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Burn epidemiology and cost of medication in paediatric burn patients
1Ondokuz Mayis University Samsun School of Nursing, Samsun, Turkey. zelihaceren@hotmail.com
Insights
Most childhood burns, often from kitchen scalds, are preventable. High medication costs, particularly for antibiotics, significantly impact treatment expenses for pediatric burn patients.
Area of Science:
- Pediatric burn epidemiology
- Health economics
- Public health
Background:
- Burns represent a significant global health burden, necessitating cost-effective treatment strategies, especially for pediatric populations.
- Understanding the epidemiology and associated medication costs is crucial for optimizing burn care and reducing financial strain.
Purpose of the Study:
- To investigate the epidemiological characteristics of pediatric burns.
- To analyze the medication costs associated with treating pediatric burn patients.
- To identify factors influencing burn incidence and treatment expenditure.
Main Methods:
- Retrospective study design utilizing medical records of 140 pediatric patients admitted to a burn center.
- Data collection included burn epidemiology, administered medications, dosages, and treatment duration.
- Descriptive statistics and chi-square analysis were employed for data analysis.
Main Results:
- The majority of pediatric burns (62.7%) occurred in kitchens, primarily from boiling water (70.7%).
- Over half of cases (55.7%) were third-degree burns, with 19.3% requiring grafting; average hospital stay was 27.5 days.
- Average medication cost per patient was $329.63, with antibiotics constituting the largest expenditure.
Conclusions:
- Pediatric burns, particularly scalds, are largely preventable through household hazard education.
- High medication costs, dominated by antibiotics, necessitate strategies to reduce expenditure and optimize prescribing practices.
- Interventions targeting prevention and cost-effective treatment are vital for managing the societal impact of pediatric burns.
Abstract:
Burns are common injuries that cause problems to societies throughout the world. In order to reduce the cost of burn treatment in children, it is extremely important to determine the burn epidemiology and the cost of medicines used in burn treatment. The present study used a retrospective design, with data collected from medical records of 140 paediatric patients admitted to a burn centre between 1 January 2009 and 31 December 2009. Medical records were examined to determine burn epidemiology, medication administered, dosage, and duration of use. Descriptive statistical analysis was completed for all variables; chi-square was used to examine the relationship between certain variables. It was found that 62.7% of paediatric burns occur in the kitchen, with 70.7% involving boiling water; 55.7% of cases resulted in third-degree burns, 19.3% required grafting, and mean duration of hospital stay was 27.5 ± 1.2 days. Medication costs varied between $1.38 US dollars (USD) and $14,159.09, total drug cost was $46,148.03 and average cost per patient was $329.63. In this study, the medication cost for burn patients was found to be relatively high, with antibiotics comprising the vast majority of medication expenditure. Most paediatric burns are preventable, so it is vital to educate families about potential household hazards that can be addressed to reduce the risk of a burn. Programmes are also recommended to reduce costs and the inappropriate prescribing of medication.
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