Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa
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 emergen...
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AOSIS
2025-01-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/6009 |
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| author | Ntsovelo Mugwena Rule Human Maria M. Geyser |
| author_facet | Ntsovelo Mugwena Rule Human Maria M. Geyser |
| author_sort | Ntsovelo Mugwena |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-30908e0b9214422d93bf96a1ea5d1418 |
| institution | Kabale University |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-30908e0b9214422d93bf96a1ea5d14182025-02-11T13:26:42ZengAOSISSouth African Family Practice2078-61902078-62042025-01-01671e1e610.4102/safp.v67i1.60094638Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South AfricaNtsovelo Mugwena0Rule Human1Maria M. Geyser2Department of Family Medicine, Division of Emergency Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria Department of Family Medicine, Division of Emergency Medicine, Faculty of Health Sciences, Kalafong Provincial Tertiary Hospital, PretoriaDepartment of Family Medicine, Division of Emergency Medicine, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Family Medicine, Division of Emergency Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria Department of Family Medicine, Division of Emergency Medicine, Faculty of Health Sciences, Kalafong Provincial Tertiary Hospital, PretoriaBackground: 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.https://safpj.co.za/index.php/safpj/article/view/6009paediatric burnssouth africaburn wound carereferral patternsburn characteristicsburns outcome |
| spellingShingle | Ntsovelo Mugwena Rule Human Maria M. Geyser Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa South African Family Practice paediatric burns south africa burn wound care referral patterns burn characteristics burns outcome |
| title | Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa |
| title_full | Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa |
| title_fullStr | Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa |
| title_full_unstemmed | Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa |
| title_short | Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa |
| title_sort | characteristics of paediatric burn injuries seen in the tertiary emergency centre south africa |
| topic | paediatric burns south africa burn wound care referral patterns burn characteristics burns outcome |
| url | https://safpj.co.za/index.php/safpj/article/view/6009 |
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