Pattern of childhood burn injuries and their management outcome at Bugando Medical Centre in Northwestern Tanzania

Chalya, Phillipo L; Mabula, Joseph B; Dass, Ramesh M; Giiti, Geofrey; Chandika, Alphonce B; Kanumba, Emmanuel S.; Gilyoma, Japhet M

doi:10.1186/1756-0500-4-485

Cited by 32 publications

(42 citation statements)

References 28 publications

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“…In spite of gender similarities in AIS scores, a higher proportion of men were transferred to higher levels of care and a higher proportion of women were treated and discharged. The similar gender distribution in all four age groups of children finds an echo in previous studies from the region [14,[23][24][25] but also contrasts with others [9,16,17,22] where boys have higher rates. Children and adolescent boys and girls both sustained burns at comparable levels and appear to have had similar circumstances surrounding their injury and in the treatment they received.…”

Section: Main Findingscontrasting

confidence: 65%

“…Studies using mortality data [8,9] and those based on inpatient data [10][11][12][13][14] indicate that men are a risk group for burns, as are boys [9,[15][16][17][18]. Inpatient data present gender similarities in Total Body Surface Area (TBSA) burned [11,12,16] and studies considering in-and out-patient data reveal gender similarity in patients of all ages [19][20][21] with a preponderance of boys [22].…”

Section: Introductionmentioning

confidence: 96%

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Gender differences in burns: A study from emergency centres in the Western Cape, South Africa

Blom

Klingberg

Laflamme

et al. 2016

Burns

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Burns were far more common among children although gender differences arose only among adults. Men sustained more injuries of somewhat different aetiology and were referred to higher levels of care more often for comparable wound severity. The results suggest different disposition between men and women despite similar AIS scores. However, further studies with more comprehensive information on severity level and other care- and patient-related factors are needed to explore these results further.

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Section: Main Findingscontrasting

confidence: 65%

Section: Introductionmentioning

confidence: 96%

Gender differences in burns: A study from emergency centres in the Western Cape, South Africa

Blom

Klingberg

Laflamme

et al. 2016

Burns

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“…This may point to lack of child-proofing of cooking amenities or of the handling of hot or flammable material in the home, where the majority of childhood burns occur 38 39. For example, in rural Bangladesh, housing with easy access to cooking areas and use of the traditional kerosene lamp was associated with childhood burns 40.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

Patterns of vulnerability to non-fatal injuries in Sudan: initial evidence from a national cross-sectional survey

Abdalla¹

2013

Inj Prev

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Background Successful injury prevention requires identification and targeting of particularly vulnerable groups. Little is known about injury vulnerability patterns in Sudan. This paper aimed to fill this gap using survey data. Methods Data from the Sudan Household Health Survey were used. This was a national cross-sectional interview survey of 83 510 individuals selected by multistage cluster random sampling. Multivariable Poisson regression was used to investigate the association of cause-specific injury that received care by traditional healers, outpatient care and inpatient care, and those that received only inpatient care, with age, gender, area of residence (urban or rural), socioeconomic status and education. Relevant interactions were tested. Results Independent of other sociodemographic variables, men were at higher risk of road traffic injury ( prevalence ratio (PR): 3.3 95% CI 2.4 to 4.7), falls (PR: 1.5, 95% CI 1.3 to 1.9), assault (PR: 3.0 95% CI 1.8-5) and mechanical injury (PR: 2.0 95% CI 1.2 to 3.1) that received any form of healthcare. Those aged 65 years and over also had the highest risk of those injury causes, while children under 5 years were the most likely to suffer burn injuries. Socioeconomic status was associated with assault (PR for the richest group 0.4 95% CI 0.2 to 0.8). Vulnerability patterns for injury that received inpatient care were fairly similar for some causes. Conclusions In Sudan, existing disease prevention and health promotion programmes should expand to target men, children under 5 years, elderly people and those of low socioeconomic status with injury prevention interventions. Further research is needed to investigate the context-specific proximal risk factors that shape the various vulnerability patterns observed. INTRODUCTIONInjuries cause significant mortality and morbidity worldwide, accounting for almost 10% of world deaths, and are the leading cause of death among men aged 15-49 years.1 Injuries carry considerable social and economic ramification, particularly in low and middle income countries.2-4 This makes them highly relevant to the development agenda and to poverty-related issues such as maternal mortality and childhood illnesses that for long have been the focus of public health initiatives in those countries.Effective injury prevention requires the identification of vulnerable groups and specific settings where maximum benefit can be reaped of targeted prevention interventions, healthcare provision and research. Non-fatal injury patterns in particular point to groups that are at higher risk of spending time with disability, with all the ensuing social and economic consequences. Injury prevention principles are universal, and the effectiveness of many interventions has been established. [5][6][7][8] However interventions are delivered at national and subnational level, and cross-country as well as withincountry variations in vulnerability to injury are expected. For example, while road injuries in Tanzania were more common in urban areas, 9 there wa...

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“…11 12 Male children were mainly affected in a total of 342 burned children in Northwestern Tanzania and children aged 2 years and under were the majority, accounting for 45.9% of cases. 13 The descriptive epidemiology of injury mortality in Africa and other low-income countries is poorly understood. As a result, accurate data on the vital statistics about injury mortality is not well documented.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for injury mortality in rural Tanzania: a secondary data analysis

et al. 2012

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BackgroundInjuries rank high among the leading causes of death and disability annually, injuring over 50 million and killing over 5 million people globally. Approximately 90% of these deaths occur in developing countries.ObjectivesTo estimate and identify the risk factors for injury mortality in the Rufiji Health and Demographic Surveillance System (RHDSS) in Tanzania.MethodsSecondary data from the RHDSS covering the period 2002 and 2007 was examined. Verbal autopsy data was used to determine the causes of death based on the 10th revision of the International Classification of Diseases (ICD-10). Trend and Poisson regression tests were used to investigate the associations between risk factors and injury mortality.ResultsThe overall crude injury death rate was 33.4/100 000 population. Injuries accounted for 4% of total deaths. Men were three times more likely to die from injuries compared with women (adjusted IRR (incidence risk ratios)=3.04, p=0.001, 95% CI (2.22 to 4.17)). The elderly (defined as 65+) were 2.8 times more likely to die from injuries compared with children under 15 years of age (adjusted IRR=2.83, p=0.048, 95% CI (1.01 to 7.93)). The highest frequency of deaths resulted from road traffic crashes.ConclusionsInjury is becoming an important cause of mortality in the Rufiji district. Injury mortality varied by age and gender in this area. Most injuries are preventable, policy makers need to institute measures to address the issue.

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Pattern of childhood burn injuries and their management outcome at Bugando Medical Centre in Northwestern Tanzania

Cited by 32 publications

References 28 publications

Gender differences in burns: A study from emergency centres in the Western Cape, South Africa

Gender differences in burns: A study from emergency centres in the Western Cape, South Africa

Patterns of vulnerability to non-fatal injuries in Sudan: initial evidence from a national cross-sectional survey

Risk factors for injury mortality in rural Tanzania: a secondary data analysis

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