Long-term mortality among older adults with burn injury: a population-based study in Australia
Objective To assess if burn injury in older adults is associated with changes in long-term all-cause mortality and to estimate the increased risk of death attributable to burn injury. Methods We conducted a population-based matched longitudinal study – based on administrative data from Western Aust...
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| Format: | Journal Article |
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WHO
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/11966 |
| _version_ | 1848747946706731008 |
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| author | Duke, Janine Boyd, James Rea, S. Randall, Sean Wood, Fiona |
| author_facet | Duke, Janine Boyd, James Rea, S. Randall, Sean Wood, Fiona |
| author_sort | Duke, Janine |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective To assess if burn injury in older adults is associated with changes in long-term all-cause mortality and to estimate the increased risk of death attributable to burn injury. Methods We conducted a population-based matched longitudinal study – based on administrative data from Western Australia’s hospital morbidity data system and death register. A cohort of 6014 individuals who were aged at least 45 years when hospitalized for a first burn injury in 1980–2012 was identified. A non-injury comparison cohort, randomly selected from Western Australia’s electoral roll (n = 25 759), was matched to the patients. We used Kaplan–Meier plots and Cox proportional hazards regression to analyse the data and generated mortality rate ratios and attributable risk percentages. Findings For those hospitalized with burns, 180 (3%) died in hospital and 2498 (42%) died after discharge. Individuals with burn injury had a 1.4-fold greater mortality rate than those with no injury (95% confidence interval, CI: 1.3–1.5). In this cohort, the long-term mortality attributable to burn injury was 29%. Mortality risk was increased by both severe and minor burns, with adjusted mortality rate ratios of 1.3 (95% CI: 1.1–1.9) and 2.1 (95% CI: 1.9–2.3), respectively. Conclusion Burn injury is associated with increased long-term mortality. In our study population, sole reliance on data on in-hospital deaths would lead to an underestimate of the true mortality burden associated with burn injury. |
| first_indexed | 2025-11-14T06:57:14Z |
| format | Journal Article |
| id | curtin-20.500.11937-11966 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:57:14Z |
| publishDate | 2015 |
| publisher | WHO |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-119662017-09-13T15:54:08Z Long-term mortality among older adults with burn injury: a population-based study in Australia Duke, Janine Boyd, James Rea, S. Randall, Sean Wood, Fiona population-based longitudinal study mortality morbidity data burn injury Objective To assess if burn injury in older adults is associated with changes in long-term all-cause mortality and to estimate the increased risk of death attributable to burn injury. Methods We conducted a population-based matched longitudinal study – based on administrative data from Western Australia’s hospital morbidity data system and death register. A cohort of 6014 individuals who were aged at least 45 years when hospitalized for a first burn injury in 1980–2012 was identified. A non-injury comparison cohort, randomly selected from Western Australia’s electoral roll (n = 25 759), was matched to the patients. We used Kaplan–Meier plots and Cox proportional hazards regression to analyse the data and generated mortality rate ratios and attributable risk percentages. Findings For those hospitalized with burns, 180 (3%) died in hospital and 2498 (42%) died after discharge. Individuals with burn injury had a 1.4-fold greater mortality rate than those with no injury (95% confidence interval, CI: 1.3–1.5). In this cohort, the long-term mortality attributable to burn injury was 29%. Mortality risk was increased by both severe and minor burns, with adjusted mortality rate ratios of 1.3 (95% CI: 1.1–1.9) and 2.1 (95% CI: 1.9–2.3), respectively. Conclusion Burn injury is associated with increased long-term mortality. In our study population, sole reliance on data on in-hospital deaths would lead to an underestimate of the true mortality burden associated with burn injury. 2015 Journal Article http://hdl.handle.net/20.500.11937/11966 10.2471/BLT.14.149146 WHO unknown |
| spellingShingle | population-based longitudinal study mortality morbidity data burn injury Duke, Janine Boyd, James Rea, S. Randall, Sean Wood, Fiona Long-term mortality among older adults with burn injury: a population-based study in Australia |
| title | Long-term mortality among older adults with burn injury: a population-based study in Australia |
| title_full | Long-term mortality among older adults with burn injury: a population-based study in Australia |
| title_fullStr | Long-term mortality among older adults with burn injury: a population-based study in Australia |
| title_full_unstemmed | Long-term mortality among older adults with burn injury: a population-based study in Australia |
| title_short | Long-term mortality among older adults with burn injury: a population-based study in Australia |
| title_sort | long-term mortality among older adults with burn injury: a population-based study in australia |
| topic | population-based longitudinal study mortality morbidity data burn injury |
| url | http://hdl.handle.net/20.500.11937/11966 |