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CHARACTERISTICS AND FACTORS AFFECTING THE OUTCOMES OF MASSIVE BURN PAEDIATRIC PATIENTS
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Abstract
This study investigated characteristics and factors affecting the outcome of massive burn in children. A retrospective study was conducted on 288 paediatric burn patients (=<16 years old) with burn extent ≥ 30% of total burn surface area (TBSA) admitted to the National Burns Hospital from 1/1/2018 to 31/12/ 2022. Patients were divided into two groups of survival and death comparing demographic characteristics, burn features and outcome. The results showed that most patients were under 6 years old (79.51%), boys (64.58%), due to scald (76.69%). Inhalation injury accounted for 6.25% and overall mortality rate was 6.94%. There was no remarkably difference between survival and death groups in terms of age, gender and admission time (p > 0.05). Meanwhile, death group had significantly greater burn extent, deep burn area as well as rate of inhalation injury than the survival group (p < 0.01). The most fatal causal agent was flame as compared to scald and other agents (18.75%; p < 0.01). Multivariate analysis showed that the increased deep burn area and the presence of inhalation injury were independently risk factors for mortality with AUC = 0.82; sensitivity: 80%; specificity: 91.42% in case of combining both variates.
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Keywords
Massive burns, pediatric, outcomes
References
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