TITLE:
Etiology, Outcome and Mortality Risk Factors in Children Burn
AUTHORS:
Hamid Karimi, Seyed Abbas Motevalian, Mahnoush Momeni, Roya Safari, Mitra Ghadarjani
KEYWORDS:
Burns, Risk Factors, Mortality, Registry, Inhalation Injury
JOURNAL NAME:
Surgical Science,
Vol.6 No.2,
February
10,
2015
ABSTRACT: Mortality rate of burn patients can
serve as an objective criterion for quality control and as a measure for
research and preventive programs. A prospective study of burn victims, from
data of burn registry program, was conducted to determine the etiology, risk
factors of mortality and outcome of pediatric burns. We had 514 patients below
15 years old. Burns caused by scalding were the most frequent (55.4%) followed
by flames (35.8%). Mean (SD) of age was 3.72 (3.19) years. Male to female ratio
was 1.62:1. Mean hospital stay was 14.17 days (range 0 - 46 days). The mean
TBSA (SD) was 15.22% (14.31%). Fifty three patients had inhalation injury
(11.25%). Inhalation injury increases the risk of death (Odds Ratio: 8.75, p =
0.009). Length of stay increased in accordance with burn area (p done. The major
risk factors were: Inhalation injury (OR = 8.75, p = 0.009) and lack of
intra-venous fluid resuscitation
before reaching the hospital (OR = 40.5%, p = 0.001), cause of burn (flame and
chemical) and referral cases from other centers (OR = 3.66, p