Current Meeting Home Final Program Past & Future Meetings

Back to 2015 Annual Meeting Posters


Elevated Hemoglobin A1C Predicts Longer Hospital Stays for Diabetic Burn Patients
*Stacey Rotta, Roselle Crombie, Walter Cholewczynski, *Katharine Connolly, *Shea Gregg, Nabil Atweh, Alisa Savetamal
Bridgeport Hospital, Bridgeport, CT

Objective:
In current literature, expected hospital length of stay for a burn patient is 1 day per 1% TBSA burn; for diabetic patients, we observe that length of stay is much longer. We retrospectively reviewed our data to determine how a diabetic patient’s hemoglobin A1C level related to length of stay.
Design:
Retrospective chart review
Setting:
Verified burn center, admitted patients
Patients:
The charts of all patients admitted to the burn unit in 2013 and 2014 were reviewed: 622 total patients, 44 had diabetes at the time of their burn. After excluding patients with incomplete charts, 26 patients were included. Burn size ranged from 0.5% - 18% TBSA.
Interventions:
No specific interventions; patients were treated according to standard of care during their time in the burn unit and charts were reviewed after completion of treatment.
Main Outcome Measures:
To determine if admission HbA1C may predict hospital length of stay for diabetic patients with burn injury
Results:
For patients with well-controlled diabetes, HbA1C 5.0 - 6.9, total length of stay was 1.91 times longer expected for the size of their burns (63 actual days vs. 33.5 expected days). Patients with poorly controlled diabetes, HbA1C 7.0 - 14.0, hospital length of stay was 3.37 times longer than expected for burn size (295 actual days vs 87.5 expected days). Not statistically significant.
Conclusions:
Diabetic patients may have 2-3 times longer lengths of stays than expected for TBSA burn, especially if HbA1C is above 7.0. These results have a low power, so additional studies with a larger sample size will be needed in the future.


Back to 2015 Annual Meeting Posters


© 2021 New England Surgical Society. All Rights Reserved. Privacy Policy.