Review of the epidemiology of burn injuries in Ethiopia; implications for study design and prevention

Ogada, Edna; Gebreab, Abiye Hailu; Potokar, Thomas Stephen

doi:10.1016/j.burnso.2019.05.002

Cited by 10 publications

(6 citation statements)

References 21 publications

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“…The findings from this study showed that burn prevalence rates were higher among refugee and rural communities than in urban communities. This pattern had been observed by other studies in other countries, such as China, Ethiopia, and Nepal 20‐22 . This was also consistent with other findings reported in Turkey, 23 which indicated that more than 52% of admitted burn cases into a university hospital lived in rural areas wherein burns occur more frequently in such areas with deeper, larger, and more fatal burn characteristics.…”

Section: Discussionsupporting

confidence: 91%

“…This pattern had been observed by other studies in other countries, such as China, Ethiopia, and Nepal. 20 , 21 , 22 This was also consistent with other findings reported in Turkey, 23 which indicated that more than 52% of admitted burn cases into a university hospital lived in rural areas wherein burns occur more frequently in such areas with deeper, larger, and more fatal burn characteristics. This was partly attributed to the lack of access to transportation to the treatment units in addition to the lack of prevention measures.…”

Section: Discussionsupporting

confidence: 90%

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Epidemiology, aetiology and knowledge, attitudes, and practices relating to burn injuries in Palestine: A community‐level research

Ibaid

Hebron

Qaysse

et al. 2021

International Wound Journal

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The aim of this study was to identify the epidemiology, aetiology as well as the knowledge, attitudes, and practices relating to burn injuries in Palestine. A mixed‐method approach was used. A survey was distributed to a total of 1500 households selected by randomised approach. The survey was standardised based on World Health Organisation's guidelines for conducting community surveys on injury. Additionally, there were 12 focus group discussions and 10 key informant interviews to collect rich qualitative data. In the West Bank and Gaza, 1.5% of Palestinians had experienced serious burn injuries in the 12 months. The total sample of 1500 yields a margin of error (plus/minus) = 2.5% at a 95% level of confidence and a response distribution ( P = 50%) with 3% non‐response rate. Of the 1500 households approached, 184 reported a total of 196 burn injuries, with 87.2% occurring inside the home: 69.4% were females and 39.3% were children. The main source of reported cause of burn was heat and flame (36%), electric current (31.6%), hot liquid (28.6%), and chemicals (2.7%). The most common first aid for burns was pouring water (74.7%). People in rural, refugee, and Bedouin settings had the highest incidence of burns. This study provides the burn prevalence rate, explanatory factors that contribute to the frequency of burns in Palestine. Making burn prevention a higher priority within the national policy is crucial.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

Epidemiology, aetiology and knowledge, attitudes, and practices relating to burn injuries in Palestine: A community‐level research

Ibaid

Hebron

Qaysse

et al. 2021

International Wound Journal

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“…Pediatric age groups encountered more superficial second-degree burns while adults and the elderly commonly full thickness burns. This could be due to cause of the degree of burn, in which, scald more cause first-degree burn and second-degree superficial while flame and electrical burn cause full thickness & Second degree burn [40,43,53,55].…”

Section: Discussionmentioning

confidence: 99%

“…Different studies showed that the majority of burn patients were discharged without complication [14,36,38,39]. In Ethiopia burn accounts for 1.5% to 9% of injuries in all age groups and between 4% and 15% of injuries in the pediatric population with an estimated mortality rate of 11.6% [8,40]. The mortality rate according to a study conducted in Addis Ababa, Ethiopia was 11.6% [41].…”

Section: Introductionmentioning

confidence: 99%

Outcome of burn injury and associated factor among patient visited at Addis Ababa burn, emergency and trauma hospital: a two years hospital-based cross-sectional study

et al. 2022

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Background Burn is one of the critical health problems worldwide. Developing countries with sub-Saharan and Asian populations are affected more. Its mortality and non-fatal complications depend on several factors including age, sex, residency, cause, the extent of the burn, and time and level of care given. Objective The purpose of this study was to assess the outcome of burn injury and its associated factor among patients who visited Addis Ababa burn emergency and trauma hospital. Methods The institutional-based, retrospective cross-sectional study design was conducted from April 1, 2019, to March 30, 2021. After checking the data for its consistency the data were entered and analyzed by using SPSS version 25. A total of 241 patients who had visited Addis Ababa burn, emergency and trauma Hospitals after sustained burn injury were recruited through convenience sampling method for final analysis. Model goodness-of-fit was checked by Hosmer and Lemeshow test (0.272). After checking multi-collinearity both the bi-variable and multivariable logistic regression model was fitted and variables having a p-value less than or equal to 0.05 at 95% CI in the multivariable analysis were considered statistically significant. Result Adults (age 15 to 60 years) are the most affected groups accounting for 55.2% followed by pediatric age groups (age <15 years) (43.6%) and the elderly (age > 60 years) (1.2%). Scald burn was the major cause accounting for 39 % followed by Flame burn (33.6%), Electrical burn (26.6%), and chemical burn (0.8%). The mean TBSA% was 15.49%, ranging from1% to 64%. Adult males are more affected by electrical burns while adult females and the elderly encounter flame burn. 78.4% of patients were discharged without complications, 14.9% were discharged with complications and 6.6% died. The commonest long-term complication is the amputation of the extremity (19, 7.9%). Age greater than 60 years and TBSA% greater than 30% is a strong predictors of mortality with odds of 2.2 at 95% CI of [1.32, 3.69] and 8.7 at 95% CI of [1.33, 57.32] respectively. Conclusion and recommendation The mortality rate show decrement from previous studies. Overall scald burn is common in all age groups but electrical burns and flame burns affected more adult and elderly age groups. Extremities were by far, the commonest affected body parts. The extent of burn injury and the age of the patient independently predict mortality. Early intervention will reduce mortality and complications.

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“…The tertiary care centre in Lilongwe, Malawi reported that the mortality from burns was 16% for children aged 0–18 years between June 2011 and December 2012 [ 4 ], while burns account for the second most common cause of paediatric injury in the country [ 5 ]. In Ethiopia data are particularly difficult to access, but a recent review indicated that burns account for about 1.5% to 9% of injuries over all age groups and between 4% and 15% of injuries in the paediatric population [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Quality improvement training for burn care in low-and middle-income countries: A pilot course for nurses

Holden¹,

Ogada²,

Hebron³

et al. 2022

Burns

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Review of the epidemiology of burn injuries in Ethiopia; implications for study design and prevention

Cited by 10 publications

References 21 publications

Epidemiology, aetiology and knowledge, attitudes, and practices relating to burn injuries in Palestine: A community‐level research

Epidemiology, aetiology and knowledge, attitudes, and practices relating to burn injuries in Palestine: A community‐level research

Outcome of burn injury and associated factor among patient visited at Addis Ababa burn, emergency and trauma hospital: a two years hospital-based cross-sectional study

Quality improvement training for burn care in low-and middle-income countries: A pilot course for nurses

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