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Date Published: 28/10/2025
Online Published: 28/10/2025
Abstract Views: 67
Views article details: 19
DOI: https://doi.org/10.54804/yhthvb.5.2025.515
Issue
No. 5 (2025)
Section
Articles
How to Cite
Pham, D. M., & Tran, T. L. (2025). Association between nutritional status, burn injury deverity, and length of hospital stay in burn patients. Journal of Disaster Medicine and Burn Injuries, 5, 33-40. https://doi.org/10.54804/yhthvb.5.2025.515

Association between nutritional status, burn injury deverity, and length of hospital stay in burn patients

Pham Duc Minh1,, Tran Thi Loan2
1 103 Military Hospital
2 Le Huu Trac National Burn Hospital

Main Article Content

Abstract

Objective: This study aimed to determine the association between nutritional status, burn injury extent, and length of hospital stay (LOS) in burn patients treated at the National Burn Hospital, and to identify independent prognostic factors influencing LOS.
Methods: A prospective cross-sectional study was conducted on 57 burn patients admitted during the 2021 Nutrition Day week periods. Demographic information, burn characteristics, and nutritional status were collected. Nutritional screening tools included the Malnutrition Screening Tool (MST) and the Nutritional Risk Screening 2002 (NRS-2002). Data were analyzed using SPSS version 26.0 with descriptive statistics, Pearson correlation, and multivariate linear regression.
Results: The mean age of patients was 40.35 ± 17.74 years; males accounted for 73.7%. The most common causes of burns were electricity and dry heat (each 40.4%). The mean total burn surface area (TBSA) was 15.26 ± 14.50% of body surface, with deep burns area averaging 11.25%. According to MST, 38.6% of patients were at risk of malnutrition, while 78.9% were at nutritional risk by NRS-2002. The mean LOS was 35.67 ± 20.50 days. LOS was significantly correlated with TBSA (r = 0.575; p < 0.001), deep burns (r = 0.543; p < 0.001), MST (r = 0.541; p < 0.001), and NRS-2002 (r = 0.318; p = 0.016). Multivariate regression showed TBSA (B = 0.668; p < 0.001) and MST (B = 7.158; p < 0.001) as independent predictors of LOS.
Conclusion: Total burn surface area and nutritional risk assessed by MST are key prognostic factors for hospital stay duration in burn patients. Routine nutritional screening at admission, combined with accurate assessment of burn extent, plays a crucial role in prognosis and in optimizing treatment strategies.

Article Details

Keywords

Burns, nutrition, MST, NRS-2002, length of stay

References

1. Organization, W.H., Burns. WHO Fact Sheet. 2018, World Health Organization.
2. N, B., et al., Outcome and changes over time in survival following severe burns from 1985 to 2004. Intensive Care Medicine, 2005. 31(12): p. 1648-1653.
3. Rousseau, A.F., et al., ESPEN endorsed recommendations: Nutritional therapy in major burns. Clinical Nutrition, 2013. 32(4): p. 497-502.
4. Jeschke, M.G., et al., Pathophysiologic response to severe burn injury. Annals of Surgery, 2008. 248(3): p. 387-401.
5. Singer, P., et al., ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr, 2019. 38(1): p. 48-79.
6. Aloy Dos Santos, T., et al., Malnutrition screening tool and malnutrition universal screening tool as a predictors of prolonged hospital stay and hospital mortality: A cohort study. Clin Nutr ESPEN, 2023. 54: p. 430-435.
7. Consultation, W.H.O.E., Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 2004. 363(9403): p. 157-63.
8. Ferguson, M., et al., Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition, 1999. 15(6): p. 458-464.
9. Kondrup, J., et al., ESPEN Guidelines for Nutrition Screening 2002. Clinical Nutrition, 2003. 22(4): p. 415-421.
10. SN, F., Epidemiology of burns in developing countries: epidemiology and prevention. BMJ, 2006. 333(7556): p. 927-930.
11. Taylor, S.L., et al., A competing risk analysis for hospital length of stay in patients with burns. JAMA Surg, 2015. 150(5): p. 450-6.
12. Ma, Z., et al., Modified Nutrition Risk in Critically ill is an effective nutrition risk screening tool in severely burned patients, compared with Nutrition Risk Screening 2002. Front Nutr, 2022. 9: p. 1007885.
13. Taylor, S.L., et al., Real-Time Prediction for Burn Length of Stay Via Median Residual Hospital Length of Stay Methodology. J Burn Care Res, 2016. 37(5): p. e476-82.
14. Li, Q., et al., Association of length of hospital stay, total body surface area burned, and Carbapenem-Resistant Klebsiella pneumoniae infection in burn patients: A retrospective study. Burns, 2024. 50(8): p. 2007-2012.
15. Arnoldo, B.D., et al., Electrical injuries: a 20-year review. J Burn Care Rehabil, 2004. 25(6): p. 479-84.
16. Alfonso Ortiz, L., et al., Validation of the modified NUTrition Risk Score (mNUTRIC) in mechanically ventilated, severe burn patients: A prospective multinational cohort study. Burns, 2021. 47(8): p. 1739-1747.