Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL

South African Family Practice Pub Date : 2025-01-08 DOI:10.4102/safp.v67i1.6009

Ntsovelo Mugwena, Rule Human, Maria M Geyser

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Abstract

Background: Burn injuries cause significant morbidity and mortality, with prevalence in developing countries such as South Africa. This study aimed to determine the characteristics and referral patterns of burn injuries.

Methods: A retrospective observational study was conducted in a single emergency centre, Kalafong Provincial Tertiary Hospital, from 01 January 2021 to 31 December 2021. The study included patients 13 years with burn injuries.

Results: A total of 266 patients were identified. Males (n = 144, 54.1%) had a higher prevalence of incurring burn injuries. The majority of injuries were secondary to scald burns (n = 237, 89.1%). A total of 208 (78.2%) patients had a percentage of total body surface area (%TBSA) of 10%, and 257 (96.6%) had superficial partial-thickness burns. Only 77 (28.9%) cases were from referral centres and there was no relationship between referral pattern and %TBSA. Majority (n = 248, 93.2%) received no pre-hospital wound care. Only 108 (40.6%) patients were admitted and the median length of hospital stay (interquartile range [IQR]) was 7 days (2 to 9). There was a significant relationship between the length of hospital stay and %TBSA burns (p 0.001).

Conclusion: The pattern of burn injuries in patients is similar to previous studies carried out predominantly in townships in South Africa. Most referrals were found to be appropriate and complied with institutional burn injury admission protocol, although pre-hospital wound care was inadequate.Contribution: Primary burn injury care is vital to reduce morbidity and mortality, and development of programmes for public awareness of burn injuries remains crucial.

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南非三级急救中心收治的烧伤儿童的特征。

背景：烧伤引起显著的发病率和死亡率，在南非等发展中国家流行。本研究旨在确定烧伤的特点和转诊模式。方法：于2021年1月1日至2021年12月31日在卡拉丰省三级医院的一个急诊中心进行回顾性观察研究。该研究包括13年的烧伤患者。结果：共发现266例患者。男性（n = 144, 54.1%）发生烧伤的患病率较高。大多数损伤继发于烫伤（n = 237, 89.1%）。208例（78.2%）患者体表面积（%TBSA）为10%，257例（96.6%）患者有浅表部分烧伤。只有77例（28.9%）来自转诊中心，转诊方式与%TBSA之间没有关系。大多数患者（n = 248, 93.2%）未接受院前伤口护理。仅108例（40.6%）患者入院，中位住院时间（四分位间距[IQR]）为7天（2 ~ 9天）。住院时间与TBSA烧伤%之间存在显著相关（p < 0.001）。结论：患者的烧伤模式与先前主要在南非乡镇进行的研究相似。虽然院前伤口护理不足，但大多数转诊被认为是适当的，并符合机构烧伤入院协议。贡献：初级烧伤护理对降低发病率和死亡率至关重要，制定公众烧伤意识规划仍然至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

South African Family Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

1.50

自引率

20.00%

发文量

审稿时长

25 weeks

期刊介绍： South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.