Burns : journal of the International Society for Burn Injuries · 2026
Burden to healing: A comparative disability-adjusted life years analysis of burn-related burden across sociodemographic and regional groups in the United States.
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Griffin Diana B, Adam Tarifa H, Galiano Robert D
Аннотация
OBJECTIVE: Burn-related injuries are a small subset of trauma but are a major public health challenge with substantial variation in outcomes and long-term disability. This study quantifies disparities in burn-related burden against other trauma across sociodemographic and regional groups to inform equitable surgical care and resource allocation.
METHODS: This systematic analysis references the Global Burden of Disease 2023 study (1990-2023). Disability-adjusted life year (DALY) number, rate, and percent were assessed across age groups, U.S. regions, and sociodemographic index (SDI) for four injury mechanisms: transport, mechanical forces, interpersonal violence, and fire, heat, and hot substances (FHHS). Temporal DALY-rate trends were indexed to 1990.
RESULTS: DALY burden declined stepwise with increasing SDI. Across all ages, FHHS DALY rates fell from 139.27 per 100,000 in low-SDI strata to 65.93 in high-SDI strata, while percent DALY declined from 0.40% to 0.22%. FHHS demonstrate a distinct age pattern: DALY rates were highest in older adults, whereas percent DALYs were highest in children and young adults. Regionally, FHHS burden was consistently lowest in the West across SDI quartiles, while the highest burden varied by SDI, often occurring in the South. From 1990-2023, indexed FHHS DALY rates declined in all regions, although the West shows a late rise and the highest 2023 indexed rate.
CONCLUSION: Burn-related DALY in the United States follows a clear sociodemographic gradient, distinguished by dual age vulnerability and regional heterogeneity. These findings highlight populations and regions that may warrant further investigation and targeted resource assessment for burn-related injury prevention and access to burn care, rehabilitation, and reconstructive follow up.
METHODS: This systematic analysis references the Global Burden of Disease 2023 study (1990-2023). Disability-adjusted life year (DALY) number, rate, and percent were assessed across age groups, U.S. regions, and sociodemographic index (SDI) for four injury mechanisms: transport, mechanical forces, interpersonal violence, and fire, heat, and hot substances (FHHS). Temporal DALY-rate trends were indexed to 1990.
RESULTS: DALY burden declined stepwise with increasing SDI. Across all ages, FHHS DALY rates fell from 139.27 per 100,000 in low-SDI strata to 65.93 in high-SDI strata, while percent DALY declined from 0.40% to 0.22%. FHHS demonstrate a distinct age pattern: DALY rates were highest in older adults, whereas percent DALYs were highest in children and young adults. Regionally, FHHS burden was consistently lowest in the West across SDI quartiles, while the highest burden varied by SDI, often occurring in the South. From 1990-2023, indexed FHHS DALY rates declined in all regions, although the West shows a late rise and the highest 2023 indexed rate.
CONCLUSION: Burn-related DALY in the United States follows a clear sociodemographic gradient, distinguished by dual age vulnerability and regional heterogeneity. These findings highlight populations and regions that may warrant further investigation and targeted resource assessment for burn-related injury prevention and access to burn care, rehabilitation, and reconstructive follow up.