Analysis of risk factors of mortality for pediatric burned patients with inhalation injury and comparison of different treatment protocols.

Autor:	Güney D; Department of Pediatric Surgery, Ankara City Hospital, Ankara-Turkey., Doruk H; Department of Pediatric Surgery, Ankara City Hospital, Ankara-Turkey., Ertürk A; Department of Pediatric Surgery, Ankara City Hospital, Ankara-Turkey., Öztorun CI; Department of Pediatric Surgery, Yıldırım Beyazıt University Faculty of Medicine, Ankara-Turkey., Demir S; Department of Pediatric Surgery, Ankara City Hospital, Ankara-Turkey., Erten EE; Department of Pediatric Surgery, Ankara City Hospital, Ankara-Turkey., Keskin G; Department of Anesthesiology and Reanimation, Ankara City Hospital Children's Hospital, Ankara-Turkey., Azılı MN; Department of Pediatric Surgery, Yıldırım Beyazıt University Faculty of Medicine, Ankara-Turkey., Şenel E; Department of Pediatric Surgery, Yıldırım Beyazıt University Faculty of Medicine, Ankara-Turkey.
Jazyk:	angličtina
Zdroj:	Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES [Ulus Travma Acil Cerrahi Derg] 2022 May; Vol. 28 (5), pp. 585-592.
DOI:	10.14744/tjtes.2021.84848
Abstrakt:	Background: We present our approach of pediatric burned patients with the suspicion of inhalation injury. Methods: This retrospective study was conducted on children with the suspicion of inhalation injury admitted to our burn center from December 2009 to December 2019. We collected data on patient demographics, total burn surface area (TBSA), presence of inhalation injury, level of carboxyhemoglobin, grade of inhalation injury, duration of mechanical ventilation, reintubation rate, total length of hospital stay, and the mortality rate. We also reviewed the required treatment of patients with inhalation injury. Results: A total of sixty pediatric burn patients were suspected inhalation injury were included in this retrospective study. 40 pa-tients included in the study were male. Age average of the patients was 87.7 months. Total burned surface area average was 32%. 46 of these patients had inhalation injury. Patients with larger cutaneous burn and needed early intubation have a higher risk of inhalation injury. There was no significant relation between inhalation injury grades and mortality and treatment protocols. Higher levels of car-boxyhemoglobin and larger TBSA are the risk factors for mortality at univariate analysis. Pediatric patient with inhalation injury whose TBSA is higher than 47.5% has a 5 times higher risk of mortality at multivariate analysis. Conclusion: This study demonstrated that TBSA is the risk factor that independently affects the mortality in pediatric patients with inhalation injury. Among the patients with higher than 47.5% burn surface area, the mortality rate rises 5 times.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu