Browsing by Author "Shobha Chamania"

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    A Clinicoepidemiological and Outcome Analysis of 770 Burn Patients: A 5-Year Retrospective Study in a Private Sector Tertiary Burn Care Center in Indore, Central India
    (Başkent Üniversitesi, 2022-09) Rajpal Singh; Shobha Chamania; Sunil Chandiwal; Deepak Tripathi; Deepika Jain; Ankit Mishra; Tasvir Balar; Prashant Srivastava
    ABSTRACT OBJECTIVES: Burns are a global public health problem and one of the major causes of disability, with more than 8 million disability-adjusted life-years. Our aim was to contribute a comprehensive analyses of existing burn data from Central India. MATERIALS AND METHODS: We reviewed secondary data of burn patients from 5 years (March 2016 to March 2021) from a single center (Choithram Hospital & Research Centre, India). All burn patients except those with nonhealing and old burn wounds were included. We examined the following: age, sex, socioeconomic status, type of burn, total burn surface area, comorbidities, treatment, and outcome, with data analyzed using Statistical Package for Social Sciences version 20.0. RESULTS: Our study included 770 patients (median age of 28.0 y). Male-to-female ratio was 1.26:1. Burns were common in the reproductive age group of 21 to 40 years (48.6%) and in people of a lower socioeconomic status (65.2%). There was predominance of flame burns (82.0%). The most common mode of burning was accidental (79.4%). The median (interquartile range) of total burn surface area among patients was 25% (12%-45%). Flame burns resulted in significantly greater injury (total burn surface area 30.0%) compared with electric (total burn surface area 23.0%) and scald burns (total burn surface area 11.5%). The commonest comorbidities were hypertension (5.2%) and diabetes (4.7%). We observed significant associations between outcome and age, sex, comorbidities, and treatment modalities. Homograft, autograft, or collagen/other dressing or a combination of these compared with conservative treatment resulted in better healing and reduced hospital stay (P < .001). CONCLUSIONS: Age, sex, type of burn, total burn surface area, comorbidities, and treatment modalities were significantly associated with outcome of burn patients.
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    Nutrition Checklist: An Easy Way to Ensure Optimum Nutrition in Burns
    (Başkent Üniversitesi, 2023-06) Shamin Joby; Pratibha Sharma; Shree Prakash Jaiswal; Shobha Chamania; Rajpal Singh; Sunil Chandiwal; Lucy Kynge
    ABSTRACT OBJECTIVES: The primary goal of this study was to assess the knowledge of health care staff in basic nutrition care management of patients with burn injuries to help develop a checklist to ensure optimal nutrition support, prevent infection, and promote wound healing in patients with burn injuries. The secondary goal of the study was to promote education and awareness among health care workers on nutrition and the implementation of nutrition care. MATERIALS AND METHODS: We enrolled 20 participants, including doctors (n = 3), nurses (n = 10), medical technicians (n = 5), and patient care staff (n = 2). Data were collected by face-to-face interviews using our 2 evaluation forms (demographic details of the participants was form 1 and burns nutrition basic knowledge assessment was form 2). RESULTS: Mean age of participants was 29.9 years. Female-to-male ratio was 1:0.4. A pretest of form 2 was correctly answered by 93% of participants. Among participants, 70% stated that they had received training on nutrition in burn patients, but only 35% felt moderately confident about their knowledge and only 10% felt very confident in supporting patients in nutrition management. High-education level, receiving burns nutrition training, and seniority in the profession and in the institution were the effective factors for those with confidence in providing proper support. The posttest of form 2, after nutrition intervention education, was answered correctly by 99% of participants. CONCLUSIONS: Many participants had basic knowledge about burns nutrition, but they were not confident. Health care staff need periodical nutritional education sessions in addition to the basic awareness programs for burn injuries. The introduction of nutrition checklist can help to ensure quality nutrition to patients. The checklist compliance can be improved through education and enforcement.