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Introduction - Burns are one of the leading causes of morbidity and mortality all over the world, which disproportionately affect those 15 years old. It results in a scores of preventable deaths and disability every year in low and middle income countries including Ethiopia. Death from burn injuries carries the most significant losses which often have graver consequences for the countries because of higher mortality and high years of life lost in productive age group. Lack of data that can be used in legislation and policy formulation is a major hindrance in highlighting the problem of burns in Ethiopia
Objective- The objective of this study was to assess the magnitude of mortality and associated factors among burn victim pediatrics admitted to south Gondar zone public hospital, Amhara, Ethiopia, 2020
Methods- Institutional based retrospective cross-sectional study design was used to study a total of 359 hospitalized burn victim pediatrics’ from 2015 to 2019 and structured checklist were used to review the chart. After preparing sampling frame, simple random sampling was used. Data was entered into epidata version 3.1 and exported to SPSS version 23 for analysis. Bi-variable analysis were performed and variables with P-value ≤ 0.25 in the bivariate analysis were included in multivariable analysis. Finally p-value <0.05 were considered as stastically significant.
Result- In this study, 343 burn victim pediatrics charts were studied. The total mortality rate in this study was 8.5%. Medical insurance none users(AOR 3.700; 95% CI =1.188-11.525), mal-nutrition (AOR 3.970; 95% CI= 1.293-12.190), electrical burn(AOR 7.651; 95% CI= 1.800-32.524) and flame burn(AOR 3.327; 95% CI= 1.225-9.033), total body surface area burn greater than 20% (AOR 4.606; 95% CI 1.796-11.812) and poor clinical condition at admission(AOR 4.093, 95% CI= 1.392-12.036) were statistically significant with mortality among burn victims.
Conclusion and Recommondation- Even though mortality among burn victim pediatrics popu-lation was similar with the study conducted in our country, it is higher than most of the study conducted all over the world. Medical insurance none users, malnourishment, cause, poor clinical condition at admission and increased total body surface area burnt were associated with mor-tality. Promoting health insurance utilization, prevention of malnutrition and extra feeding for malnutrition with burn, and early management of victim with poor clinical condition, increased total body surface area burn and electrical and flame burn should be strengthened.
Key words- Burn injuries, Mortality, Pediatrics, South Gondar, Ethiopia |
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