Factors Affecting Length of Hospital Stay in Burn Injuries in Children Aged Under <10 Years Admitted at Sekou Toure Regional Hospital in Mwanza, Tanzania.
Material type:
Item type | Current library | Collection | Status | Barcode | |
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UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 1 | UD0596 |
Abstract:
Background: Burn injuries are the major public health problem of the developmental concern with both health and socio-economic consequences. Burns are the fourth most common types of trauma worldwide following traffic accidents, falls and interpersonal violence. The prevalence of burn injuries being higher in children with less than 5 years of age worldwide and mostly in lower middle income countries (LMIC).
Objective: To determine the factors affecting the length of hospital stays in burn injuries in children aged <10 years of age admitted at Sekou Toure regional hospital (STRH).
Materials and methods: A retrospective cross sectional hospital based study was conducted at STRH among children of less than 10 years of old who were admitted at Sekou Toure pediatric ward. Registration system from secondary data collection, medical records, previous survey or medical information and checklist methods were used to obtain demographic information and such factors.
Results: A total of 258 children were enrolled into the study, 163 (63.2%) children were found to have stayed in hospital in less than 7 days, 66 (25.6%) of the children stayed in hospital between 7-14 days, 17 (6.6%) children were found to have stayed in hospital for more than 21 days while only 12 (4.7%) of the children stayed in hospital between 14-21 days. The factors associated with hospital stays were nature of the burn injuries, severity of the burn injury, age less than 2 years and for those children who developed complications during the course of treatment such as infection, hypovolemic shock, diarrhea, anemia and hypoglycemia. Co-morbid associated with burn injuries were, PAIDS 1 (0.4%), anemia 3 (1.2%) children and 254 (98.4%) children had no any preexisting conditions such as epilepsy. Among 258 children admitted at STRH; 17 (6.6%) children died during the course of treatment, predictors of death were hypovolemic shock, sepsis and electrolyte imbalance.
Conclusion: High incidence of burn injuries were seen at STRH with children aged 1-3 years of age and majority were scald injuries and the nature of burn injury has direct association with the length of hospital stays while inhalation injury, nutrition status and severity of burn injuries were found to have no significance effect to the length of hospital stay at STRH.
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