Evidence map›Paper›PMID 30304085›Full record

ArticleRevista Brasileira de terapia intensiva

Characteristics and outcome of burned children admitted to a pediatric intensive care unit.

Luciana Gil Barcellos, Ana Paula Pereira da Silva, Jefferson Pedro Piva, Leandra Rech, Tamires Goulart Brondani

Abstract read
In one paragraph

Article in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Nursing care directed to burned patients: a scoping review.Revista brasileira de enfermagem · 2023
    Article
  6. [Research advances on the effect of resistance training on the rehabilitation of burned children].Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns · 2021
    Review
  7. Mortality analysis of adult burn patients in Uruguay.Revista Brasileira de terapia intensiva · 2020
    Observational
  8. Prognostic factors in patients with burns.Anaesthesiology intensive therapy · 2020
    Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Luciana Gil BarcellosUnidade de Terapia Intensiva de Trauma Pediátrico, Hospital Municipal de Pronto Socorro de Porto Alegre - Porto Alegre (RS), Brasil.
Ana Paula Pereira da SilvaUnidade de Terapia Intensiva de Trauma Pediátrico, Hospital Municipal de Pronto Socorro de Porto Alegre - Porto Alegre (RS), Brasil.
Jefferson Pedro PivaServiço de Emergência e Medicina Intensiva Pediátrica, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brasil.
Leandra RechPrograma de Residência em Pediatria e Terapia Intensiva, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brasil.
Tamires Goulart BrondaniPrograma de Terapia Intensiva Pediátrica, Hospital da Criança Santo Antônio - Porto Alegre (RS), Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the characteristics and outcomes of children hospitalized for burns in a pediatric trauma intensive care unit for burn patients.

methodsAn observational study was conducted through the retrospective analysis of children (< 16 years) admitted to the pediatric trauma intensive care unit for burn victims between January 2013 and December 2015. Sociodemographic and clinical variables were analyzed including the causal agent, burned body surface, presence of inhalation injury, length of hospital stay and mortality.

resultsThe study analyzed a sum of 140 patients; 61.8% were male, with a median age of 24 months and an overall mortality of 5%. The main cause of burns was scalding (51.4%), followed by accidents involving fire (38.6%) and electric shock (6.4%). Mechanical ventilation was used in 20.7% of the cases. Associated inhalation injury presented a relative risk of 6.1 (3.5 - 10.7) of needing ventilatory support and a relative risk of mortality of 14.1 (2.9 - 68.3) compared to patients without this associated injury. A significant connection was found between burned body surface and mortality (p < 0.002), reaching 80% in patients with a burned area greater than 50%. Patients who died had a significantly higher Tobiasen Abbreviated Burn Severity Index than survivors (9.6 ± 2.2 versus 4.4 ± 1.1; p < 0.001). A Tobiasen Abbreviated Burn Severity Index ≥ 7 represented a relative risk of death of 68.4 (95%CI 9.1 - 513.5).

conclusionScalding burns are quite frequent and are associated with high morbidity. Mortality is associated with the amount of burned body surface and the presence of inhalation injury. Special emphasis should be given to accidents involving fire, reinforcing proper diagnosis and treatment of inhalation injury.

Indexed as

HospitalizationIntensive Care Units, PediatricAdolescentBody Surface AreaBurnsChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantLength of StayMaleRespiration, ArtificialRetrospective StudiesSeverity of Illness Index

Identifiers

PMID30304085
PMCPMC6180472

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.