Gessesse, Friehiwot Girma (2017) Retrospective Study on Outcome of Burn Injury and Associated Factors among Children at Felegehiwot Referral Hospital, Bahirdar Town, Amhara Regional State, Ethiopia, 2017. Masters thesis, Addis Ababa University.
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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
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Outcome of Burn injuries, children, associated factors, Bahirdar, Ethiopia |
| Subjects: | R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 12 Jul 2018 06:57 |
| Last Modified: | 12 Jul 2018 06:57 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7342 |
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