910 Trends in Pediatric Burn Incidence and Care: Comparative Analysis of Burn Centres and Non-specialized Facilities
Bibliographic record
Abstract
Abstract Introduction Burn centres are established to provide specialized care for burn patients, ensuring they receive the necessary intensity and expertise for the best outcomes. In our province, the volume of patients treated at specialized burn centres has increased, even though pediatric burn injury rates have declined in other high-income countries. It is unclear whether this increase reflects a rise in severe burn incidence in our province or changes in how burn care is delivered. We aimed to examine temporal trends in pediatric burn incidence, focusing on different types of hospitals (burn centres vs. non-specialized facilities) and target population (pediatric vs. adult/mixed population burn centres). Methods This was a population-based repeated, cross-sectional study using linked health administrative datasets. Using emergency department and hospital records, we identified all children 0-17 years old with a hospital visit for burn injury between 2003-2022. Burn injury trends for burns treated at burn centres vs. non-specialized facilities and pediatric vs. adult/mixed population burn centres were tested with Poisson regression. Results Over 20 years, pediatric burn injury incidence decreased by 37% (165/100,000 to 104/100,000 population; relative rate [RR] 0.98, 95% confidence interval [CI] 0.98-0.98). Burn injuries managed at non-specialized facilities decreased 45% (144/100,000 to 79/100,000 population; RR 0.97, 95% CI 0.97-0.97) while those managed at burn centres increased 20% (21/100,000 to 25/100,000 population; RR 1.02, 95% CI 1.01-1.03) over this same period. While pediatric burns treated at adult/mixed population burn centres decreased 36% (7.6/100,000 to 4.9/100,000; RR 0.98, 95% CI 0.97-0.98), those treated at stand-alone pediatric burn centres increased 51% (13/100,000 to 20/100,000; RR 1.03, 95% CI 1.03-1.04) over the study period. Conclusions Pediatric burn incidence has declined over 20 years with a concomitant increased proportion managed at burn centres. Pediatric burn care has also shifted from adult/mixed population to stand-alone pediatric burn centres. Applicability of Research to Practice Shifts in delivery of care over 20 years demonstrate increasing trends of pediatric burns being treated at burn centres. Given the observed changes, ensuring the intensity of burn services and expertise available match the needs of patients and their injuries is important for efficiency and health care quality. Funding for the Study This study was funded by a Studentship Award.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.003 | 0.005 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".