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VOLUME 27 , ISSUE 12 ( December, 2023 ) > List of Articles

PEDIATRIC CRITICAL CARE MEDICINE

Clinical Profile of Children with Burns in a Tertiary Care Hospital

K Yashaswini, AV Lalitha, GS Naresh Kanna, Abha Rani Kujur, John A Michael Raj

Keywords : Fluids, Mortality, Total burns surface area

Citation Information : Yashaswini K, Lalitha A, Kanna GN, Kujur AR, Michael Raj JA. Clinical Profile of Children with Burns in a Tertiary Care Hospital. Indian J Crit Care Med 2023; 27 (12):934-938.

DOI: 10.5005/jp-journals-10071-24592

License: CC BY-NC 4.0

Published Online: 30-11-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Optimal resuscitation measures and outcome predictors in cases of burns are not studied in pediatric population, though it accounts for one of the leading causes of non-fatal injuries in the pediatric age group. Objective: We describe the clinical profile and outcome predictors in children admitted with burns. Materials and methods: This retrospective cohort study included all children between 1 month and 18 years admitted to pediatric intensive care unit (PICU) with burns from January 2015 to December 2020. The total burns surface area (TBSA) was assessed and treated as per unit protocol. Illness severity score (PRISM III) and pediatric logistic organ dysfunction (PELOD-II) on day 1 and subsequently was noted. Resuscitation requirements including inotropes and colloids were evaluated. Outcome parameters like need for mechanical ventilation, renal replacement therapy, duration of hospital stay, PICU stay, and mortality were assessed. Results: Of 286 children admitted with burns, 99 had PICU admissions, and of these 59% were males with median (IQR) age 36 (13,72) months. Multivariate logistic regression analysis showed TBSA >40% [adjusted odds ratio (AOR) 4.62 [1.11–19.32] p-value < 0.036]. Cox regression for 28 day mortality was significant only for PELOD day 1 (heart rate (HR) 1.22 [1.05–1.41]). Conclusion: Higher resuscitation requirements with higher organ dysfunction scores may predict mortality in pediatric burns warranting further study for standardization of care.

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