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

Cuttle, Leila, Kravchuk, Olena, Wallis, Belinda, & Kimble, Roy M. (2009) An audit of first-aid treatment of pediatric burns patients and their clinical outcome. Journal of Burn Care & Research, 30(6), pp. 1028-34.

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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.

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23 citations in Web of Science®

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ID Code: 67198
Item Type: Journal Article
Refereed: Yes
Keywords: 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
DOI: 10.1097/BCR.0b013e3181bfb7d1
ISSN: 1559-0488
Divisions: Current > Schools > School of Biomedical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2009 Lippincott Williams & Wilkins
Deposited On: 27 Feb 2014 01:28
Last Modified: 25 Mar 2014 03:52

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