An audit of first-aid treatment of pediatric burns patients and their clinical outcome

Cuttle, Leila, Kravchuk, Olena, Wallis, Belinda and Kimble, Roy M. (2009) An audit of first-aid treatment of pediatric burns patients and their clinical outcome. Journal of Burn Care and Rehabilitation, 30 6: 1028-1034.


Author Cuttle, Leila
Kravchuk, Olena
Wallis, Belinda
Kimble, Roy M.
Title An audit of first-aid treatment of pediatric burns patients and their clinical outcome
Journal name Journal of Burn Care and Rehabilitation   Check publisher's open access policy
ISSN 0273-8481
1559-047X
Publication date 2009-11
Sub-type Article (original research)
DOI 10.1097/BCR.0b013e3181bfb7d1
Volume 30
Issue 6
Start page 1028
End page 1034
Total pages 7
Place of publication Baltimore, MD, United States
Publisher Lippincott Williams and Wilkins
Language eng
Subject 11 Medical and Health Sciences
Abstract 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 >=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.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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Created: Sun, 29 Nov 2009, 00:03:56 EST