \u2265\u00a015\u00a0years admitted to a specialized burn center in Cali\u2010Colombia between January 2023 and December 2024. Sociodemographic, clinical, and injury\u2010related variables were collected from institutional records. The primary outcome was ICU admission. Variables associated with ICU admission were evaluated using multivariable logistic regression, and model performance was assessed through discrimination and calibration metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 160 patients were included, of whom 68 (42.5%) required ICU admission. Median age was 40\u00a0years (IQR 30.5\u201351.5), and 77.5% were male. In the multivariable model, greater total body surface area burned (OR 1.11, 95% CI 1.06\u20131.15;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), higher heart rate on admission (OR 1.03, 95% CI 1.00\u20131.05;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.030), and subsidized health insurance status (OR 3.50, 95% CI 1.38\u20138.87;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.008) were independently associated with ICU admission. In the Colombian healthcare system, subsidized insurance primarily covers low\u2010income and socioeconomically vulnerable populations. The model demonstrated excellent discrimination (AUC 0.892) and good calibration (Brier score 0.128).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ICU admission following burn injury is influenced by a combination of injury severity, physiological response, and social vulnerability. Incorporating social determinants of health into burn severity assessment may improve early risk stratification and provide a more comprehensive framework for predicting critical care needs, particularly in resource\u2010limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70599","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:42:11Z","timestamp":1790844131000},"source":"Crossref","is-referenced-by-count":0,"title":["Socioeconomic Vulnerability as a Predictor of Burn Severity: Development of a Multidimensional Risk Model"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4774-0628","authenticated-orcid":false,"given":"Laura","family":"Ordo\u00f1ez\u2010Arenas","sequence":"first","affiliation":[{"name":"Universidad Icesi  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Alzate\u2010Ricaurte","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Tobon","sequence":"additional","affiliation":[{"name":"Universidad Icesi  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3816-614X","authenticated-orcid":false,"given":"Mar\u00eda","family":"Astudillo","sequence":"additional","affiliation":[{"name":"Universidad Icesi  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Forero","sequence":"additional","affiliation":[{"name":"Universidad Icesi  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4284-4693","authenticated-orcid":false,"given":"Juan C.","family":"Puyana","sequence":"additional","affiliation":[{"name":"Trauma and Surgical Critical University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1441-0890","authenticated-orcid":false,"given":"Mar\u00eda F.","family":"Escobar","sequence":"additional","affiliation":[{"name":"Unidad de Equidad Global en Salud Fundaci\u00f3n Valle del Lili  Cali Colombia"},{"name":"Departamento de Ginecolog\u00eda y Obstetricia Fundaci\u00f3n Valle del Lili  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Rodriguez\u2010Holgu\u00edn","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Valle del Lili  Cali Colombia"},{"name":"Centro de investigaciones cl\u00ednicas Fundaci\u00f3n Valle del Lili  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572\u2010020\u20100145\u20105"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2016.08.013"},{"key":"e_1_2_10_4_1","unstructured":"Burns Who.Int. https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/burns."},{"key":"e_1_2_10_5_1","first-page":"89","article-title":"A Comparison of Injury Scoring Systems in Predicting Burn Mortality","volume":"31","author":"Haigas B.","year":"2018","journal-title":"Annals of Burns and Fire Disasters"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.02.031"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/irae186"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/irab201"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2024.07.016"},{"key":"e_1_2_10_10_1","volume-title":"Social Determinants of Health","author":"World Health Organization","year":"2025"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/00031348231160845"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000004812"},{"key":"e_1_2_10_13_1","unstructured":"DANE\u2010\u00bfCu\u00e1ntos somos? 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