{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T13:28:46Z","timestamp":1779888526128,"version":"3.53.1"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T00:00:00Z","timestamp":1726012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012737","name":"Victorian Department of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012737","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004752","name":"State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004752","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001250","name":"Transport Accident Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001250","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of the present study was to examine the profile, management and outcomes of adult patients with severe burns within the Victorian State Trauma System (VSTS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the Victorian State Trauma Registry (VSTR) was analysed to characterise patient and injury characteristics and review pre\u2010hospital management and clinical outcomes of adult patients with severe burns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 421 cases over 13\u2009years of the study. Approximately 80% of cases were flame burns, and 5% were associated with other significant trauma. Approximately 75% were male; with 83% of patients under 65\u2009years old, 40% of lower socioeconomic status, 25% having pre\u2010existing drug and alcohol involvement, and 36% living with associated comorbidities. All but 11 patients (of 421) were managed definitively at the burns service. Around one\u2010third of patients had interhospital transfer, with median (interquartile range (IQR)) time spent in the primary hospital 3.0 (1.9\u20134.3) h. Only five patients had multiple interhospital transfers. Nearly 75% of patients were admitted to an ICU. The median (IQR) length of definitive hospital stay was 27.2 (11.2\u201344.9) days. The mortality rate was 23.8%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Severe burns are uncommon injuries with high mortality. There is a high rate of adherence to VSTS guidelines for managing patients with severe burns, and a decrease in patients requiring transfer associated with an increase in acceptable time to a trauma\u2010receiving hospital. The VSTS operates to deliver almost all patients with severe burns to the definitive burns service efficiently.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.14495","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T04:09:59Z","timestamp":1726114199000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Trauma system management of adults with severe burns in <scp>Victoria<\/scp>, <scp>Australia<\/scp>"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2295-254X","authenticated-orcid":false,"given":"Heather","family":"Cleland","sequence":"first","affiliation":[{"name":"Victorian Adult Burns Service Alfred Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery, Central Clinical School Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1443-557X","authenticated-orcid":false,"given":"Peter","family":"Cameron","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"},{"name":"Emergency and Trauma Centre The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Gabbe","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2019.04.006"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0197507"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ebj3030034"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2015.07.002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/BCR.0b013e3181b47ed2"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001633"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2016.08.028"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2022.11.004"},{"key":"e_1_2_9_10_1","unstructured":"Australian Bureau of Statistics.Snapshot of Victoria [Internet]. 2022 [Cited 19 Dec 2023.]. Available from URL:https:\/\/www.abs.gov.au\/articles\/snapshot-vic-2021"},{"key":"e_1_2_9_11_1","unstructured":"Australian and New Zealand Burns Association.Burns Referral Criteria [Internet]. 2019 [Cited 20 Mar 2024.]. Available from URL:https:\/\/anzba.org.au\/care\/referral-criteria\/"},{"key":"e_1_2_9_12_1","unstructured":"Victorian Department of Health.Trauma Victoria [Internet]. 2023 [Cited 20 Dec 2023.]. Available from URL:https:\/\/trauma.reach.vic.gov.au\/"},{"key":"e_1_2_9_13_1","unstructured":"Victorian State Trauma Outcomes Registry and Monitoring Group (VSTORM) [Internet]. [Cited 4 Jan 2024.]. Available from URL:https:\/\/www.monash.edu\/medicine\/sphpm\/vstorm"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc9300"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17985"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2018.01.002"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/irab092"},{"key":"e_1_2_9_18_1","unstructured":"Ambulance Victoria.Clinical Practice Guidelines [Internet]. 2024:1\u2013356. Available from URL: chrome\u2010extension:\/\/efaidnbmnnnibpcajpcglclefindmkaj\/https:\/\/www.ambulance.vic.gov.au\/wp\u2010content\/uploads\/2024\/04\/ALS%20and%20MICA%20Paramedics%20Clinical%20Practice%20Guidelines%20April%202024.pdf"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/iry060"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13604"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.14495","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T23:26:06Z","timestamp":1741735566000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.14495"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,11]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/1742-6723.14495"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.14495","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,11]]},"assertion":[{"value":"2024-04-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14495"}}