Demographic characteristics and prognostic indicators of childhood burn in a developing country

Olawoye, Olayinka; Iyun, AO; Ademola, Samuel Adesina; Michael, A. I.; Oluwatosin, Odunayo M

doi:10.1016/j.burns.2014.04.008

Cited by 25 publications

(13 citation statements)

References 22 publications

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“…Among studies with adults only, men are found to be more at risk especially between 20 and 30 years of age [100] , [102] , [103] , [105] , [106] . Scald injuries (usually in children) and flame injuries (usually in adults) are the most common types of injuries [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] , [66] , [67] , [68] , [69] , [70] , [71] , [72] , [73] , [74] , [75] , [76] , [77] , [78] , [79] , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , [90] , [91] , [92] , [93] , [94] , [95] , [96] , [97] , [98] , [99] , …”

Section: Resultsmentioning

confidence: 99%

“…Several studies note specific socio-economic factors common to admitted patients. Limited education, unemployment, having more than six persons in the home and/or single room house, being from a rural area, and/or having a ‘low income’ are common among admitted patients [67] , [71] , [74] , [75] , [76] , [77] , [78] , [79] , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , [90] , [91] , [92] , [93] , [94] , [95] , [96] , [97] , [98] , [99] .…”

Section: Resultsmentioning

confidence: 99%

“…Chemical and electrical burns as well as intentional burns do occur and are among those admitted [41] , [42] , [43] , [44] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] , [66] , [69] , [70] , [75] , [76] , [77] , [78] , [79] , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , [90] , [91] , [92] , [93] , [94] , [95] , [96] , [97] , [98] , [100] , [102] , [103] , [104] , [105] , [106] , [107] . Many burn injuries occur during the cool/dry/windy months [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , …”

Section: Resultsmentioning

confidence: 99%

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A systematic review of burn injuries in low- and middle-income countries: Epidemiology in the WHO-defined African Region

Rybarczyk

Schafer

Elm

et al. 2017

African Journal of Emergency Medicine

130

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IntroductionAccording to the World Health Organization (WHO), burns result in the loss of approximately 18 million disability adjusted life years (DALYs) and more than 250,000 deaths each year, more than 90% of which are in low- and middle-income countries (LMICs). The epidemiology of these injuries, especially in the WHO-defined African Region, has yet to be adequately defined.MethodsWe performed a systematic review of the literature regarding the epidemiology of thermal, chemical, and electrical burns in the WHO-defined African Region. All articles indexed in PubMed, EMBASE, Web of Science, Global Health, and the Cochrane Library databases as of October 2015 were included.ResultsThe search resulted in 12,568 potential abstracts. Through multiple rounds of screening using criteria determined a priori, 81 manuscripts with hospital-based epidemiology as well as eleven manuscripts that included population-based epidemiology were identified. Although the studies varied in methodology, several trends were noted: young children appear to be at most risk; most individuals were burned at home; and hot liquids and flame are the most common aetiologies.DiscussionWhile more population-based research is essential to identifying specific risk factors for targeted prevention strategies, our review identifies consistent trends for initial efforts at eliminating these often devastating and avoidable injuries.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review of burn injuries in low- and middle-income countries: Epidemiology in the WHO-defined African Region

Rybarczyk

Schafer

Elm

et al. 2017

African Journal of Emergency Medicine

130

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“…The median age, %TBSA, and LOS were 2.0 years (1.3-3.3), 8.0% (5.0-13.4), and 8.5 days (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Most patients were admitted the day of or the day after their injury (63%); median PBD was 0 (0-1).…”

Section: Patient Characteristicsmentioning

confidence: 94%

Predictors of Mortality Among Pediatric Burn Patients in East Africa

Chelidze

Lim

Peck

et al. 2016

Journal of Burn Care & Research

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Little is known about the outcomes of pediatric burn patients in resource-limited and rural locations of the developing world. In March 2013, our pediatric burn unit existing in this setting established an electronic registry of all patients. The authors analyzed the registry to determine overall mortality rates and predictors of mortality, including that of underweight status and body part burned. The secure electronic database of all admissions was reviewed for age, gender, weight, burn percentage (TBSA%), body part burned, cause/place of injury, length of stay, underweight status, surgery performed, reason for discharge, and mortality. Univariable and multivariable logistic regression was used to determine the variables associated with mortality. Kaplan-Meier curves were also analyzed. A total of 211 cases (59.7% male) admitted from March 2013 to June 2014 were reviewed. The median age, %TBSA, and length of stay were 2.0 years (1.3-3.3), 8.0% (5.0-13.4), and 8.5 days (4-14). The overall mortality rate was 15/211 (7.1%). Most injuries were unintentional (93.8%) scalds (85.3%) occurring in the home (98.1%). Two factors were significantly associated with mortality in the final multivariable model: %TBSA (odds ratio = 1.31 for 1% increase in %TBSA; 95% confidence interval = 1.17-1.46) and younger age (odds ratio = 0.20; 0.07-0.63). This study characterizes mortality among patients at a pediatric burn unit serving a rural population in the developing world. The majority of pediatric burns were unintentional scalds occurring in the home. %TBSA and lower age were the strongest predictors of mortality. Burn location and underweight status were not independent predictors of mortality. Overall mortality was 7.1%. These data are applicable to improving outcomes for patients in this burn unit and similar settings of its kind.

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“…Epidemiological information about childhood injury is still partial and incomplete since this is a multidisciplinary, undefined and very extensive work field that requires the action of qualified and experienced professionals in order to understand the multiple aspects associated with the occurrence of this problem. In addition to obtaining statistical information about mortality and more serious injury, it is necessary to explore the large number of events that remain hidden in the community, with no records in medical care services but very important for the various strategies to be directed at the promotion of health and at the prevention of harm to children's health [30,39].…”

Section: Introductionmentioning

confidence: 99%