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Research ArticleOriginal Article
Open Access

Factors associated with mortality and morbidity among pediatrics with burn injuries in Riyadh, Saudi Arabia

Zainab Alnjeidi, Nesrin Alharthy, Suliman Alghnam and Motasim Badri
Saudi Medical Journal May 2022, 43 (5) 508-513; DOI: https://doi.org/10.15537/smj.2022.43.5.20210923
Zainab Alnjeidi
From the Department of Prevention and Research (Alnjeidi), National Family Safety Program; from the Department of Emergency Medicine (Alharthy), College of Applied Medical Sciences; from the Department of Epidemiology and Biostatistics (Badri), College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, and from the Population Health Section (Alghnam), King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
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Nesrin Alharthy
From the Department of Prevention and Research (Alnjeidi), National Family Safety Program; from the Department of Emergency Medicine (Alharthy), College of Applied Medical Sciences; from the Department of Epidemiology and Biostatistics (Badri), College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, and from the Population Health Section (Alghnam), King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
MD
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Suliman Alghnam
From the Department of Prevention and Research (Alnjeidi), National Family Safety Program; from the Department of Emergency Medicine (Alharthy), College of Applied Medical Sciences; from the Department of Epidemiology and Biostatistics (Badri), College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, and from the Population Health Section (Alghnam), King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
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Motasim Badri
From the Department of Prevention and Research (Alnjeidi), National Family Safety Program; from the Department of Emergency Medicine (Alharthy), College of Applied Medical Sciences; from the Department of Epidemiology and Biostatistics (Badri), College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, and from the Population Health Section (Alghnam), King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
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  • For correspondence: [email protected]
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    Figure 1

    - MKaplan-Meier probabilities of morbidity and mortality free survival stratified by: A) gender (female: solid-line, male: dotted-line), B) length of stay (>20 days: solid-line, ≤20 days: dotted-line), and C) total body surface area (0-10%: solid-line, >10%: dotted-line).

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    Table 1

    - Baseline demographic and clinical characteristics.

    Variablesn (%)
    Age
    0-2 years old172 (46.5)
    3-6 years old95 (25.7)
    ≥7 years old103 (27.8)
    Nationality
    Saudi345 (93.2)
    Non-Saudi25 (6.8)
    Gender
    Female145 (39.2)
    Male225 (60.8)
    Mechanism of burn
    Flame96 (25.9)
    Scald200 (54.1)
    Contact35 (9.5)
    Chemical23 (6.2)
    Electrical16 (4.3)
    Total body surface area
    0-5%111 (30)
    6-10%108 (29.2)
    11-15%52 (14)
    16-20%44 (11.9)
    21-25%12 (3.2)
    26-30%8 (2.2)
    31-35%6 (1.6)
    36-40%8 (2.2)
    41-45%3 (0.8)
    46-50%5 (1.4)
    >50%13 (3.5)
    Body region burned
    Head and neck135 (36.5)
    Trunk131 (35.4)
    Upper limb223 (60.3)
    Lower limb159 (43)
    Genital area31 (8.4)
    Length of stay
    Short stay (<21 days)300 (81.1)
    Long stay (≥21 days)70 (18.9)

    Values are presented as a number and (%).

      • View popup
      Table 2

      - Morbidity and mortality events following burn injury.

      Variablen (%)Incidence (per 100 PYs)
      Mortality5 (1.35)1.60
      Morbidity270 (73.0)86.22
      Urine infections26 (7.0)8.30
      Wound infections68 (18.4)21.72
      Blood/sepsis infections9 (2.4)2.87
      Respiratory infections5 (1.4)1.60
      Renal failure3 (0.8)0.96

      Values are presented as a number and (%). PYs: person-years

        • View popup
        Table 3

        - Distribution of mortality and morbidity events by gender, total body surface area, and length of stay.

        CharacteristicsYesNoP-value
        Gender
        Male29 (43.9)196 (64.5)0.002
        Female37 (56.1)108 (35.5)
        Total body surface area
        0-1018 (27.3)201 (66.1)<0.0001
        >1048 (72.7)103 (33.9)
        Length of stay
        <21 days32 (48.5)268 (88.2)<0.0001
        ≥21 days34 (51.5)36 (11.8)

        Values are presented as a number and (%).

          • View popup
          Table 4

          - Cox regression analysis for factors associated with combined morbidity and mortality events.

          FactorsHR95% CIP-value
          Gender
          Females1.641.01-2.670.047
          MalesReference 
          Total body surface area
          >103.201.83-5.59<0.0001
          0-10Reference 
          Length of hospital stay
          ≥21 days3.141.91-5.17<0.0001
          <21 daysReference 

          HR: hazard ratio, CI: confidence interval

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          Saudi Medical Journal: 43 (5)
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          Vol. 43, Issue 5
          1 May 2022
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          Factors associated with mortality and morbidity among pediatrics with burn injuries in Riyadh, Saudi Arabia
          Zainab Alnjeidi, Nesrin Alharthy, Suliman Alghnam, Motasim Badri
          Saudi Medical Journal May 2022, 43 (5) 508-513; DOI: 10.15537/smj.2022.43.5.20210923

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          Factors associated with mortality and morbidity among pediatrics with burn injuries in Riyadh, Saudi Arabia
          Zainab Alnjeidi, Nesrin Alharthy, Suliman Alghnam, Motasim Badri
          Saudi Medical Journal May 2022, 43 (5) 508-513; DOI: 10.15537/smj.2022.43.5.20210923
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