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

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dc.contributor.authorCuttle, L.
dc.contributor.authorKravchuk, O.
dc.contributor.authorWallis, B.
dc.contributor.authorKimble, R.
dc.date.issued2009
dc.description.abstractThis 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.
dc.description.statementofresponsibilityLeila Cuttle, Olena Kravchuk, Belinda Wallis and Roy M. Kimble
dc.identifier.citationJournal of Burn Care and Research, 2009; 30(6):1028-1034
dc.identifier.doi10.1097/BCR.0b013e3181bfb7d1
dc.identifier.issn1559-047X
dc.identifier.issn1559-0488
dc.identifier.orcidKravchuk, O. [0000-0001-5291-3600]
dc.identifier.urihttp://hdl.handle.net/2440/69125
dc.language.isoen
dc.publisherMosby Inc
dc.relation.grantNHMRC
dc.rightsCopyright: © 2009 The American Burn Association
dc.source.urihttps://doi.org/10.1097/bcr.0b013e3181bfb7d1
dc.subjectHumans
dc.subjectBurns
dc.subjectTreatment Outcome
dc.subjectFirst Aid
dc.subjectLogistic Models
dc.subjectChi-Square Distribution
dc.subjectRetrospective Studies
dc.subjectAdolescent
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectInfant
dc.subjectMedical Audit
dc.subjectQueensland
dc.subjectFemale
dc.subjectMale
dc.titleAn audit of first aid treatment of paediatric burns patients and their clinical outcome
dc.typeJournal article
pubs.publication-statusPublished

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