Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kathmandu, Nepal.
Nepalese Army Institute of Health Sciences, Bhandarkhal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2020 Nov 22;58(231):862-865. doi: 10.31729/jnma.5233.
Burn injury is an important cause of mortality and morbidity in children worldwide. Mortality is higher in developing countries than in developed ones. Most of them occur in predictable domestic settings and can be prevented. The objective of this study was to find out the prevalence of acute pediatric burns in a hospital setting.
A descriptive cross-sectional study was conducted by reviewing the secondary data of burn cases admitted during the years 2016 AD to 2018 AD in a tertiary care hospital after taking ethical clearance from the Institutional Review Committee (IRC No. 016-2019). The sample size was calculated and systematic random sampling was done. Data analysis was done using Statistical Package for the Social Sciences, version 23. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
The prevalence of acute pediatric burns at the hospital was found to be 101 (29.71%) (24.85-34.57 at 95% Confidence Interval). The majority of them were males 54 (53.47%) and toddlers 39 (38.61%). Scalding 54 (53.47%) was the main etiology. Most of the burn injuries occurred inside the house 76 (75.25%) and on November 11 (10.9%). The mortality rate was 11 (10.89%).
The prevalence of acute pediatric burns in a hospital setting was lower than most other countries but mortality was higher. The majority of the burn injuries occurred inside the house. Therefore, special focus should be done on prevention at the household level. Adequate medical services for emergency management of childhood burns should be available in different parts of the country.
烧伤是全球儿童死亡和发病的重要原因。发展中国家的死亡率高于发达国家。大多数烧伤发生在可预测的家庭环境中,是可以预防的。本研究旨在了解医院环境中急性儿科烧伤的流行情况。
这是一项回顾性描述性横断面研究,对伦理审查委员会(IRC 编号 016-2019)批准后,在一家三级护理医院,对 2016 年至 2018 年期间收治的烧伤病例的二级数据进行了审查。计算了样本量,并进行了系统随机抽样。使用社会科学统计软件包(版本 23)进行数据分析。计算了 95%置信区间的点估计值,并对二项数据进行了频率和比例分析。
医院急性儿科烧伤的患病率为 101 例(29.71%)(95%置信区间为 24.85-34.57)。大多数为男性 54 例(53.47%)和幼儿 39 例(38.61%)。烫伤 54 例(53.47%)为主要病因。大多数烧伤发生在屋内 76 例(75.25%)和 11 月 11 日(10.9%)。死亡率为 11 例(10.89%)。
医院环境中急性儿科烧伤的患病率低于大多数其他国家,但死亡率较高。大多数烧伤发生在屋内。因此,应特别关注家庭层面的预防。应在全国不同地区提供充足的儿童烧伤急救医疗服务。