2017年埃塞俄比亚阿姆哈拉地区州bahir dar镇hiwot转诊医院住院儿童烧伤流行病学调查

Firehiwot Girma Gessesse, Yibeltal Asmamaw Yitayew
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引用次数: 8

摘要

背景:烧伤是一个主要的全球公共卫生问题,伴随着高死亡率和发病率。对流行病学模式有足够的了解是预防烧伤的必要条件,但在包括埃塞俄比亚在内的许多发展中国家,对烧伤的流行病学模式重视程度较低。方法:2017年3 - 4月采用基于机构的回顾性横断面研究设计。采用简单随机抽样方法,选取102例烧伤患者。采用数据提取工具对2011 - 2016年在菲利格希沃特转诊医院就诊的儿童烧伤患者病历进行回顾性收集。数据被清理、编码并输入Epi-data版本3.1,然后导出到Statistical Package for Social Sciences版本21进行分析。结果:儿童烧伤总体患病率为0.46%。在所有年龄组中,女性的烧伤患病率较高。烫伤烧伤占42.2%,多部位烧伤占41.61%。多数患儿(75.5%)表现为二度烧伤,平均烧伤总体表面积(TBSA)为12.56±8.91。大多数患者(77.5%)在<24小时内就诊,35.3%的患者在烧伤后接受院前护理,33.3%的患者康复后出现明显的疤痕和毁容。结论和建议:大多数烧伤发生在家中,院前干预大多是有害的做法。因此,应向社会提供适当的院前干预措施和安全的家庭环境方面的健康教育。
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Epidemiology of burn injury among children’s attended felege hiwot referral hospital in bahir dar town, amhara regional state, Ethiopia, 2017
Background: Burn injury is a major global public health problem accompanied by a high risk of mortality and morbidity. Sufficient knowledge in the epidemiological pattern is necessary to prevent burn injury, but in many developing countries, including Ethiopia, the epidemiological patterns of burn injuries given low attention. Methods: The institutional-based retrospective cross-sectional study design was conducted from March-April 2017. A total of 102 burn patients were selected in a simple random sampling method. Data were collected retrospectively from patients’ medical records using a data extraction tool among children’s attended Felege Hiwot referral hospital with burn injury from 2011 to 2016. Data were cleaned, coded, and entered in Epi-data version 3.1, then exported to Statistical Package for Social Sciences version 21 for analysis. Result: The overall prevalence of burn injury among children was 0.46%. In all age groups, the prevalence of burn injury was higher among females. Scald burn injuries account for 42.2%, and 41.61% of burn injuries involved multiple body parts. The majority of children (75.5%) presented with second-degree burns, and the mean TBSA (total body surface area) burned was 12.56 ±8.91. The majority of patients (77.5%) seek health care within <24 hours, 35.3% of patients received prehospital care after burn injury, and 33.3% of patients recovered with significant scarring and disfigurement. Conclusion and recommendations: The majority of the burn injuries occurred at home, and pre-hospital interventions were mostly harmful practices. Therefore adequate health education should be delivered to the society regarding appropriate pre-hospital interventions and a safe home environment.
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