{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:24:26Z","timestamp":1759332266473,"version":"3.37.3"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T00:00:00Z","timestamp":1719964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Burn injury contributes to significant morbidity and mortality in the United States. Despite an increased focus on racial and ethnic disparities in healthcare, there remains a critical knowledge gap in our understanding of the effect of these disparities on complications experienced by burn patients. The American Burn Association\u2019s National Burn Repository data were reviewed from 2010 to 2018. Information regarding demographics, burn mechanism and severity, complications, and clinical outcomes were recorded. Data analysis was performed using 1:1 propensity score matching and logistic regression modeling. A separate analysis of Hispanic and non-Hispanic patients was performed using Chi-squared tests. Among 215,071 patients, racial distribution was 65.16% White, 19.13% Black, 2.18% Asian, 0.74% American Indian\/Alaskan Native, and 12.78% other. Flame injuries were the most common cause (35.2%), followed by scald burns (23.3%). All comparisons were made in reference to the White population. Black patients were more likely to die (OR: 1.28; 95% CI, 1.17-1.40), experience all (OR: 1.08; 95% CI, 1.03-1.14), cardiovascular (OR: 1.24; 95% CI, 1.08-1.43), or infectious (OR: 1.64; 95% CI, 1.40-1.91) complications, and less likely to experience airway complications (OR: 0.83; 95% CI, 0.74-0.94). American Indian\/Alaskan Native patients were more likely to experience any complication (OR: 1.33; 95% CI, 1.05-1.70). All minority groups had increased length of hospital stay. Black, Asian, and other patients had longer length of ICU stay. Black patients had longer ventilator duration. Among 82 775 patients, 24 075 patients were identified as Hispanic and 58 700 as non-Hispanic. Statistically significant differences were noted between groups in age, total body surface area, proportion of 2nd-degree burn, and proportion of 3rd-degree burn (P &amp;lt; .01). These findings highlight the need for further work to determine the etiology of these disparities to improve burn care for all patients.<\/jats:p>","DOI":"10.1093\/jbcr\/irae126","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T08:58:55Z","timestamp":1719997135000},"page":"38-47","source":"Crossref","is-referenced-by-count":2,"title":["A Comparison of Racial and Ethnic Disparities in Complications Following Burn Injury in Adult Patients"],"prefix":"10.1093","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5455-7291","authenticated-orcid":false,"given":"Mecklin V","family":"Ragan","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Nationwide Children\u2019s Hospital , Columbus, OH 43205 ,","place":["USA"]},{"name":"Department of Surgery, Inova Fairfax Hospital , Falls Church, VA 22042 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6876-2667","authenticated-orcid":false,"given":"Sibelle Aurelie","family":"Yemele Kitio","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine, Nationwide Children\u2019s Hospital , Columbus, OH 43205 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9835-3933","authenticated-orcid":false,"given":"Katherine C","family":"Bergus","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Nationwide Children\u2019s Hospital , Columbus, OH 43205 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha J","family":"Wala","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Nationwide Children\u2019s Hospital , Columbus, OH 43205 ,","place":["USA"]},{"name":"Department of Surgery, Oregon Health & Science University , Portland, OR 97239 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4764-2927","authenticated-orcid":false,"given":"Kelli N","family":"Patterson","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Ohio State Wexner Medical Center , Columbus, OH 43210 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olubukola O","family":"Nafiu","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Pain Medicine, Nationwide Children\u2019s Hospital , Columbus, OH 43205 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2553-8574","authenticated-orcid":false,"given":"Rajan K","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Nationwide Children\u2019s Hospital , Columbus, OH 43205 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana M","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Nationwide Children\u2019s Hospital , Columbus, OH 43205 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,7,3]]},"reference":[{"issue":"2","key":"2025012508563756500_CIT0001","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1093\/jbcr\/irab174","article-title":"The impact of race\/ethnicity on the outcomes of burn patients: a systematic review of the literature","volume":"43","author":"Peters","year":"2022","journal-title":"J Burn Care Res"},{"volume-title":"Web-Based Injury Statistics Query and Reporting System (WISQARS)","year":"2003","author":"National Center for Injury Prevention and Control","key":"2025012508563756500_CIT0002"},{"issue":"3","key":"2025012508563756500_CIT0003","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1097\/BCR.0000000000000416","article-title":"A national study of the effect of race, socioeconomic status, and gender on burn outcomes","volume":"38","author":"Bedri","year":"2017","journal-title":"J Burn Care Res"},{"issue":"5","key":"2025012508563756500_CIT0004","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1016\/j.amjsurg.2018.01.028","article-title":"Patient and social characteristics contributing to disparities in outcomes after burn injury: application of database research to minority health in the burn population","volume":"216","author":"Chen","year":"2018","journal-title":"Am J Surg"},{"issue":"1","key":"2025012508563756500_CIT0005","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.amjsurg.2018.08.013","article-title":"Racial disparities exist among burn patients despite insurance coverage","volume":"218","author":"Murphy","year":"2019","journal-title":"Am J Surg"},{"issue":"1","key":"2025012508563756500_CIT0006","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1093\/jbcr\/irz139","article-title":"Nonmedical factors influencing early deaths in burns: a study of the national burn repository","volume":"41","author":"Nygaard","year":"2020","journal-title":"J Burn Care Res"},{"issue":"2","key":"2025012508563756500_CIT0007","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1097\/BCR.0000000000000064","article-title":"National trends in burn and inhalation injury in burn patients: results of analysis of the nationwide inpatient sample database","volume":"36","author":"Veeravagu","year":"2015","journal-title":"J Burn Care Res"},{"volume-title":"National Burn Repository: Report of Data from 2008-2018","year":"2018","author":"American Burn Association","key":"2025012508563756500_CIT0008"},{"key":"2025012508563756500_CIT0009","volume-title":"Resources for Optimal Care of the Injured Patient: 2022 Standards","author":"Surgeons AQPotACo","year":"2022","edition":"7"},{"issue":"5","key":"2025012508563756500_CIT0010","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1097\/BCR.0B013E318148C9AC","article-title":"National study of Emergency Department visits for burn injuries, 1993 to 2004","volume":"28","author":"Fagenholz","year":"2007","journal-title":"J Burn Care Res"},{"issue":"1","key":"2025012508563756500_CIT0011","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1097\/BCR.0000000000000093","article-title":"Are burn patients really at risk for thrombotic events","volume":"36","author":"Satahoo","year":"2015","journal-title":"J Burn Care Res"},{"issue":"1","key":"2025012508563756500_CIT0012","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1097\/BCR.0000000000000115","article-title":"Regional and national review of factors associated with burn wound cellulitis","volume":"36","author":"Heard","year":"2015","journal-title":"J Burn Care Res"},{"issue":"5","key":"2025012508563756500_CIT0013","doi-asserted-by":"publisher","first-page":"734","DOI":"10.1097\/BCR.0b013e3181eebe76","article-title":"Variations in U.S. pediatric burn injury hospitalizations using the national burn repository data","volume":"31","author":"Kramer","year":"2010","journal-title":"J Burn Care Res"},{"issue":"4","key":"2025012508563756500_CIT0014","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1177\/000313481207800432","article-title":"Profiling the ethnic characteristics of domestic injuries in children younger than age 5 years","volume":"78","author":"Oyetunji","year":"2012","journal-title":"Am Surg"},{"issue":"2","key":"2025012508563756500_CIT0015","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1016\/j.burns.2018.09.018","article-title":"Burn injury outcome differences in Native Americans","volume":"45","author":"Swann","year":"2019","journal-title":"Burns"},{"issue":"1","key":"2025012508563756500_CIT0016","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1186\/s12939-021-01436-z","article-title":"The convergence of racial and income disparities in health insurance coverage in the United States","volume":"20","author":"Lee","year":"2021","journal-title":"Int J Equity Health"},{"issue":"2","key":"2025012508563756500_CIT0017","doi-asserted-by":"publisher","first-page":"1248","DOI":"10.1111\/1475-6773.12711","article-title":"The impact of the ACA medicaid expansions on health insurance coverage through 2015 and coverage disparities by age, race\/ethnicity, and gender","volume":"53","author":"Wehby","year":"2018","journal-title":"Health Serv Res"}],"container-title":["Journal of Burn Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/irae126\/58682036\/irae126.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/46\/1\/38\/58682036\/irae126.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/46\/1\/38\/58682036\/irae126.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T08:56:49Z","timestamp":1737795409000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbcr\/article\/46\/1\/38\/7704558"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,3]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,7,3]]},"published-print":{"date-parts":[[2025,1,24]]}},"URL":"https:\/\/doi.org\/10.1093\/jbcr\/irae126","relation":{},"ISSN":["1559-047X","1559-0488"],"issn-type":[{"type":"print","value":"1559-047X"},{"type":"electronic","value":"1559-0488"}],"subject":[],"published-other":{"date-parts":[[2025,1]]},"published":{"date-parts":[[2024,7,3]]}}}