ĐẶC ĐIỂM SỐC BỎNG TẠI BỆNH VIỆN NHI ĐỒNG 1

Abstract

Objectives: Describe the characteristics of burn shock in children at Children's Hospital 1. Materials and methods: 383 burned children were treated at the Burns-Plastic Surgery Department of Children's Hospital 1 from February 1, 2021 to August 15, 2022. Research method is descriptive prospective, longitudinal follow-up. Results: During the study period from February 1, 2021 to August 15, 2022, there were 383 admissions to Children's Hospital 1 with a complication rate of 2,8% burn shock. Among pediatric patients with complications of burn shock, deep burns of II-III accounted for 81,1%. In pediatric patients with complications of burn shock, the rate of burn area > 40% TBSA was 42,8%; burn area within 30% TBSA ≤ burn area < 40% TBSA is 50%; burn area within 20% TBSA ≤ burn area < 30% TBSA is 11,8% and burn area < 10% TBSA is 0,3%. Complications of burn shock increase as the burn area increases (OR = 1,12; KTC 95% = 1,07-1,17) and the depth of the burn increases (OR = 2,23; KTC 95% = 1,37-3,64). Within 48 hours after burn, the highest Hct is 57%, the lowest blood albumin is 1 g/dL, 57,1% blood albumin decreases with burn area ≥ 40% TBSA. There is a very close negative linear correlation between burn area and blood albumin (R = -0,72, p = 0,003) with the linear regression equation of blood albumin = -0,029 x TBSA + 3,416. Conclusions: Burn shock is a potentially fatal complication. Burn shock increases as the burn area increases and the burn depth increases. There is a very close negative linear correlation between burn area and blood albumin.