Epidemiology of hospitalized burn patients based on data from the Medical Information Systems Program (PMSI)
Introduction. Burns can result in death or significant physical and psychological sequelae. Their management requires costly resources. The objective of this study was to describe the sociodemographic profile of individuals hospitalized for burns. Methods. Data from the 2010 Medical Information Systems Program were analyzed for metropolitan France. Hospital stays with a primary diagnosis of burns, coded T20 to T32 in the International Classification of Diseases, were analyzed. A description of trends from 2008 to 2010 was conducted. Results. In 2010, the number of hospitalizations for burns totaled 12,035. In 48% of cases, hospitalizations took place in a hospital with a burn treatment center. These cases involved 8,955 patients, predominantly men (59% among those under 15 years of age, 66% among those over 15 years of age). Nearly one in five burn victims was a child under the age of two. The mean age was 29.9 years, and the median age was 26 years. Victims of severe burns accounted for 5% of the total and were more common among older individuals (p < 0.001): 3% of all burn patients under 15 years of age, 6% among those aged 15 to 49, and 8% among those over 50. The average length of hospital stay was 10.6 days (36.6 days for patients with severe burns). The number of in-hospital deaths was 209, representing a case-fatality rate of 2.3%. These results are similar to those from 2008 and 2009. Discussion and conclusion. The PMSI provides a good description of burn patients in the hospital. A project to code the causes of burns in the PMSI, developed in major burn units, will improve these epidemiological results and guide prevention efforts. (R.A.)
Author(s): Rigou A, Thelot B
Publishing year: 2012
Pages: S32
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