Shewaye Ejigu Mulugeta, Abosetugn Akine Eshete, Getnet Mekasha, Minda Dr Abebe, Ayele Abebe Nigussie, Tefera Mitiku
Departments of Public health, Debre Berhan University, Asrat Woldeyes Health Science Campus, Debre Berhan, Ethiopia.
Department of Nursing, Debre Berhan University, Asrate Woldeyes Health Science Campus, Debre Berhan, Ethiopia.
PLOS Glob Public Health. 2024 Sep 16;4(9):e0003682. doi: 10.1371/journal.pgph.0003682. eCollection 2024.
Burn injury is a major contributor to morbidity and mortality in developing countries. In Ethiopia, the outcome of burn injuries and associated factors among burn patients were not clearly described. To assess the outcome of burn injuries and its associated factors among burn patients attending public hospitals in the North, showa Zone, Ethiopia. An institution-based cross-sectional study was conducted among 420 burn patients in public hospitals of the North showa, zone. Systematic random sampling was used to select study participants. Structured checklists were used to extract data from burn patients' medical records. Data was entered using Epi-Data version 4.6. Data was analyzed using SPSS version 25. A p- value of ≤ 0.05 in the multivariable logistic regression was used to declare a significant association. In this study, the prevalence of discharges with complications was 40.9% (95% CI: 36.5-45.6). The odds of developing complications among patients having pre-hospital intervention were nearly four times the odds of not having the intervention (AOR = 3.8, 95% CI, 1.11-13.25). The odds of developing complications among patients having scalds were four times the odds of not having scalds (AOR = 4.3, 95% CI, 1.52-12.32). A patient who received fluid and electrolytes was 76% less likely to develop the outcome of burn injury discharged with burn complications. Patients with TBSA less than 20% were 66% less likely to be discharged with complications compared to patients with TBSA greater than 20%.: This study demonstrates a significantly higher level of outcome for patients with burn injuries who were discharged with complications, leading to death and other bad outcomes. Therefore, stakeholder would more emphasis in health education on prevention of burn injuries, first aid treatment of burn, treatment of the cause of burns, and providing fluid and electrolytes.
烧伤是发展中国家发病和死亡的主要原因。在埃塞俄比亚，烧伤患者的烧伤结局及相关因素尚未得到明确描述。为评估埃塞俄比亚绍阿州北部公立医院烧伤患者的烧伤结局及其相关因素。在绍阿州北部公立医院对420例烧伤患者进行了一项基于机构的横断面研究。采用系统随机抽样方法选取研究对象。使用结构化检查表从烧伤患者的病历中提取数据。数据使用Epi-Data 4.6版本录入。使用SPSS 25版本进行数据分析。多变量逻辑回归中p值≤0.05被用来表明存在显著关联。在本研究中，有并发症出院的患病率为40.9%（95%CI：36.5 - 45.6）。院前接受干预的患者发生并发症的几率几乎是未接受干预患者的四倍（调整后比值比[AOR]=3.8，95%CI，1.11 - 13.25）。烫伤患者发生并发症的几率是未烫伤患者的四倍（AOR = 4.3，95%CI，1.52 - 12.32）。接受液体和电解质治疗的患者因烧伤并发症出院时发生烧伤结局的可能性降低76%。与总体表面积（TBSA）大于20%的患者相比，TBSA小于20%的患者出院时出现并发症的可能性降低66%。：本研究表明，因并发症出院的烧伤患者的结局水平显著更高，会导致死亡和其他不良后果。因此，利益相关者应更加重视烧伤预防的健康教育、烧伤的急救治疗、烧伤原因的治疗以及提供液体和电解质。
