MANAGEMENT OUTCOME OF BURN INJURY AND ASSOCIATED FACTORS AMONG HOSPITALIZED CHILDREN AT AABET AND YEKATIT 12 HOSPITAL, ADDIS ABABA, ETHIOPIA 2021

Abstract

Abstract Background: Burn causes more than 7.1million injuries annually. Burn injury one of significant cause of mortality worldwide causing the death of 250000 people worldwide. It also causes 18 million disability adjusted life years. Most of the deaths (90%) occur in low and middle income countries, Africa taking the major share. In Ethiopia, burn was the second leading cause of death among children from the unintentional injuries. Objective: To identify management outcome of burn injury and associated factors among hospitalized children at AaBET and Yekatit 12 Hospital, Addis Ababa, Ethiopia,2021. Methods: Institutional based retrospective cross sectional study design was conducted in Burn center AaBET and Yekatit12 Hospital Addis Ababa Ethiopia from December 15 to Jan 15, 2022 on 239 participants. Data was obtained by using structured check list from the patient chart review and was entered into EPI info version 3.1 and export to SPSS version 25. Bivariate and multivariable logistic regression was done to measure the association between explanatory variables and the dependent variable. Adjusted odds ratios (AOR) with 95 % confidence intervals were computed to measure the strength of association and a P-value of ≤0.05 was considered to declare a statistically significant association between independent and the outcome variables. Results: A total of 239 burned children were studied. Males were mainly affected (67.5%). Scald was the most common type of burns almost 74.9 % of the burns were caused by scald, and 51.9 % of the burns were confined to the upper extremities, head and neck. 33.9% of the patients were discharged without complication. Age (AOR = 0.02; 95% CI (0.001-0.65), causes of burn (AOR = 2.18; 95% CI (1.86-11.99), and length of stay (AOR = 0.026; 95% CI (0.001-0.65) were statically significant with the outcome of burn injury. Conclusion and Recommendation: The most causative agent of these accidents was scald; upper extremities also were the most affected area. Burns is still a major health problem among children in developing country. Fortunately, outcome of appropriate treatment is good. However, we think that poor safety consciousness among parents is a major predisposing factor. Public enlightenment on measures to ensure safe home environment may be necessary to avoid or limit childhood burns. Keywords: Burn, pediatrics, Management Outcome, Ethiopia