Document Detail


An audit of first-aid treatment of pediatric burns patients and their clinical outcome.
MedLine Citation:
PMID:  19826267     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study describes the first aid used and clinical outcomes of all patients who presented to the Royal Children's Hospital, Brisbane, Australia in 2005 with an acute burn injury. A retrospective audit was performed with the charts of 459 patients and information concerning burn injury, first-aid treatment, and clinical outcomes was collected. First aid was used on 86.1% of patients, with 8.7% receiving no first aid and unknown treatment in 5.2% of cases. A majority of patients had cold water as first aid (80.2%), however, only 12.1% applied the cold water for the recommended 20 minutes or longer. Recommended first aid (cold water for >or=20 minutes) was associated with significantly reduced reepithelialization time for children with contact injuries (P=.011). Superficial depth burns were significantly more likely to be associated with the use of recommended first aid (P=.03). Suboptimal treatment was more common for children younger than 3.5 years (P<.001) and for children with friction burns. This report is one of the few publications to relate first-aid treatment to clinical outcomes. Some positive clinical outcomes were associated with recommended first-aid use; however, wound outcomes were more strongly associated with burn depth and mechanism of injury. There is also a need for more public awareness of recommended first-aid treatment.
Authors:
Leila Cuttle; Olena Kravchuk; Belinda Wallis; Roy M Kimble
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  30     ISSN:  1559-0488     ISO Abbreviation:  J Burn Care Res     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-11-09     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1028-34     Citation Subset:  IM    
Affiliation:
Royal Children's Hospital Burns Research Group, Department of Pediatrics and Child Health, Royal Children's Hospital, University of Queensland, Herston, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Burns / epidemiology,  therapy*
Chi-Square Distribution
Child
Child, Preschool
Female
First Aid / methods*
Humans
Infant
Logistic Models
Male
Medical Audit
Queensland / epidemiology
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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