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241 posters, 10 topics, 7 sessions, 899 authors, 296 institutions

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The AAPS 103rd Annual Meeting 2025

May 24-27, 2025 | Austin, Texas

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D70

Far Out: Evaluating The Impact Of Distance On Acute Burn Outcomes

Part of Topic

Education/Practice Management/Other

Background:

Burn centers are disproportionately concentrated in urban areas, threatening to produce health disparities among rural patients.

Delays in treatment can lead to longer hospital stays, higher risk of complications, delayed wound healing, and increased mortality.

Existing racial disparities in burn outcomes are well documented. A recent study found Black patients had the highest mortality rates, American Indian/Alaskan Native patients faced more complications, and all minoritized groups had longer hospital stays than White patients.

 

Aims:

Assess the effect of patients’ distance from the nearest burn center on acute burn outcomes

Explore the association between race and distance from the burn center

 

Methods:

5-year retrospective review of patients presenting with acute burn injuries at a single ABA-verified burn center
Primary outcomes: Effect of distance on acute burn
Secondary outcomes: Patient demographics, comorbidities, burn etiology, distances from burn center, acute burn injury complications
Linear regression, analysis of variance
 
Results:
Distance from the burn center was not significantly associated with mortality or the acute burn outcomes measured
Greater distance was significantly associated with longer delays between injury and admission
 
Discussion:

The lack of association between acute burn outcomes and distance may be attributed to rapid and effective stabilization and transportation of patients.

Native Hawaiians/Pacific Islanders lived significantly farther than any other group, which may indicate a lack of access to healthcare among this population

The institution where this study was conducted is in an urban area, and according to the ABA, the closest burn center to ours is a 10-minute drive away. Beyond that, the next closest is in a different state. 

 

Conclusions:

Efforts in this area should be geared towards telemedicine for remote consultations and more robust community education on the treatment of acute burns, especially for those without access to care.

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