Exploring possible causes of fatal burns in 2007 using Haddon's Matrix: a qualitative study.

Homayoun Sadeghi Bazargani ,Amin Daemi,Bahram Samadirad,Saber Azami-Aghdash,Shahnam Arshi,Mirkazem Mohammad Hosseini,Mehryar Nadir Mohammadi ,Reza Mohammadi

doi:10.5249/jivr.v7i1.501

Homayoun Sadeghi Bazargani , Amin Daemi + Show 6 more

Open Access

https://doi.org/10.5249/jivr.v7i1.501

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Abstract

:Background:Burns are a major factor in injury mortality. The aim of this study was to explore the possible causes of fatal burns using Haddon’s Matrix. Methods:This is a qualitative study using a phenomenological approach. We collected elicitation interview data using nine corroborators who were the most knowledgeable about the index burn event. Immediately after recording, the data was verbatim. Each event was analyzed using Haddon’s Matrix. Results:Interviewees provided detailed information about 11 burn cases. Overall, 202 burn-related factors were extracted. Using Haddon’s Matrix, 43 risk factors were identified. The most common included the lack of basic knowledge of burn care, the use of unsafe appliances including kerosene heaters and stoves in hazardous environments such kitchens and bathrooms, poor burn care delivery system in hospitals, poor and unsafe living conditions, financial issues, and other factors detailed in the article. Conclusions:Our findings suggest burn related prevention efforts should focus on improving human living conditions, promoting the use of safe heating appliances, providing public burn-safety precautions education, and improving the quality of care in burn centers and hospitals. The use of Haddon’s Matrix in future injury research is discussed.

Highlights

The World Health Organization (WHO) has reported that 238,000 individuals died of fire-related burns in 2000.3 Burn prevalence and mortality varies significantly between countries.[4,5,6]
Purposive sampling is a method used in qualitative research to recruit participants who are best suited to provide the richest and maximum amount of information
The results of this study indicate that the unsafe use of hazardous appliances such as picnic, and water heaters, Aladdin, and Samovar indoors is one possible causes of mortal burns

Summary

Introduction

Burn injury is a serious, life-threatening problem and has terrible physical, psychological and financial effects on patients and society.[1, 2] The World Health Organization (WHO) has reported that 238,000 individuals died of fire-related burns in 2000.3 Burn prevalence and mortality varies significantly between countries.[4,5,6] In Iran and other Eastern Mediterranean countries burns are a major public health problem. The prevention of burns requires adequate knowledge of the epidemiological characteristics of the injury event.[7,8]. The aim of this study was to explore the possible causes of fatal burns using Haddon’s Matrix. The most common included the lack of basic knowledge of burn care, the use of unsafe appliances including kerosene heaters and stoves in hazardous environments such kitchens and bathrooms, poor burn care delivery system in hospitals, poor and unsafe living conditions, financial issues, and other factors detailed in the article. Conclusions: Our findings suggest burn related prevention efforts should focus on improving human living conditions, promoting the use of safe heating appliances, providing public burn-safety precautions education, and improving the quality of care in burn centers and hospitals. The use of Haddon’s Matrix in future injury research is discussed

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