A retrospective cohort study at Hangang Sacred Heart Hospital (2010-2022) analyzed 2,318 burn patients for ARDS incidence and 60-day mortality, using data from a Clinical Data Warehouse. ARDS diagnosis followed the Berlin definition, with severity assessed by PF ratio and PEEP/CPAP. Statistical analysis included longitudinal k-means clustering, multivariable logistic regression, and decision curve analysis to identify ARDS subgroups and significant clinical variables.