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Outcomes in Pediatric Burn Patients With Additional Trauma-Related Injuries

Sanja Sljivic1,2, Chris B Agala1,3, Sean E McLean1

  • 1Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USA.

The American Surgeon
|February 21, 2023
PubMed

Insights

Pediatric patients with combined burn and trauma injuries face significantly higher mortality and longer hospital stays. This study highlights the critical impact of adding trauma to burn injuries in children.

Area of Science:

  • Pediatric critical care medicine
  • Trauma surgery
  • Burn surgery

Background:

  • Concurrent trauma and burn injuries in pediatric patients can lead to increased morbidity and mortality.
  • Understanding the specific outcomes of combined injuries is crucial for effective patient management.

Purpose of the Study:

  • To evaluate the outcomes of pediatric patients with combined burn and trauma injuries.
  • To compare outcomes between pediatric burn-only, trauma-only, and combined burn-trauma patient groups.

Main Methods:

  • Retrospective analysis of pediatric patients admitted between 2011 and 2020.
  • Inclusion of burn-only, trauma-only, and combined burn-trauma patient cohorts.
  • Statistical analysis including inverse probability of treatment weighting to assess mortality odds.

Main Results:

  • The combined burn-trauma group experienced the longest mean length of hospital stay, ICU length of stay, and ventilator days.
  • Unadjusted odds of mortality were nearly 13 times higher in the burn-trauma group versus the burn-only group.
  • After adjusting for confounders using inverse probability of treatment weighting, mortality odds remained nearly 10 times higher in the burn-trauma group (P < .0066).

Conclusions:

  • The addition of trauma to burn injuries in pediatric patients is associated with significantly increased odds of mortality.
  • Combined burn and trauma injuries lead to prolonged ICU and overall hospital length of stay.
  • These findings underscore the severity of combined pediatric burn-trauma injuries and the need for specialized care pathways.

Keywords:
burnspediatric surgerytrauma

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