Browsing by Author "Demisse, Zerihun"

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    Survival status and predictors of mortality among pediatrics burn victims admitted to burn centers ,Addis Ababa,Ethiopia,2020.
    (Addis Abeba University, 2020-09) Demisse, Zerihun; Sebsisbie, Girum(Msc,Ass’t Prof.,Phd.Fellow); Tesfaye, Tewodros (MSc)
    Background: burn is damage to the skin and other human tissue occurs after exposure to heat from different mechanism. It is significant general medical issue, because of it, an estimated 265 000 deaths occur each year globally. Countries of low and middle income are accountable for occurrences of more than 96% of severe fire-related burns. In Africa Fire-related mortality rate for children under five is 32.9 per 100,000. Majority of burn victims who survived form this accidental event left with permanent disabilities and scar. Moreover facing stigma and rejection. Objective: To assess survival status and predictor of mortality among pediatrics burn victims admitted to burn center from 2016-2019, Addis Ababa, Ethiopia, 2020. Methods: An institution based retrospective cohort study deployed among 412 pediatrics burn victims admitted to Yekatit 12 and AaBET Hospital burn centers from the 1 of January 2016 to the 30 th of December 30, 2019, Addis Ababa, Ethiopia. Quantitative approach deployed. Data collected from patient charts using systematic sampling with pretested data extraction tool, entered using Epidata, and analyzed using STATA. Bivariate and multivariate Cox proportional hazard regression used to determine the predictors of mortality. Kaplan–Meier curves and log rank test was analyzed. Result: Four hundred twelve pediatrics burn victims admitted over the study period with mean age of 5.2 ±5.1SD years old. According to this study finding the median hospital stay found to be 25(95%CI: 30.11, 36.66) and with mean of 33.38 (95%CI: 30.11, 36.66) days. This study also revealed that 8.25 % died and from this, 55.89% were male. Full thickness (AHR 2.51 (95% CI: 1.12, 5.62)), co morbidity while hospital stay (AHR 26.28 (95% CI: 9.19, 75.16)), Nonsurgical intervention (AHR 34.40(9.80, 120.71) were significant predictors. Conclusion and recommendation: Among total 8.4% of pediatrics, burn victims died during follow up period. The overall incidence rate of 2.4 per 1000 person day. Independent predictors of mortality includes burned neck, those without surgical intervention, full thickness depth of burn and disease developed after admission. More concern needed for children with predictors. st