Developing a Statewide System for Prehospital Routing of Burn Injuries

Introduction: In the USA, traumatic injuries are leading cause of death before age 45 and have significantly lower mortality if treated in a verified trauma center. Burn included statistics represent 1.1 million injured people annually seeking medical assistance. Routing burn to ABA-recognized centers has yet be assessed as it injury. Our goal was examine impact prehospital routing on hospital length stay, mortality, potential costs-of-care through statewide care coordination Method: study is retrospective analysis from 01/01/2017 thru 12/31/2019 using Louisiana Hospital Inpatient Discharge Database. patients implemented 2018 ABA referral criteria. Data included: total admissions with primary diagnosis, region, discharge status, raw by region state. Descriptive comparative were performed assess burn-injured patients. Cost Medicaid per diem rates 2021 at $1,907.92/day. Results: 1,288 during period, 855 post-routing 433 pre-routing. The mean stay reduced 11.84 days 2017 8.82 (p value=0.0988), savings 761 inpatient or $2.17 million. Overall across state unchanged except highest volume where dropped 7.9% 3.6% 2019 (54%). Conclusion: time-sensitive trauma. This marks first pre post-implementation for demonstrates improvement but continued need other contributing factors, such injury severity concomitant