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Issue: Vol. 562 No. 3 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v562i3.18667
Date Published: 13/08/2026
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How to Cite
Ngô, T. H., Trần, Đ. H., & Trần, L. N. M. (2026). CHARACTERISTICS OF ELECTROLYTE DISORDERS IN SEVERE BURN PATIENTS WITH SEPSIS COMPLICATIONS. Vietnam Medical Journal, 562(3). https://doi.org/10.51298/vmj.v562i3.18667

CHARACTERISTICS OF ELECTROLYTE DISORDERS IN SEVERE BURN PATIENTS WITH SEPSIS COMPLICATIONS

Tuấn Hưng Ngô1,2, , Đình Hùng Trần1,2, Lê Nguyệt Minh Trần3
1 Bệnh viện Bỏng Quốc gia Lê Hữu Trác
2 Học viện Quân y
3 Bệnh viện Quân y 103

Main Article Content

Abstract

Objective: To characterize electrolyte disturbances and assess their impact on mortality in patients with severe burns complicated by sepsis.


Methods: A cross-sectional study was performed in 60 patients with severe burns and sepsis admitted to the Intensive Care Unit of Le Huu Trac National Burn Hospital from January 2023 to June 2024.


Results: At sepsis diagnosis, 85% of patients had at least one electrolyte abnormality. Hypocalcemia (75%) was the most frequent disorder, followed by hypernatremia (43.33%), hypokalemia (41.67%), and hyponatremia (31.67%). Age, deep burn surface area, and serum sodium concentration were independently associated with mortality (all p < 0.05). Each one-year increase in age and each 1% increase in deep burn surface area were associated with a 5% increase in mortality risk, whereas each 1 mmol/L increase in serum sodium concentration was associated with a 3.85-fold higher risk of death.


Conclusions: Hypocalcemia was the predominant electrolyte abnormality, and hypernatremia was independently associated with mortality in patients with severe burns complicated by sepsis. These findings suggest that careful monitoring and correction of serum sodium levels may contribute to improved prognosis.

Keywords

severe burns, sepsis, electrolyte disturbances

Article Details

References

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