Retrospective Study on Outcome of Burn Injury and Associated Factors Among Children At Felegehiwot Referral Hospital, Bahirdar Town, Amhara Regional State, Ethiopia, 2017
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Date
2017-06
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Addis Ababa University
Abstract
Background: Burn is a skin and tissue damage caused by agent like fire, scald, electricity,
sunlight, chemical or nuclear radiation. Burn injury is a major contributor to morbidity and
mortality in sub-Saharan Africa. Burn in children can have long term physical, psychological,
economic and social implication on them and their families with ongoing treatment,
rehabilitation and the need for regular interventions.
Objective: The aim of this study was to assess outcome of burn injury and associated factors
among children in FelegeHiwot Referral Hospital, Bahirdar town, Amhara regional state,
Ethiopia, 2017.
Methods: Institution based retrospective cross sectional study design was conducted from
October to June 2017.A total of 102 burn patients were selected by simple random sampling
method. Data was collected from patients’ medical record by data collection sheet
retrospectively from 2011 to 2016.Bivariate and multivariate logistic regression analyses were
employed to identify associated factors for outcome of burn injury.
Result: a total of 102 burn patients included in this study. The overall prevalence of burn injury
was 0.46%.The mean age of burn patients was 9.56±5.49 years (range: 1 year to 17 years).In
almost all age groups the prevalence of burn injury is higher among females. The mean TBSA
(total body surface area) burned was 12.56 ± 8.91 with a range of 1–48%.A child burned with
>20% of TBSA has 42.4 times higher to recover with scar and disfigurement as compared to
children with <10% of TBSA burned [AOR=42.4, 95%CI= (40.25-60)].Conservative treatment
was successful in 91 (89.7%) of cases. Most of the burn patients 60(58%) healed completely and
34(33.3%) of patients recovered with significant scarring and disfigurement at the end of the
treatment. Children who were treated by surgical management 54.6 times higher to recover with
scar
and
disfigurement
as
compared
to
children
treated
with
conservative
management[AOR=54.6 ,95% CI(49.1-56.2)].
Conclusion and recommendations: Majority of the burn patients 60(58%) healed completely.
Extent and management of burn injury have significant association with outcome of burn injury.
I recommend the need for more public health enlightenment on the prevention and initial
intervention in burns in children. There should be well equipped burn unit. Availability and
accessibility of burn units in all parts of the country will hopefully improve the outcome of burn
injury and quality of care
Keyword: Outcome of Burn injuries, children, associated factors, Bahirdar, Ethiopia.
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Keywords
Outcome of Burn injuries, Children, associated factors