RESEARCHING FACTORS RELATED TO DEATH AND RESULTS OF TREATING INHALATION INJURY PATIENTS AT THE ICU, LE HUU TRAC NATIONAL BURN HOSPITAL

Đình Hùng Trần1,2,, Tuấn Hưng Ngô1
1 Le Huu Trac National Burn Hospital
2 Vietnam Military Medical Academy

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Abstract

Objectives: Evaluation of treatment results and factors related to death in inhalation injury patients at the ICU, Le Huu Trac National Burn Hospital. Subjects and methods: A retrospective study was conducted on 53 inhalation injury  patients from 18 years old with burn extent ≥ 20% total body surface area (TBSA) hospitalized within 24 hours after burn at the National Burn Hospital in the period 2021-2022. Collected data was compared between survivor and non-survivor group. Multivariate analysis to find factors independently associated with mortality in inhalation injury patients. Results: The mortality rate of inhalation injury patients was 77.36%. Compared with the group who were survivors, patients who died had significantly higher age, burn extent, deep burn area, number of patients with early acute kidney injury, degree of inhalation injury, arterial blood lactac (p < 0.05). Multivariate analysis of mortality and risk factors indicated that increased deep burn area was independently associated with mortality (p < 0.05). The deep burn area had a good predictive value for mortality in inhalation injury patients (AUC: 0.88; cut-off point: 32% total burn surface area - TBSA), with a sensitivity of 70.73% and a specificity of 83.33%. Conclusion: The mortality rate of patients with inhalation injury was still high. An increase in the deep burn area was independently associated with mortality.

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References

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