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Etiology and outcome of pediatric burns in Tabriz, Iran
Hemmat Maghsoudi1, Naser Samnia
1Department of surgery, Faculty of medicine, Tabriz university of medical sciences, Tabriz, Iran. maghsoudih@yahoo.com
Insights
Pediatric burn outcomes reveal that large burn size and inhalation injuries significantly increase mortality risk in children. Scald burns are most common in younger children, while flame burns affect older ones.
Area of Science:
- Pediatric Burn Research
- Trauma Surgery
- Epidemiology
Background:
- Pediatric burns are a significant cause of injury and mortality in children.
- Understanding the causes and risk factors is crucial for improving outcomes.
Purpose of the Study:
- To investigate the etiology and outcomes of pediatric burns.
- To identify predictors of mortality in young burn victims.
Main Methods:
- A 3-year prospective study of 1160 pediatric burn patients (under 14 years).
- Data collected on age, sex, burn size, inhalation injury, and burn cause.
- Stratification by demographic and clinical factors.
Main Results:
- Overall mortality was 6.4% (74 deaths), with most deaths in children under 5.
- Mean burn size was 19%, significantly larger in non-survivors (50.3%) vs. survivors (16.8%).
- Inhalation injuries were linked to large burns and flame-burn fatalities; scalds were common in younger children.
Conclusions:
- Large burn size and inhalation injury are strong predictors of mortality in pediatric burn patients.
- Prompt intravenous access is also critical for survival.
- Etiology varies by age, with scalds prevalent in the under-5 group.
Abstract:
A 3-year prospective study of burn victims hospitalized at a major burn center was conducted to determine the etiology and outcome of pediatric burns. One thousand one hundred sixty patients under the age of 14 years identified and stratified by age, sex, burn size, presence or absence of inhalation injury, and cause of burn. The mean patient age was 2.2 years, and the male:female ratio was 1.6:1. There were 74 deaths overall (6.4%), the majority of which (44) were among children under 5 years of age. Except for burn incidence, there were no significant differences between males and females. The mean burn size was 19%, and was significantly larger for nonsurvivors than survivors (50.3% versus 16.8%; P<0.001). Inhalation injuries were strongly associated with large burns, and were present in all flame-burn fatalities. Scalds were the most common type of burn among children under 5 years of age; flame burns predominated in older children. There were 39 deaths related to scalds. Large burn size was the strongest predictor of mortality followed by the presence of inhalation injury and the length of time to intravenous access.
