Đặc điểm và các yếu tố liên quan đến tỷ lệ cắt cụt trên người bệnh bỏng điện tại Bệnh viện Chợ Rẫy

Abstract

Objective: To evaluate the characteristics, treatment outcomes, and factors related to the amputation rate in electric burn patients at Cho Ray Hospital.
Subjects and methods: A retrospective study on 402 inpatients with electric burns treated at the Burn and Plastic Surgery Department of Cho Ray Hospital from January 2020 to December 2022.
Results: The amputation rate in electric burn patients was 34.3%. The majority of patients who underwent amputation had deep burns with a body surface area of less than 20%. The mortality rate in amputated electric burn patients was 2.2%, lower than in non-amputated patients (p < 0.01). However, amputated patients had a higher number of surgeries and longer hospital stays compared to non-amputated patients (p < 0.01). Additionally, amputated patients had a lower rate of infection shock compared to non-amputated patients (p = 0.02). Advanced age and large surface area of deep burns were independent factors associated with the amputation rate in electric burn patients.
Conclusion: The amputation rate among patients with electrical burns is 34.3%. The amputated group underwent more surgical procedures and had a longer treatment duration; however, they had lower rates of mortality and septic shock compared to the non-amputated group. Advanced age and larger areas of deep burns are independent risk factors that increase the likelihood of limb amputation.