International Journal of Africa Nursing Sciences (Jan 2023)

Treatment outcomes of burn and associated factors among children visiting Dessie Comprehensive Specialized Hospital, 2021: An institution based Cross-Sectional study

  • Tilahun Dessie,
  • Seada Seid,
  • Tesfaye Birhane,
  • Mulugeta W. Selassie,
  • Gebeyaw Biset

Journal volume & issue
Vol. 19
p. 100589

Abstract

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Background: According to global estimates, Africa has the largest number of paediatric burn admissions. In Ethiopia, burn was the second leading cause of death among children from unintentional injuries. So far, no research had been conducted regarding the treatment outcomes of burn n children, particularly at DCSH. Objective: To evaluate burn treatment outcomes and associated factors in children who visited DCSH, 2021. Methods: An institutional based cross-sectional study design and simple random sampling method was used to select the study participants. A total of 250 charts of hospitalized children from September 1, 2011 to August 30, 2015 were reviewed. Cronbach’s alpha test was done on the data collecting tool which scored 0.8. Data were entered, cleaned using Epi-Data version 4.6, and analysed using SPSS version 20. P-values less than 0.2 in binary logistic regression were entered in multivariable logistic regression. Finally, P-values less than 0.05 were considered significant factors for poor treatment outcomes of burns. Result: This study showed that 27.6% (95 %CI: 22.4%–33.5%) of patients had poor burn treatment outcomes. Age less than 5 years [AOR: 2.27,95 %CI (1.057–4.87)], rural residence [AOR: 2.18,95 %CI(1.1–4.28)], inadequate resuscitation [AOR: 7.06,95 %CI(1.88–26.49)], resuscitation not applicable [AOR: 12.31,95 %CI(3.70–40.91)], malnourishment [AOR:2.19,95 %CI(1.12–4.25)] and extent of burn injury [AOR: 4.99,95 %CI(1.08–22.95])were factors associated with poor treatment outcomes. Conclusion and recommendation: In this study, treatment outcomes of burn were poor. Prior attention shall be given to under-five children and rural residents with burns. Adequate resuscitation, making IV fluids available, and treatment of malnourished children improve treatment outcomes of burn.

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