D68. Demographic and Clinical Predictors of Suspected Abuse in Genital Burn Injuries: A National Database Study

PURPOSE: Genital burn injuries have serious consequences and may raise concerns about potential abuse. Understanding the relationship between genital burns and suspected abuse is critical for improving patient care and developing evidence-based strategies. This study characterizes genital burn patients with suspected abuse and identifies associated risk factors using a national database. METHODS: A retrospective review was conducted using the ABA Burn Care Quality Platform (BCQP) data from January 2013 to December 2022 on genital burn patients suspected of abuse. Patient demographics, burn characteristics, and clinical data were analyzed. Multiple linear regression was used to evaluate factors associated with suspected abuse. RESULTS: 11,222 patients (31.6% female, 68.4% male; mean age 33.2 ± 25.7 years) with genital burns, 782 patients (7.0%) were suspected of abuse. Males were slightly less likely to be suspected of abuse than females (OR = 0.989, p=0.033). Younger age was significantly associated with higher suspicion, with each year increase in age reducing the likelihood of suspected abuse (OR = 0.998, p<0.001). Asian (OR = 0.919, p=0.002) and White patients (OR = 0.942, p=0.014) had lower rates of suspected abuse compared to other racial groups.Patients living in houses/apartments (OR = 0.854, p<0.001) and institutions/prisons (OR = 0.886, p=0.022) had lower rates of suspected abuse compared to those living alone. A larger total body surface area (TBSA) was associated with increased suspicion of abuse (OR = 1.0005, p<0.001). CONCLUSION: Younger age, female gender, larger TBSA burns, and living alone are associated with higher rates of suspected abuse in genital burn patients.