{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T18:46:50Z","timestamp":1781117210029,"version":"3.54.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Patients with burn injuries are often initially transported to centers without burn capabilities, requiring subsequent transfer to a higher level of care. This study aimed to evaluate the effect of this treatment delay on outcomes. Adult burn patients meeting American Burn Association criteria for transfer at a single burn center were retrospectively identified. A total of 122 patients were evenly divided into two cohorts\u2014those directly admitted to a burn center from the field vs those transferred to a burn center from an outlying facility. There was no difference between the transfer and direct admit cohorts with respect to age, percentage of total body surface area burned, concomitant injury, or intubation prior to admission. Transfer patients experienced a longer median time from injury to burn center admission (1 vs 8 hours, P &amp;lt; .01). Directly admitted patients were more likely to have inhalation burn (18 vs 4, P &amp;lt; .01), require intubation after admission (10 vs 2, P = .03), require an emergent procedure (18 vs 5, P &amp;lt; .01), and develop infectious complications (14 vs 5, P = .04). There was no difference in ventilator days, number of operations, length of stay, or mortality. The results suggest that significantly injured, high acuity burn patients were more likely to be immediately identified and taken directly to a burn center. Patients who otherwise met American Burn Association criteria for transfer were not affected by short delays in transfer to definitive burn care.<\/jats:p>","DOI":"10.1093\/jbcr\/irab092","type":"journal-article","created":{"date-parts":[[2021,6,4]],"date-time":"2021-06-04T19:51:18Z","timestamp":1622836278000},"page":"841-846","source":"Crossref","is-referenced-by-count":14,"title":["The Effect of Transfer on Outcomes in Burns"],"prefix":"10.1093","volume":"42","author":[{"given":"Nathan E","family":"Bodily","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7095-9653","authenticated-orcid":false,"given":"Elizabeth H","family":"Bruenderman","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6288-2788","authenticated-orcid":false,"given":"Neal","family":"Bhutiani","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selena","family":"The","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica E","family":"Schucht","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew C","family":"Bozeman","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,6,4]]},"reference":[{"key":"2021093015540545700_CIT0001","author":"Burn","year":"2019"},{"key":"2021093015540545700_CIT0002","doi-asserted-by":"crossref","first-page":"e263","DOI":"10.1097\/BCR.0b013e3182504450","article-title":"Tracking non-burn center care: what you don\u2019t know may surprise you","volume":"33","author":"Davis","year":"2012","journal-title":"J Burn Care Res"},{"key":"2021093015540545700_CIT0003","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1093\/jbcr\/28.1.134","article-title":"Guidelines for the operation of burn centers","volume":"28","author":"American Burn Association\/American College of Surgeons","year":"2007","journal-title":"J Burn Care Res"},{"key":"2021093015540545700_CIT0004","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.surg.2020.01.005","article-title":"Effect of transfer status on outcomes of emergency general surgery patients","volume":"168","author":"Philip","year":"2020","journal-title":"Surgery"},{"key":"2021093015540545700_CIT0005","first-page":"602","article-title":"Rapid discharge after transfer: risk factors, incidence, and implications for trauma systems","volume":"69","author":"Osen","year":"2010","journal-title":"J Trauma"},{"key":"2021093015540545700_CIT0006","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1093\/jbcr\/iry060","article-title":"Emergency care of the burn patient before the burn center: a systematic review and meta-analysis","volume":"40","author":"Harshman","year":"2019","journal-title":"J Burn Care Res"},{"key":"2021093015540545700_CIT0007","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1503\/cjs.014708","article-title":"Does direct transport to provincial burn centres improve outcomes? A spatial epidemiology of severe burn injury in British Columbia, 2001\u20132006","volume":"55","author":"Bell","year":"2012","journal-title":"Can J Surg"},{"key":"2021093015540545700_CIT0008","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/j.burns.2015.01.016","article-title":"Transfer time to a specialist burn service and influence on burn mortality in Australia and New Zealand: a multi-centre, hospital based retrospective cohort study","volume":"41","author":"Cassidy","year":"2015","journal-title":"Burns"},{"key":"2021093015540545700_CIT0009","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.burns.2018.01.002","article-title":"Effect of primary admission to burn centers on the outcomes of severely burned patients","volume":"44","author":"Ehrl","year":"2018","journal-title":"Burns"},{"key":"2021093015540545700_CIT0010","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1016\/j.burns.2016.06.024","article-title":"Inter-facility transfer of pediatric burn patients from U.S. Emergency Departments","volume":"42","author":"Johnson","year":"2016","journal-title":"Burns"},{"key":"2021093015540545700_CIT0011","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1097\/00004630-199909000-00002","article-title":"Early burn center transfer shortens the length of hospitalization and reduces complications in children with serious burn injuries","volume":"20","author":"Sheridan","year":"1999","journal-title":"J Burn Care Rehabil"},{"key":"2021093015540545700_CIT0012","first-page":"229","article-title":"The cost of burn transfers: a retrospective review of 7 years of admissions to a regional burn center","volume":"39","author":"Austin","year":"2018","journal-title":"J Burn Care Res"},{"key":"2021093015540545700_CIT0013","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.surg.2020.08.022","article-title":"An evaluation of emergency general surgery transfers and a call for standardization of practices","volume":"169","author":"Bruenderman","year":"2021","journal-title":"Surgery"},{"key":"2021093015540545700_CIT0014","first-page":"1037","article-title":"The use of telemedicine for real-time video consultation between trauma center and community hospital in a rural setting improves early trauma care: preliminary results","volume":"51","author":"Rogers","year":"2001","journal-title":"J Trauma"},{"key":"2021093015540545700_CIT0015","doi-asserted-by":"crossref","first-page":"e531","DOI":"10.1097\/BCR.0000000000000268","article-title":"Video-enhanced telemedicine improves the care of acutely injured burn patients in a rural state","volume":"37","author":"Wibbenmeyer","year":"2016","journal-title":"J Burn Care Res"},{"key":"2021093015540545700_CIT0016","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1097\/TA.0000000000001188","article-title":"Rural Trauma Team Development Course decreases time to transfer for trauma patients","volume":"81","author":"Dennis","year":"2016","journal-title":"J Trauma Acute Care Surg"}],"container-title":["Journal of Burn Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/irab092\/38832990\/irab092.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jbcr\/article-pdf\/42\/5\/841\/40484719\/irab092.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jbcr\/article-pdf\/42\/5\/841\/40484719\/irab092.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T19:16:07Z","timestamp":1633029367000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbcr\/article\/42\/5\/841\/6292162"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,4]]},"references-count":16,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,6,4]]},"published-print":{"date-parts":[[2021,9,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jbcr\/irab092","relation":{},"ISSN":["1559-047X","1559-0488"],"issn-type":[{"value":"1559-047X","type":"print"},{"value":"1559-0488","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,9,1]]},"published":{"date-parts":[[2021,6,4]]}}}