• Burns · May 2018

    Review

    The effectiveness and cost-effectiveness of first aid interventions for burns given to caregivers of children: A systematic review.

    • Ulugbek B Nurmatov, Stephen Mullen, Harriet Quinn-Scoggins, Mala Mann, and Alison Kemp.
    • Division of Population Medicine, School of Medicine, Cardiff University, CF 14 4YS, Cardiff, Wales, UK. Electronic address: NurmatovU@cardiff.ac.uk.
    • Burns. 2018 May 1; 44 (3): 512-523.

    Objectivesthe effectiveness and cost-effectiveness of burns first-aid educational interventions given to caregivers of children.MethodsSystematic review of eligible studies from seven databases, international journals, trials repositories and contacted international experts.ResultsOf 985 potential studies, four met the inclusion criteria. All had high risk of bias and weak global rating. Two studies identified a statistically significant increase in knowledge after of a media campaign. King et al. (41.7% vs 63.2%, p<0.0001), Skinner et al. (59% vs 40%, p=0.004). Skinner et al. also identified fewer admissions (64.4% vs 35.8%, p<0.001) and surgical procedures (25.6% vs 11.4%, p<0.001). Kua et al. identified a significant improvement in caregiver's knowledge (22.9% vs 78.3%, 95% CI 49.2, 61.4) after face-to-face education intervention. Ozyazicioglu et al. evaluated the effect of a first-aid training program and showed a reduction in use of harmful traditional methods for burns in children (29% vs 16.1%, p<0.001). No data on cost-effectiveness was identified.ConclusionThere is a paucity of high quality research in this field and considerable heterogeneity across the included studies. Delivery and content of interventions varied. However, studies showed a positive effect on knowledge. No study evaluated the direct effect of the intervention on first aid administration. High quality clinical trials are needed.Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

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