Duration of stay and outcome in different types of burn cases in paediatric age group

Abstract

The incidence of burns, their treatment and rehabilitation have considerably marked effect on children both physically and psychologically. The hospital stay and the outcome also important in the cases of burns patients because the socio economic status and chances of life long disability. Aim of the study is to analyze the duration of stay and outcome in different types of burn cases in paediatric age group. The Data was collected from 83 paediatric patients less than 15 years admitted in GMC, Miraj, Maharashtra during the period from September 2014 to September 2016. The overall length of stay at hospital, factors influencing length of stay and outcome of patients were analyzed. Out of 83 patients 50 percent was cured over the period of time. The death rate was 10.8%.Lower the percentage of burns had good outcome and higher percentage of burns had poor outcome (66.7% had mortality when burns was >60%). In the study 30% patients were cured with duration of stay 6 to 10 days. Out of subjects who died 44.4% stayed for less than 5 days in hospital, as they were having more % of burn area. Also 72.7% patients who improved was stayed < 5 days. Subjects cured in scald and flame burn were 60.66% and 59.1% respectively with no significant difference, while subjects died in scald and flame burn 6.56% and 22.72% respectively more in flame burn. In our study 8.4% of subjects underwent Escharotomy. It is concluded that surgical intervention increases the hospital stay and outcome of the mean duration of stay was high among subjects who deteriorated, followed by cured subjects. Lowest duration of hospital stay was observed among improved subjects, as they were having lower percent total body surface area (TBSA) burn. More hospital stay increase the chance of infections and vice versa.