Citation

Austin RE, Schlagintweit S, Jeschke MG, Macdonald R, Ahghari M, Shahrokhi S. J. Burn Care Res. 2018; 39(2): 229-234.

Affiliation

From the *Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Ontario, Canada; †Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, Canada; ‡Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada; §Ornge, Mississauga, Ontario, Canada; and ‖Division of Emergency Medicine, Department of Medicine, Faculty of Medicine, University of Toronto, Ontario, Canada.

Copyright

(Copyright © 2018, American Burn Association, Publisher Lippincott Williams and Wilkins)

DOI

10.1097/BCR.0000000000000577

PMID

28570313

Abstract

The transport of thermally injured patients can involve significant costs; however, not all thermally injured patients necessitate transfer to a burn center. The purpose of this study was to review transfers to an American Burn Association-verified regional burn center to determine whether the transfers were necessary and the cost associated with unnecessary transfers. A retrospective chart review identified 707 patients transferred to an American Burn Association-verified burn center with an acute burn injury during a 7-year period. For the purposes of this study, "unnecessary transfer" was defined as any patient admitted fewer than 7 days who did not undergo operative intervention. Transfer cost estimates were based on records from regional land paramedic and land and air medical transport services. In total, 27.3% of transfers were potentially "unnecessary transfers," with an associated cost of approximately $227,396.93 (18.9% of total transfer costs in study). Average unnecessary transfer cost varied by method of transport: land ambulance (n = 130) $285.72, helicopter (n = 27) $4,136.34, and airplane (n = 15) $4,908.67. The transfer of thermally injured patients is associated with significant cost. Unnecessary transfers represent an inefficient use of a limited resource in an already strained healthcare system. The findings of this study suggest that further initiatives should be explored to ensure the appropriate transfer of thermally injured patients.

Language: en