• Kevin J Nickel, Tyler Omeis, and Anthony Papp.
• Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB, Canada.
• Burns. 2020 Dec 1; 46 (8): 1958-1967.

IntroductionThis study evaluated trends in demographics and outcomes of cutaneous burns over a forty-year period at a Canadian burn centre.MethodsRetrospective review was performed of all consecutive adult burn admissions to the Vancouver General Hospital (VGH) between 1976 and 2015. Comparison was made to the 2016 American Burn Association - National Burn Repository.ResultsThere were 4105 admissions during study period. Both overall admissions and admissions per 100,000 BC residents declined (p < 0.0001). Males represented three quarters of admissions. There was a decrease in large burns (p < 0.05). Flame burns were most commonly associated with larger TBSA, ICU stays, and mortality. Mortality decreased from 11.3% to 2.8% (p < 0.05). Factors found to affect mortality included: increased length of stay, age and burn size, male gender, and number of complications. Baux50 and rBaux50 increased, from 102.8 to 116.7 and 112.2 to 125.3 respectively (p < 0.05, respectively).ConclusionsThis study represents the largest report on burn epidemiology in Canada. The incidence of burns has decreased significantly over the last forty years. Mortality has improved over this time frame, as evident by increases in Baux50 and rBaux50 scores. Further data is largely in concurrence with that of the National Burn Repository's amalgamation of US centres.Copyright © 2020 Elsevier Ltd and ISBI. All rights reserved.

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