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Epidemiology And Risk Factors For Death Of Pediatric Burns In A Developing Country. An Experience From The National
Insights
Pediatric burn patients in Vietnam, primarily preschoolers, often sustained scald injuries. Burn extent and inhalation injury were key predictors of mortality in children.
Area of Science:
- Pediatric Burn Care
- Public Health
- Epidemiology
Background:
- Pediatric burns represent a significant health concern, particularly in developing nations.
- Understanding burn characteristics and mortality predictors is crucial for effective intervention.
Purpose of the Study:
- To investigate burn features in Vietnamese pediatric patients.
- To identify factors predicting mortality in this population.
Main Methods:
- Retrospective analysis of pediatric burn patient data.
- Multivariate logistic regression to determine independent risk factors for death.
Main Results:
- Pediatric burns constituted 48.1% of admissions; scalds were most common (76.2%).
- Burn extent and inhalation injury were independent predictors of mortality (OR=1.08 and OR=8.67, respectively).
- Higher deep burn incidence observed in preschoolers, rural residents, and non-scald burns.
Conclusions:
- Burn extent and inhalation injury significantly increase mortality risk in pediatric burn patients.
- Targeted prevention and treatment strategies are needed, especially for vulnerable groups.
- Findings highlight the need for public health policies addressing pediatric burn injuries in developing countries.
Abstract:
This retrospective study investigated burn features and predicted factors for death of pediatric burn patients in Vietnam. The results showed that pediatric burn accounted for 48.1% of total admitted burn patients. Preschool children and boys were predominant, burns were mostly caused by scald (76.2%) and the majority of patients lived in a rural area (64.1%). In addition, 94.5% had burn size less than 30% total body surface area and deep burn injury was seen in 45.5% patients. Moreover, a significantly higher incidence of deep burn injury was recorded in preschool age, patients living in a rural area, and non-scald burn. Overall LA50 was 81.5% and a significantly higher mortality rate was seen in non-scald burns, older children, extensive burn and inhalation injury. Multivariate logistic analysis indicated that only burn extent and inhalation injury were independent risk factors for death. An increased 1% of burn extent resulted in a .7 probability unit of death (OR=1.08) and this was 2.16 in the case of inhalation injury (OR=8.67). This health issue should be highlighted in order to develop appropriate policies and intervention measures in developing countries.
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