The burden of disease of fatal and non-fatal burn injuries for the full spectrum of care in the Netherlands

Abstract Background A comprehensive overview of the burden of disease of burns for the full spectrum of care is not available. Therefore, we estimated the burden of disease of burns for the full spectrum in the Netherlands in 2018, and explored whether the burden of disease changed over the past 5 y...

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Main Authors: Inge Spronk, Margriet E. van Baar, Robert A. Verheij, Martien J. Panneman, Jan Dokter, Suzanne Polinder, Juanita A. Haagsma
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Archives of Public Health
Subjects:
Online Access:https://doi.org/10.1186/s13690-022-01020-z
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author Inge Spronk
Margriet E. van Baar
Robert A. Verheij
Martien J. Panneman
Jan Dokter
Suzanne Polinder
Juanita A. Haagsma
author_facet Inge Spronk
Margriet E. van Baar
Robert A. Verheij
Martien J. Panneman
Jan Dokter
Suzanne Polinder
Juanita A. Haagsma
author_sort Inge Spronk
collection DOAJ
description Abstract Background A comprehensive overview of the burden of disease of burns for the full spectrum of care is not available. Therefore, we estimated the burden of disease of burns for the full spectrum in the Netherlands in 2018, and explored whether the burden of disease changed over the past 5 years (2014-2018). Methods Data were collected at four levels: general practice, emergency department, hospital, and mortality data. For each level, years lived with disability (YLD), years of life lost (YLL), and disability-adjusted life-years (DALY) were estimated using a tailored methodology. Results Burns resulted in a total of 9278 DALYs in the Netherlands in 2018, comprising of 7385 YLDs (80%) and 1892 YLLs (20%). Burn patients who visited the general practice contributed most DALYs (64%), followed by deceased burn patients (20%), burn patients admitted to hospital (14%) and those treated at the emergency department (2%). The burden of disease was comparable in both sexes (4734 DALYs (51%) for females; 4544 DALYs (49%) for males), though the distribution of DALYs by level of care varied; females contributed more DALYs at the general practice level, and males at all other levels of care. Among children boys 0-4 years had the highest burden of disease (784 DALYs (9%)), and among adults, females 18-34 years old (1319 DALYs (14.2%)) had the highest burden of disease. Between 2014 and 2018 there was a marginal increase of 0.8% in the number of DALYs. Conclusions Burns cause a substantial burden of disease, with burns requiring care at the general practice level contributing most DALYs. Information on burden of burns by the full level of care as well as by subgroup is important for the development of tailored burn prevention strategies, and the updated figures are recommended to be used for priority setting and resource allocation.
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spelling doaj.art-e889b42609c54ac7be964e1298b3d1c32023-01-15T12:05:03ZengBMCArchives of Public Health2049-32582023-01-0181111110.1186/s13690-022-01020-zThe burden of disease of fatal and non-fatal burn injuries for the full spectrum of care in the NetherlandsInge Spronk0Margriet E. van Baar1Robert A. Verheij2Martien J. Panneman3Jan Dokter4Suzanne Polinder5Juanita A. Haagsma6Department of Public Health, Erasmus MC, University Medical Centre RotterdamDepartment of Public Health, Erasmus MC, University Medical Centre RotterdamNivel, Netherlands Institute for Health Services ResearchConsumer Safety InstituteBurn Centre, Maasstad HospitalDepartment of Public Health, Erasmus MC, University Medical Centre RotterdamDepartment of Public Health, Erasmus MC, University Medical Centre RotterdamAbstract Background A comprehensive overview of the burden of disease of burns for the full spectrum of care is not available. Therefore, we estimated the burden of disease of burns for the full spectrum in the Netherlands in 2018, and explored whether the burden of disease changed over the past 5 years (2014-2018). Methods Data were collected at four levels: general practice, emergency department, hospital, and mortality data. For each level, years lived with disability (YLD), years of life lost (YLL), and disability-adjusted life-years (DALY) were estimated using a tailored methodology. Results Burns resulted in a total of 9278 DALYs in the Netherlands in 2018, comprising of 7385 YLDs (80%) and 1892 YLLs (20%). Burn patients who visited the general practice contributed most DALYs (64%), followed by deceased burn patients (20%), burn patients admitted to hospital (14%) and those treated at the emergency department (2%). The burden of disease was comparable in both sexes (4734 DALYs (51%) for females; 4544 DALYs (49%) for males), though the distribution of DALYs by level of care varied; females contributed more DALYs at the general practice level, and males at all other levels of care. Among children boys 0-4 years had the highest burden of disease (784 DALYs (9%)), and among adults, females 18-34 years old (1319 DALYs (14.2%)) had the highest burden of disease. Between 2014 and 2018 there was a marginal increase of 0.8% in the number of DALYs. Conclusions Burns cause a substantial burden of disease, with burns requiring care at the general practice level contributing most DALYs. Information on burden of burns by the full level of care as well as by subgroup is important for the development of tailored burn prevention strategies, and the updated figures are recommended to be used for priority setting and resource allocation.https://doi.org/10.1186/s13690-022-01020-zBurn injuriesBurden of diseaseFull spectrum of care
spellingShingle Inge Spronk
Margriet E. van Baar
Robert A. Verheij
Martien J. Panneman
Jan Dokter
Suzanne Polinder
Juanita A. Haagsma
The burden of disease of fatal and non-fatal burn injuries for the full spectrum of care in the Netherlands
Archives of Public Health
Burn injuries
Burden of disease
Full spectrum of care
title The burden of disease of fatal and non-fatal burn injuries for the full spectrum of care in the Netherlands
title_full The burden of disease of fatal and non-fatal burn injuries for the full spectrum of care in the Netherlands
title_fullStr The burden of disease of fatal and non-fatal burn injuries for the full spectrum of care in the Netherlands
title_full_unstemmed The burden of disease of fatal and non-fatal burn injuries for the full spectrum of care in the Netherlands
title_short The burden of disease of fatal and non-fatal burn injuries for the full spectrum of care in the Netherlands
title_sort burden of disease of fatal and non fatal burn injuries for the full spectrum of care in the netherlands
topic Burn injuries
Burden of disease
Full spectrum of care
url https://doi.org/10.1186/s13690-022-01020-z
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