Chronic Wound Care Management and Research (Jul 2021)
Pathological Scar and Its Associated Factors Among Survivor of Burn Victim Pediatrics Admitted to South Gondar Zone Public Hospitals, Amhara Regional State, Ethiopia, 2020 – A Multi-Center Cross-Sectional Study
Abstract
Chalie Marew Tiruneh,1 Amare Belachew,2 Sileshi Mulatu,2 Tigabu Desie,1 Moges Wubneh Abate,3 Adane Birhanu Nigat,3 Nigusie Selomon Tibebu,1 Belete Gelaw Walle,4 Agimasie Tigabu,3 Amsalu Belete5 1Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 2Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Bahr Dar University, Bahr Dar, Ethiopia; 3Department of Adult Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; 4Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Wolayta Sodo University, Wolayta Sodo, Ethiopia; 5Department of Integrated Clinical and Community Mental Health, College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaCorrespondence: Chalie Marew TirunehDebre Tabor University, P.O.Box 272, EthiopiaTel +251918057611Email [email protected]: Burn is a severe type of traumatic injury, which can lead to deformity, disability, or death, and remains a significant health problem worldwide. It is one of the leading causes of morbidity and mortality among Ethiopian children, as many hospitals are lacking a well-equipped and prepared burn center. Children under the age of 15 are at increased risk of burn-related complications. Because they may not be able to escape from the burning object, they often experience a long duration of contact with the hot substance, with a resultant deep burn injury and death.Methods: Institutional cross-sectional study was used to study 375 hospitalized burn injury survivor pediatrics from 2015 to 2019. A simple random sampling method was used to select participants. Data were exported from Epidata version 4.6 to SPSS version 25 for analysis. In multivariable analysis, significant of the variables were considered at p-value of ≤ 0.05.Results: In total, 353 were included in the study. Of 353 burn injury survivors, the prevalence of pathological scar was 125 (35.4%). In multivariable analysis, depth of burn injury, time since burn injury, a patient who have a referred to physiotherapy by the surgeon, and surgical procedure is done after burn were statistically significant with a complication of burn injury survivors.Conclusion and Recommendation: This study revealed that the burden of pathological scar among survivors of burn injury was unacceptably high, which needs intervention from the concerned bodies. Since this high burden of complication might result from the limitation of applying Interburn recommendation, the Amhara regional health bureau and the South Gondar health department shall work in collaboration with Interburn to provide essential burn care and advanced burn care training for health care providers. The timely intervention of those who have a second- and third-degree burn, promoting early presentation to hospital, providing appropriate physiotherapy, and proper care for those who have surgical intervention may help to decrease pathological scar for burn victim children.Keywords: burn injuries, pathological scar, pediatrics, South Gondar, Ethiopia
