Reduced hospitalisation of burns patients following a multi-media campaign that increased adequacy of first aid treatment

Burns. 2004 Feb;30(1):82-5. doi: 10.1016/j.burns.2003.09.009.

Abstract

Context: Concern engendered by a previous study that showed inadequate first aid for burn injuries was prevalent in the community led to a novel multi-media public health campaign ensued to address the issue.

Objective: To determine whether this public health campaign influenced behaviour by altering first aid treatment for burn injuries (BFAT). DESIGN, SETTING AND POPULATION: Prospective intervention study. Consecutive patients with acute burn injuries over two 4-month intervals, presenting to a regional burn service, Auckland, New Zealand. This research was ethically approved by the Local Research Ethics Committee.

Main outcome measures: Demographics, burn size, adequacy of burn first aid, outpatient/inpatient wound care and operative intervention requirement.

Results: Adequacy of BFAT improved following the campaign (59% versus 40%, P=0.004). Fewer inpatient admissions (64.4% versus 35.8%, P<0.001) and surgical procedures (25.6% versus 11.4%, P<0.001) were undertaken following the campaign with a corresponding increase in outpatient care. Greatest decreases were observed in Maori and Pacific Islanders, and in children <10 years old.

Conclusions: Adequacy of BFAT together with a reduction in the numbers of patients requiring inpatient surgical care was improved by a multi-media public awareness campaign.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Burns / ethnology
  • Burns / psychology
  • Burns / therapy*
  • Child
  • Child, Preschool
  • Communications Media
  • Female
  • First Aid / standards*
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Health Promotion / methods*
  • Hospitalization / statistics & numerical data*
  • Humans
  • Infant
  • Male
  • Middle Aged
  • New Zealand / epidemiology
  • Program Evaluation
  • Prospective Studies