Medical Journal of the Islamic Republic Of Iran

en The Role of Serum Albumin Level during Hospitalization as a Predictor of Complications and Mortality in Children with Burns Burn & Reconstruction Burn & Reconstruction Original Research Original Research Background: Serum albumin can function as a potential biomarker to determine the severity of the injury and clinical staging of children with burns. Therefore, in this study, we investigated the association between serum albumin level and complications and mortality rate in children with burns.    Methods: In this descriptive-analytic cross-sectional study, 85 patients younger than 18 years with burns who were admitted to Shahid Motahari hospital between 2021 and 2022 were studied. Demographic information, including patients' age, sex, weight, underlying diseases, medical information, albumin level, and C-reactive protein (CRP), was obtained from patient records. Patients were observed until discharge. The independent t-test, chi-square, Pearson correlation, and logistic regression were used for analysis and to examine the predictive role of albumin.    Results: Out of 85 patients, 47 and 38 were boys and girls, respectively. The mean age of the participants was 3.69 ± 3.09 years. The mean length of hospital stay was 2.3 days, with a median of 1.5 days. The mean percentage of burns was 23.44 ± 16.50, and burn grade 2 was the most common. A total of 25 patients (29.41%) were admitted to the intensive care unit (ICU), and 13 deaths (15.29%) were observed among the patients. The mean albumin level was significantly lower than in other patients with outcomes of pulmonary infection, sepsis, renal failure, ICU admission, and death (P < 0.001).    Conclusion: Serum Albumin has a significant predictive value in death, pulmonary infection, sepsis, admission to the ICU, and renal failure. Serum albumin may be a good prognostic marker associated with morbidity and mortality.   Serum Albumin, Hospitalization, Mortality, Burns, Pediatrics 332 336 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-7792-1&slc_lang=en&sid=1 Shahrabanoo Nakhaie snakhaie12@gmail.com 200319475328460076914 200319475328460076914 No Department of Pediatric Gastroenterology, School of Medicine, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran Behnam Sobouti Behnamsobouti@gmail.com 200319475328460076915 200319475328460076915 No Department of Pediatrics, School of Medicine, Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran Seyyed Hamid Salehi Hamidsalehi64@gmail.com 200319475328460076916 200319475328460076916 No Department of General Surgery, School of Medicine, Burn Research Center, Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran Vida Chavoshian Vchavoshian@yahoo.com 200319475328460076917 200319475328460076917 Yes Department of Pediatrics, School of Medicine, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran