{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T14:19:04Z","timestamp":1782742744596,"version":"3.54.5"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100009157","name":"National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Burn Model Systems","award":["90DBPU0009"],"award-info":[{"award-number":["90DBPU0009"]}]},{"name":"Burn Model Systems","award":["90DBPU0006"],"award-info":[{"award-number":["90DBPU0006"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Despite improved safety standards, motor vehicle collisions remain a significant source of flame burn injury. The objective of this study is to characterize differences in demographics and outcomes between patients with burn injuries related to motor vehicle collisions and patients with flame burn injuries not involved in motor vehicle collisions. The analysis included participants enrolled in the Burn Model Systems from 2015 to 2023. Conveyance burn participants had more amputations than patients with non-conveyance burn injuries (15% vs 4.9%, P &amp;lt; .001), with an increase in lower extremity amputations (2.5% vs 0.7%, P = .027). In addition, conveyance burns involved a greater total body surface area (TBSA) (26% vs 23%, P &amp;lt; .034) and were associated with longer hospital stays (40\u00a0days vs 33\u00a0days, P &amp;lt; .006). Participants who sustained injuries during conveyance demonstrated significantly lower global physical health t-scores (42.3 vs 44.1, P = .037) and physical function t-scores (42.0 vs 46.1, P = .002) at 6\u00a0months postinjury compared with those with non-conveyance flame burns. In addition, conveyance burn participants reported significantly lower t-scores for their ability to participate in social roles at 6\u00a0months (48.8 vs 50.8, P = .044) and 12\u00a0months postinjury (49.9 vs 54.0, P = .015). This study highlights the significant impact of conveyance-related burn injuries, particularly with respect to higher amputation rates and poorer early physical outcomes, compared with non-conveyance flame burns. This supports the need for targeted preventive strategies, especially those focused on vehicle maintenance and safety among younger and underrepresented populations.<\/jats:p>","DOI":"10.1093\/jbcr\/iraf230","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T12:51:25Z","timestamp":1766235085000},"page":"788-795","source":"Crossref","is-referenced-by-count":1,"title":["Risk of Amputation and Associated Outcomes in Conveyance Burn Injuries, a Burn Model System Project"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7767-0983","authenticated-orcid":false,"given":"Isabella","family":"Alexander","sequence":"first","affiliation":[{"name":"University of Texas Southwestern Medical Center , Dallas, TX ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunyeop","family":"Kim","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center , Dallas, TX ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3512-2780","authenticated-orcid":false,"given":"Andrew","family":"Humbert","sequence":"additional","affiliation":[{"name":"University of Washington Department of Rehabilitation Medicine , Seattle, WA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M Victoria P","family":"Miles","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Science Center , New Orleans, LA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel P","family":"Mandell","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center , Dallas, TX ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audra T","family":"Clark","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center , Dallas, TX ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2729-3328","authenticated-orcid":false,"given":"Karen J","family":"Kowalske","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center , Dallas, TX ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"2026050508220865700_ref1","volume-title":"Thermal Burns","author":"Schaefer","year":"2025"},{"key":"2026050508220865700_ref2","doi-asserted-by":"publisher","first-page":"1958","DOI":"10.1016\/j.burns.2020.06.020","article-title":"Demographics and clinical outcomes of adult burn patients admitted to a single provincial burn centre: a 40-year review","volume":"46","author":"Nickel","year":"2020","journal-title":"Burns"},{"key":"2026050508220865700_ref3","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1016\/j.jamcollsurg.2017.06.004","article-title":"Association between burn injury and mental illness among burn survivors: a population-based, self-matched, longitudinal cohort study","volume":"225","author":"Mason","year":"2017","journal-title":"J Am Coll Surg"},{"key":"2026050508220865700_ref4","doi-asserted-by":"publisher","first-page":"1766","DOI":"10.1016\/j.burns.2016.06.001","article-title":"Acute mental disorders and short and long term morbidity in patients with third degree flame burn: a population-based outcome study of 96,451 patients from the Nationwide Inpatient Sample (NIS) database (2001-2011)","volume":"42","author":"Mahendraraj","year":"2016","journal-title":"Burns"},{"key":"2026050508220865700_ref5","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1097\/01.BCR.0000245653.30648.A0","article-title":"Burn injury caused by motor vehicle use and repair","volume":"27","author":"O\u2019Mara","year":"2006","journal-title":"J Burn Care Res"},{"key":"2026050508220865700_ref6","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1016\/0001-4575(91)90004-o","article-title":"Impact-induced car fires\u2014a comprehensive investigation","volume":"23","author":"Malliaris","year":"1991","journal-title":"Accid Anal Prev"},{"key":"2026050508220865700_ref7","doi-asserted-by":"publisher","first-page":"1535","DOI":"10.1016\/j.burns.2013.09.014","article-title":"Mechanisms of motor vehicle crashes related to burns\u2014an analysis of the German In Depth Accident Study (GIDAS) database","volume":"39","author":"Brand","year":"2013","journal-title":"Burns"},{"key":"2026050508220865700_ref8","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1016\/j.aap.2011.10.008","article-title":"Crash and burn? 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