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Updated: Sep 11, 2025
Severe Burn Injury in a Swine Model for Clinical Dressing Assessment
Published on: November 6, 2018
Indicators of the number of surgeries and severity in pediatric patients with severe burns: a retrospective
Ting He1, Ran Liu2, Nannan Wang3
1Department of Burns and Plastic Surgery, The Fourth Medical Center of Chinese PLA General Hospital, Haidian District, Beijing, China.
Insights
Severe pediatric burns require multiple surgeries. Total burn surface area, burn index, and white blood cell counts predict the number of surgical interventions needed, aiding early risk identification.
Area of Science:
- Pediatric Surgery
- Burn Management
- Critical Care Medicine
Background:
- Severe burns in children present significant clinical challenges, often necessitating extensive surgical intervention.
- Managing these cases involves risks of perioperative complications and potential refusal of surgery by guardians.
- Identifying predictive indicators is crucial for effective clinical decision-making and resource allocation.
Purpose of the Study:
- To identify early predictive indicators for the number of surgeries in pediatric severe burn patients.
- To recognize high-risk pediatric patients requiring intensive surgical management.
- To provide data-driven support for clinical decision-making in severe burn cases.
Main Methods:
- Retrospective analysis of clinical data from 102 pediatric patients with total burn surface area ≥30%.
- Patients were stratified based on surgical intervention and number of surgeries.
- Assessment of associations between demographic, injury, and laboratory data with surgical outcomes.
Main Results:
- Total burn surface area (OR: 1.071) and burn index (BI) (OR: 1.398) were significantly correlated with the number of surgeries.
- White blood cell (WBC) counts (OR: 1.043) also showed a significant association with the number of surgical interventions.
- These factors were identified as independent risk factors for increased surgical burden in pediatric burn patients.
Conclusions:
- Total burn surface area and BI are key indicators of illness severity and surgical need in pediatric severe burns.
- White blood cell counts can serve as an early adjunctive indicator for surgical burden.
- Findings aid in rapid identification of high-risk patients for specialized care and tailored treatment development.
Purpose:
Children with severe burns accounts for a considerable proportion of emergency department admissions. Surgical interventions are often indispensable for such pediatric patients. However, healthcare providers may encounter issues such as a high risk of perioperative complications and guardian's refusal of surgery. This study aims to identify early predictive indicators associated with the number of surgeries, recognize high-risk patients, and provide data support for clinical decision-making.
Methods:
The clinical data of 102 pediatric patients with total burn surface area ≥ 30% from January 2014 to December 2024 were evaluated. Patients were stratified into three groups based on whether they underwent surgery and the number of surgeries received. The associations among age, gender, cause of injury, total burn surface area, burn index (BI), length of hospital stay, and various laboratory indicators were assessed across the groups.
Results:
Total burn surface area (OR: 1.071, 95% CI 1.015-1.130, P = 0.012), BI (OR: 1.398, 95% CI 1.196-1.635, P = 0.000) and white blood cell (WBC) counts (OR: 1.043, 95% CI 1.004-1.083, P = 0.031) were significantly correlated with the number of surgeries. Total burn surface area (OR: 1.074, 95% CI 1.016-1.135, P = 0.012), BI (OR: 1.376, 95% CI 1.174-1.612, P = 0.000) and WBC counts (OR: 1.045, 95% CI 1.004-1.087, P = 0.031) also emerged as independent risk factors for the number of surgeries for children with severe burns.
Conclusion:
The total burn surface area and BI are associated with the number of surgeries and severity of illness in pediatric patients with severe burns. WBC counts serve as an early adjunctive indicator for surgical burden, though further validation is needed to account for confounding variables. These findings facilitate the rapid identification of high-risk patients who may require transfer to hospital with specialized resources and the development of tailored treatments.
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