Severity and Clinical Outcomes of Pediatric Burns—A Comprehensive Analysis of Influencing Factors

Author:

Toma Alexandra12,Voicu Dragoș12,Popazu Constantin12,Mihalache Daniela12,Duca Oana12,Dănilă Dumitru Marius13,Enescu Dan Mircea45

Affiliation:

1. Faculty of Medicine and Pharmacy, “Dunărea de Jos” University of Galați, 800201 Galați, Romania

2. Emergency Clinical Hospital of Brăila, 810325 Brăila, Romania

3. “Saint John” Emergency Clinical Hospital for Children, 800487 Galați, Romania

4. “Carol Davila” University of Medicine and Pharmacy, 020021 București, Romania

5. “Grigore Alexandrescu” Emergency Clinical Hospital for Children, 011743 București, Romania

Abstract

(1) Background: Burn injuries in children present a significant public health concern due to their potential for severe physical and psychological impact. (2) Methods: This study investigates the determinants of pediatric burn severity by analyzing the interplay of demographic and environmental factors. Through a retrospective analysis of pediatric burn cases over five years, encompassing patient demographics, burn causative agents, and clinical outcomes, this research aims to identify significant predictors of burn severity. (3) Results: This study presents a comprehensive analysis of pediatric burn injuries, focusing on the severity, clinical outcomes, and multifactorial aspects influencing recovery. We reviewed 1498 pediatric burn cases from January 2015 to December 2020. The mean age of patients was 5.8 years, with a slight male predominance (54%). Scalds (45%), flame burns (30%), and contact burns (15%) were the most common burn types. Our findings indicate significant differences in burn severity based on TBSA, with 32.5% of cases having TBSA greater than 20%. Multivariate logistic regression identified rural residence, male gender, flame burns, and lower socioeconomic status as significant predictors of severe burn outcomes. The overall mortality rate was 2.5%, with higher rates among patients with TBSA greater than 40%. These results highlight the need for targeted prevention strategies and improved access to specialized burn care. (4) Conclusions: Understanding these factors can inform targeted prevention strategies and improve treatment protocols.

Publisher

MDPI AG

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