Mortality data 2004-2019: an audit of the Royal Adelaide Hospital Adult Burn Service.
BACKGROUND
Burns are complex, multifaceted injuries that can pose significant challenges to the treating team. The Royal Adelaide Hospital (RAH) Burns Service has undergone a major evolution over the past two decades, with perceived improvement in outcomes. We present here a longitudinal audit of the RAH Burns Service Mortality Data between 2004 and 2019.


METHODS
An audit was conducted of all index admissions to the RAH Burns Unit from 1 January 2004 to 31 December 2019. Age at admission, total body surface area, burn depth, presence of inhalation injury and outcome were recorded. Baux and revised Baux Scores were calculated. Lethal Area 50% for different time points and age groups, Baux50/100 and Revised Baux50/100 values were then calculated using logistical regression.


RESULTS
During 2004-2019, there were 5653 index admissions to the RAH Burns Unit. The mean total body surface area of burn injuries admitted was 5.1% and the survival rate was 99.17%. The Lethal Area 50% for the study period was 74%, with an improvement from 70% (2004-2011) to 80% (2012-2019). The Baux50 score for the time period was 120 and the Revised Baux50 was 129.


CONCLUSION
The RAH results are comparable with other high-income country Burn Services and demonstrated significant improvement across the study period. The data also highlight areas for ongoing focus such as the elderly burns patient.
['Stefani|Kristian|K|0000-0001-9470-2924', 'Wagstaff|Marcus J D|MJD|', 'Damkat|Ivo|I|', 'Greenwood|John E|JE|']
D000328:Adult D000368:Aged D001830:Body Surface Area D002053:Burn Units D002056:Burns D017052:Hospital Mortality D006761:Hospitals D006801:Humans D016015:Logistic Models D012189:Retrospective Studies
mortality Baux Score Adult burn care LA50