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Traumatic Brain Injury in Child Burn
Behnam Sobouti1, Iman Ansari1, Soheila Naderi Garahgheshlagh1
1Burn Research Center, Iran University of Medical Sciences, Tehran Iran.
World Journal of Plastic Surgery
|September 19, 2022
Summary
Children with severe burns and Traumatic Brain Injury (TBI) face higher mortality risks. Early detection of TBI in pediatric burn patients is crucial for improving outcomes and reducing fatalities.
Area of Science:
- Pediatric critical care
- Trauma surgery
- Burn management
Background:
- Burns represent a significant public health concern.
- Concurrent Traumatic Brain Injury (TBI) exacerbates burn-related morbidity and mortality.
- Effective management requires early detection of associated injuries.
Purpose of the Study:
- To investigate the outcomes of pediatric burn patients with and without TBI.
- To identify factors influencing mortality in children with burn injuries.
Main Methods:
- A cross-sectional study involving 392 pediatric burn patients.
- Data collected included demographics, burn severity (Total Body Surface Area - TBSA), and TBI indicators (head trauma, fractures).
- Patients were analyzed based on mortality (death) versus survival (discharge).
Main Results:
- Burn severity (TBSA) and the presence of TBI were significantly higher in the deceased group (P=0.001).
- No significant differences were observed in age, gender, hospital stay, inhalation injury, or skull fracture between groups.
- Higher TBSA and TBI frequency correlated with increased mortality.
Conclusions:
- Increased burn severity (TBSA) and co-occurring TBI are linked to higher mortality in pediatric burn patients.
- Clinical examination and imaging are recommended for TBI screening in children with burn injuries.
- Early TBI assessment can potentially reduce complications and improve survival rates.
