To assess the characteristics of cooking-related burn injuries in children reported to World Health Organization Global Burn Registry.On 1 February 2021, we downloaded data from Registry on demographic and clinical patients younger than 19 years. We performed multivariate regressions identify risk factors predictive mortality total body surface area affected by burns.Of 2957 paediatric with injuries, 974 involved cooking (32.9%). More burns occurred boys (532 patients; 54.6%) girls, 2 years...

Summary Background: With the widespread use of electronic health records (EHRs) for many clinical tasks, interoperability with other information technology (health IT) is critical effective delivery care. While it generally recognized that poor negatively impacts patient care, little known about specific safety implications. Understanding implications will help prioritize efforts around architectures and standards. Objectives: Our objectives were to (1) identify incident reports reflect EHR...

Background: Reduction mammaplasty provides symptomatic relief to patients with macromastia. Insurance companies act as gatekeepers of health care by determining the medical necessity surgical procedures, including reduction mammaplasty. The authors sought evaluate insurance coverage and policy criteria for Methods: conducted a cross-sectional analysis U.S. policies on providers were selected based their enrolment data market share. telephone interviews Web-based searches identify policies....

Background Plastic surgery training continues to evolve with integrated residents spending more time in plastic versus general surgery. Herein, we provide an updated description of interprogram differences core general, plastic, and surgery-adjacent curricula. Methods We obtained rotation schedules from US residency websites or program coordinators for AY2021–2022. Rotation months were recorded categorized into Core General Surgery, Surgery-Adjacent. Rotations compared American Board Surgery...

Objectives Interruptions and distractions have been shown to be a frequent occurrence across health care linked negative outcomes that create potential patient safety risks. Although observational studies catalogued interruption frequency source, the impact of an is difficult observe. We analyzed event (PSE) reports related interruptions identify clinical processes reported frequently interrupted those interruptions. Methods retrospectively PSE entered by frontline staff between January 2013...

Introduction To date, upper extremity transplantation (UET) is the most frequently performed vascularized composite allotransplantation (VCA). Perceptions regarding donation among Americans, particularly in veterans and service members (VSMs), are largely unknown. Materials methods We administered a one-time survey to United States (US)-resident Amazon Mechanical Turk (MTurk) workers aged ≥18 years. Descriptive statistics were used summarize study data; frequencies percentages calculated for...

Objectives The increase in patient safety reporting systems has led to the challenge of effectively analyzing these data identify and mitigate hazards. Patient analysts, who manage reports, may be ill-equipped make sense report data. We sought understand cognitive needs analysts as they work leverage reports risk improve care. Methods Semistructured interviews were conducted with 21 from 11 hospitals across 3 healthcare systems. Data parsed into utterances coded extract major themes. Results...

As exposed regions of the body, head and neck are at increased risk burn injury. The cosmetic functional importance these anatomical means that burns can result in substantial morbidity mortality. Our objective was to characterize predictive factors for surgery discharge condition patients with internationally.We conducted an epidemiological study all 14 countries reported World Health Organization Global Burn Registry. Multivariate regression used identify variables surgical treatment...

Purpose The 2020–2021 interview cycle for integrated plastic surgery applicants was the first to be held virtually because of COVID-19 pandemic. Here, we detail largest study on applicant perceptions after virtual cycle. Methods A 35-question institutional review board–approved survey distributed medical students who had applied Johns Hopkins/University Maryland or University California San Diego residency programs during Survey questions assessed structure, strengths, and weaknesses...

Introduction After bariatric surgery, patients often experience redundant skin in the upper arms and medial thighs as sequelae of massive weight loss. Insurance companies have unpredictable criteria to determine medical necessity brachioplasty thighplasty, which are ascribed cosmetic procedures. We evaluated current insurance coverage characterized policy for extremity contouring postbariatric population. Methods conducted a cross-sectional analysis policies thighplasty January 2019. were...

Abstract Low-income regions carry the highest mortality burden of pediatric burns and attention to remedy these inequities has shifted from isolated mission trips toward building infrastructure for lasting improvements in surgical care. This study aims investigate disparities burn care their impact on outcomes. The multinational Global Burn Registry was queried all cases between January 2018 August 2021. rates were analyzed by chi-square multinomial regression. There a total 8537 which 3492...

Considerable controversy exists around the optimal age on which to operate for craniosynostosis. This study aims use data from American College of Surgeons National Surgical Quality Improvement Program-Pediatric assess impact operative hospital stay and outcomes. After excluding patients who underwent endoscopic cranial vault remodeling, a total 3292 met inclusion criteria in between 2012 2019. Median at surgery was 300 days (interquartile range: 204–494). Patients 0 6 months highest...

Medical team training (MTT) conducted in a virtual environment fosters growth cognitive, technical, and clinical aptitudes while offering advantages of flexibility, cost, ease scheduling over traditional high- fidelity simulations. Growing technology facilitates innovations to improve the ability emulate roles, rules, resources, fidelity. Our objective was evaluate elements key features that inform technical specifications for A narrative review included 27 articles as relevant elaborate on...

Abstract Introduction Burn injuries cost the USA ~$976.6 million annually. Physician reimbursement has lagged despite years of lobbying by physician groups. The Centers for Medicare and Medicaid Services plan to cut 4.2% in 2023. Evaluating data hospital-based procedures is timely, including burn procedures. We hypothesized trends common decreased from 2010-2022. Methods obtained pricing publicly-available Fee Schedule Look-Up Tool 26 Current Procedural Terminology (CPT) codes:...

Abstract Food security (FS) is defined as access to sufficient and nutritious food. Children, especially those in low- middle- income countries (LMICs), are disproportionately affected by low FS. We hypothesized high FS would be predictive of decreased pediatric postburn mortality LMICs. Publicly-available, deidentified datasets were obtained from the World Health Organization’s Global Burn Registry (GBR) Economist Intelligence Unit’s Index (GFSI). The GFSI calculates scores annually...

Introduction As of 2008, the United States had 41,000 people living with upper extremity amputation. This number is projected to reach 300,000 by 2050. Human transplantation (HUET) may become a more common treatment option potential significantly improve quality life for certain amputees. Awareness and opinions regarding HUET among Americans, particularly in Veterans/Service Members (VSM) affiliates, are largely unknown. Materials methods We administered survey on Amazon Mechanical Turk...

Home oxygen therapy (HOT) burns carry high morbidity and mortality. Many patients are active smokers, which is the most frequent cause of ignition. We conducted a retrospective review at our institution to characterize demographics outcomes in this patient population. An IRB-approved single-institution was for home burn between July 2016 January 2021. Demographic clinical outcome data were compared groups. identified 100 with burns. Mean age 66.6 years male female ratio 1.3:1 median surface...

Objective: The aim of this study was to investigate the impact insurance status on mandible fracture management and outcomes at national level. Summary: role in has not been well-characterized. Methods: We conducted a cross-sectional observational adults diagnosed with mandibular fractures from 2002 2019 using National Inpatient Sample. Outcomes interest included open reduction internal fixation (ORIF) surgery versus no intervention, days ORIF, length stay (LOS), admission cost, home...