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埃塞俄比亚西南部奥罗米亚地区吉马区吉马医疗中心儿童烧伤的模式、原因及其治疗结果

Pattern, Cause of Childhood Burn injuries and their Management Outcome At Jimma Medical Center, Jimma Zone, Oromia Region, Southwest Ethiopia.

作者信息

Deribe Zekarias, Desta Diliab

机构信息

Department of Surgery, Faculty of Medical Science, Jimma Medical Center, Jimma, Ethiopia.

Department of Anatomy, Faculty of Medical Science, Jimma University, Jimma, Ethiopia.

出版信息

Clin Cosmet Investig Dermatol. 2023 Jun 14;16:1505-1514. doi: 10.2147/CCID.S411693. eCollection 2023.

Abstract

PURPOSE

Burn injuries are prevalent worldwide, especially in developing countries; and there are significant pediatric burn injuries in Ethiopia. This study was performed to analyze the pattern, cause, and management outcome of burn injuries in Jimma Medical Center.

METHODS

A hospital‑based retrospective cross‑sectional study was conducted at Jimma university medical center burn unit. Data were collected through chart review of pediatric patients aged 0 to 14 years who were admitted to the burn unit with a burn injury. A total of 92 hospitalized children were studied from Jan 1, 2020 to Dec 31, 2021 GC. Data were analyzed using SPSS version 25. The statistical significance was determined using odds ratio (OR) with a 95% confidence interval (CI) and the corresponding P-value of less than 0.05.

RESULTS

The majority of the patients were males (52.2%). Scald burn was the most common cause of burn in 57(62.0%). The TBSA of majority of the patients (52.2%) was found to be between 11% and 20%. After adjusting for possible confounders in the multivariate analysis, preexisting illness and time of presentation to care were found to have a statistically significant association with the outcome of burn at discharge (P= 0.007) (P= 0.021) respectively.

CONCLUSION

The most common cause of burn in our setup was scald burn; upper extremities were also the most affected site. According to our study, the factors associated with the outcome of burn injury were preexisting illness and late presentation to health facilities.

摘要

目的

烧伤在全球范围内普遍存在,尤其是在发展中国家;埃塞俄比亚存在大量儿童烧伤病例。本研究旨在分析吉姆马医疗中心烧伤的类型、原因及治疗结果。

方法

在吉姆马大学医学中心烧伤科开展了一项基于医院的回顾性横断面研究。通过查阅烧伤科收治的0至14岁儿科烧伤患者的病历收集数据。对2020年1月1日至2021年12月31日期间住院的92名儿童进行了研究。使用SPSS 25版软件进行数据分析。采用比值比(OR)及95%置信区间(CI)确定统计学意义,P值小于0.05具有统计学意义。

结果

大多数患者为男性(52.2%)。烫伤是最常见的烧伤原因,有57例(62.0%)。大多数患者(52.2%)的烧伤总面积在11%至20%之间。在多因素分析中对可能的混杂因素进行校正后,发现既往疾病和就诊时间与出院时的烧伤结局分别存在统计学显著关联(P = 0.007)(P = 0.021)。

结论

在我们的研究中,最常见的烧伤原因是烫伤;上肢也是受影响最严重的部位。根据我们的研究,与烧伤结局相关的因素是既往疾病和就医延迟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b23d/10277001/0c5bb44dca2f/CCID-16-1505-g0001.jpg

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