Lam N N, Hung N T, Duc N M, Luong N V
National Burn Hospital, Hanoi, Vietnam.
Medical Military University, Vietnam.
Ann Burns Fire Disasters. 2021 Sep 30;34(3):213-217.
This retrospective study investigated burn features and predicted factors for death of pediatric burn patients in Vietnam. The results showed that pediatric burn accounted for 48.1% of total admitted burn patients. Preschool children and boys were predominant, burns were mostly caused by scald (76.2%) and the majority of patients lived in a rural area (64.1%). In addition, 94.5% had burn size less than 30% total body surface area and deep burn injury was seen in 45.5% patients. Moreover, a significantly higher incidence of deep burn injury was recorded in preschool age, patients living in a rural area, and non-scald burn. Overall LA50 was 81.5% and a significantly higher mortality rate was seen in non-scald burns, older children, extensive burn and inhalation injury. Multivariate logistic analysis indicated that only burn extent and inhalation injury were independent risk factors for death. An increased 1% of burn extent resulted in a .7 probability unit of death (OR=1.08) and this was 2.16 in the case of inhalation injury (OR=8.67). This health issue should be highlighted in order to develop appropriate policies and intervention measures in developing countries.
这项回顾性研究调查了越南小儿烧伤患者的烧伤特征及死亡预测因素。结果显示，小儿烧伤占烧伤住院患者总数的48.1%。学龄前儿童和男孩居多，烧伤大多由烫伤引起（76.2%），且大多数患者生活在农村地区（64.1%）。此外，94.5%的患者烧伤面积小于体表面积的30%，45.5%的患者有深度烧伤。而且，学龄前儿童、生活在农村地区的患者以及非烫伤烧伤患者的深度烧伤发生率显著更高。总体LA50为81.5%，非烫伤烧伤、大龄儿童、大面积烧伤和吸入性损伤患者的死亡率显著更高。多因素逻辑分析表明，只有烧伤程度和吸入性损伤是死亡的独立危险因素。烧伤程度每增加1%，死亡概率单位增加0.7（OR=1.08），吸入性损伤情况下为2.16（OR=8.67）。在发展中国家，应突出这一健康问题，以便制定适当的政策和干预措施。
