SRS144 - Defining the incidence of associated trauma in burns patients at a major trauma centre: a 5 year analysis

Abstract Aims This study aims to identify how many patients referred to a Major Trauma Centre (MTC) with a major burn have concomitant trauma. Secondary aims evaluated whether the current referral systems are appropriate and identify clinical factors that predict in-hospital mortality. Methods This is a retrospective cohort study of adult and paediatric patients presenting to St Mary’s Major Trauma Centre with burn injuries between January 2020 and April 2025. Data were extracted from the Major Trauma Registry and supplemented via electronic health records. Data collected involved concomitant patient injuries and TBSA. Results 155 burn patients were managed on the Major Trauma Pathway (MTP). Only 14 (9%) had concurrent traumatic injuries—seven limb, five chest, four maxillofacial, three abdominal and one spinal injury. None of the patients of this cohort required major trauma surgery or specific major trauma intervention. 54.8% were transferred directly to tertiary burns centres after a mean time of 9.41 h, while 18.7% were discharged home. Inhalation injury (P = 0.003) and ISS > 15 (P = 0.009) were significantly associated with in-hospital mortality. TBSA and facial burns showed no significant association with mortality. Conclusions No patients with burns in this five year cohort required major trauma surgery or specific major trauma intervention. Given the time critical nature of managing major burns, managing burns on the major trauma pathway may not be the most efficient system.