TY - JOUR PY - 2018// TI - The effectiveness and cost-effectiveness of first aid interventions for burns given to caregivers of children: a systematic review JO - Burns: journal of the International Society for Burn Injuries A1 - Nurmatov, Ulugbek B. A1 - Mullen, Stephen A1 - Quinn-Scoggins, Harriet A1 - Mann, Mala A1 - Kemp, Alison SP - 512 EP - 523 VL - 44 IS - 3 N2 - OBJECTIVES: the effectiveness and cost-effectiveness of burns first-aid educational interventions given to caregivers of children.

METHODS: Systematic review of eligible studies from seven databases, international journals, trials repositories and contacted international experts.

RESULTS: Of 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.

CONCLUSION: There 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.

Language: en

LA - en SN - 0305-4179 UR - http://dx.doi.org/10.1016/j.burns.2017.05.022 ID - ref1 ER -