Characteristics of electrolyte disturbances at admission and related factors in severe burn patient

Nguyen Nhu Lam1, Tran Dinh Hung1, Ngo Tuan Hung1,
1 Le Huu Trac National Burn Hospital

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Tóm tắt

This study aimed to evaluate characteristics of electrolyte disturbances at admission and related factors in the severe burn patient. A retrospective study was carried out on 241 burn patients with burn extent > 20% of BSA, hospitalized at Vietnam National Burn Hospital for 2 years (2021 - 2022) with treatment duration > 3 days. The results showed that Electrolyte disturbances at hospital admission were mainly due to hyponatremia and hypocalcemia (51.04% and 35.27%).
There were 7.05% cases of hyperkalemia. Hyperkalemia in patients with burn extent ≥ 50% TBSA, deep burn area ≥ 20% TBSA was remarkably higher than in patients with burn area < 50% TBSA, deep burn area < 20% TBSA (p < 0.05). Hypocalcaemia was more common in electric burn patients than in other cases, the difference was statistically significant (p = 0.004). The electrical burn agent and deep burn area were independently related to hypocalcemia on admission. While the area of deep burns was independently related to potassium disturbances on admission.

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