The Investigation of Factors Related to Total Body Surface Area and Burn Degree in under 5-year-old Children of Kermanshah, Iran: Using Ordinal Regression

Karami Matin, Behzad; Karami Matin, Reza; Aghaei, Abbas; Shaahmadi, Zahra; Lotfi, Bahare; Najafi, Farid; Khezeli, Mehdi; Kazazi, Sohaila; Ahmadi Jouybari, Touraj

doi:10.22038/ijp.2017.28180.2436

The Investigation of Factors Related to Total Body Surface Area and Burn Degree in under 5-year-old Children of Kermanshah, Iran: Using Ordinal Regression

Document Type : original article

Authors

Behzad Karami Matin ¹

Reza Karami Matin ²

Abbas Aghaei ³

Zahra Shaahmadi ⁴

Bahare Lotfi ⁴

Farid Najafi ⁵

Mehdi Khezeli ⁶

Sohaila Kazazi ⁴

Touraj Ahmadi jouybari ⁴

¹ Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

² Research Development Center of Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran

³ Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

⁴ Research Development Center of Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

⁵ Department of Epidemiology, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

⁶ Department of Health Education and Promotion, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

10.22038/ijp.2017.28180.2436

Abstract

Objective: The prevalence of burn in children is more than other age groups. This study aimed to "investigate the factors associated with the burn degree and total body surface area (TBSA) in under five-year-old children of Kermanshah ".
Methods: We studied under five-year-old children hospitalized in the burn center of Imam Khomeini hospital in Kermanshah from September 2014 until March 2016 for 18 months. Required Information extracted by trained staff based on existing data. Researcher-made checklist was used to obtain information. The ordinal regression has been applied to evaluate factors related to TBSA and burn degree in children.
Result: In general, 262 children were input of the study so that 226 cases (86.3%) were in under two-year-old group. The majority of cases were boys by 66.8% (175 cases). Hot liquid was the most reported cause of burns by 68.7% of all cases. Most of the burn incidents (43.1%) with high burn degree occurred at 7 am to 2 pm. Girls were exposed to higher burn degrees more than boys. Factors such as being boy (OR=2.83), less than 2 years old age (OR=4.91) significantly increased TBSA. Also, living in rural (OR=5.17) and delay of treatment (OR=41.35) significantly increased burn degree.
Conclusion: To reduce the incidence and complications of burns in children, interventions should be considered to change the environmental and individual factors.

Keywords

Burn degree

Children

Iran

TBSA

Ordinal regression