Long-term musculoskeletal morbidity after adult burn injury: a population-based cohort study
Objective - To investigate if adults who are hospitalised for a burn injury have increased long-term hospital use for musculoskeletal diseases. Design - A population-based retrospective cohort study using linked administrative health data from the Western Australian Data Linkage System. Subjects - R...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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BM J Group
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/18303 |
| _version_ | 1848749705830334464 |
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| author | Randall, Sean Fear, M. Wood, F. Rea, S. Boyd, James Duke, Janine |
| author_facet | Randall, Sean Fear, M. Wood, F. Rea, S. Boyd, James Duke, Janine |
| author_sort | Randall, Sean |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective - To investigate if adults who are hospitalised for a burn injury have increased long-term hospital use for musculoskeletal diseases. Design - A population-based retrospective cohort study using linked administrative health data from the Western Australian Data Linkage System. Subjects - Records of 17,753 persons aged at least 20 years when hospitalised for a first burn injury in Western Australia during the period 1980–2012, and 70,758 persons who were age and gender-frequency matched with no injury admissions randomly selected from Western Australia's electoral roll. Main outcome measures - Admission rates and cumulative length of stay for musculoskeletal diseases. Negative binomial and Cox proportional hazards regression modelling were used to generate incidence rate ratios (IRR) and HRs with 95% CIs, respectively. Results - After adjustment for pre-existing health status and demographic characteristics, the burn cohort had almost twice the hospitalisation rate for a musculoskeletal condition (IRR, 95% CI 1.98, 1.86 to 2.10), and spent 3.70 times as long in hospital with a musculoskeletal diagnosis (95% CI 3.10 to 4.42) over the 33-year period, than the uninjured comparison cohort. Adjusted survival analyses of incident post-burn musculoskeletal disease admissions found significant increases for the 15-year post burn discharge period (0–6 months: HR, 95% CI 2.51, 2.04 to 3.11; 6 months–2 years: HR, 95% CI 1.77, 1.53 to 2.05; 2–15 years: HR, 95% CI 1.32, 1.23 to 1.42). Incident admission rates were significantly elevated for 20 years post-burn for minor and severe burn injury for a range of musculoskeletal diseases that included arthropathies, dorsopathies, osteopathies and soft tissue disorders. Conclusions - Minor and severe burn injuries were associated with significantly increased post-burn incident admission rates, long-term hospital use and prolonged length of stay for a range of musculoskeletal diseases. Further research is required that facilitates identification of at-risk patients and appropriate treatment pathways, to reduce the long-term morbidity associated with burns. |
| first_indexed | 2025-11-14T07:25:11Z |
| format | Journal Article |
| id | curtin-20.500.11937-18303 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:25:11Z |
| publishDate | 2015 |
| publisher | BM J Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-183032017-09-13T16:05:29Z Long-term musculoskeletal morbidity after adult burn injury: a population-based cohort study Randall, Sean Fear, M. Wood, F. Rea, S. Boyd, James Duke, Janine musculoskeletal diseases linked administrative health data burns hospitalisation rate long-term morbidity Objective - To investigate if adults who are hospitalised for a burn injury have increased long-term hospital use for musculoskeletal diseases. Design - A population-based retrospective cohort study using linked administrative health data from the Western Australian Data Linkage System. Subjects - Records of 17,753 persons aged at least 20 years when hospitalised for a first burn injury in Western Australia during the period 1980–2012, and 70,758 persons who were age and gender-frequency matched with no injury admissions randomly selected from Western Australia's electoral roll. Main outcome measures - Admission rates and cumulative length of stay for musculoskeletal diseases. Negative binomial and Cox proportional hazards regression modelling were used to generate incidence rate ratios (IRR) and HRs with 95% CIs, respectively. Results - After adjustment for pre-existing health status and demographic characteristics, the burn cohort had almost twice the hospitalisation rate for a musculoskeletal condition (IRR, 95% CI 1.98, 1.86 to 2.10), and spent 3.70 times as long in hospital with a musculoskeletal diagnosis (95% CI 3.10 to 4.42) over the 33-year period, than the uninjured comparison cohort. Adjusted survival analyses of incident post-burn musculoskeletal disease admissions found significant increases for the 15-year post burn discharge period (0–6 months: HR, 95% CI 2.51, 2.04 to 3.11; 6 months–2 years: HR, 95% CI 1.77, 1.53 to 2.05; 2–15 years: HR, 95% CI 1.32, 1.23 to 1.42). Incident admission rates were significantly elevated for 20 years post-burn for minor and severe burn injury for a range of musculoskeletal diseases that included arthropathies, dorsopathies, osteopathies and soft tissue disorders. Conclusions - Minor and severe burn injuries were associated with significantly increased post-burn incident admission rates, long-term hospital use and prolonged length of stay for a range of musculoskeletal diseases. Further research is required that facilitates identification of at-risk patients and appropriate treatment pathways, to reduce the long-term morbidity associated with burns. 2015 Journal Article http://hdl.handle.net/20.500.11937/18303 10.1136/bmjopen-2015-009395 BM J Group fulltext |
| spellingShingle | musculoskeletal diseases linked administrative health data burns hospitalisation rate long-term morbidity Randall, Sean Fear, M. Wood, F. Rea, S. Boyd, James Duke, Janine Long-term musculoskeletal morbidity after adult burn injury: a population-based cohort study |
| title | Long-term musculoskeletal morbidity after adult burn injury: a population-based cohort study |
| title_full | Long-term musculoskeletal morbidity after adult burn injury: a population-based cohort study |
| title_fullStr | Long-term musculoskeletal morbidity after adult burn injury: a population-based cohort study |
| title_full_unstemmed | Long-term musculoskeletal morbidity after adult burn injury: a population-based cohort study |
| title_short | Long-term musculoskeletal morbidity after adult burn injury: a population-based cohort study |
| title_sort | long-term musculoskeletal morbidity after adult burn injury: a population-based cohort study |
| topic | musculoskeletal diseases linked administrative health data burns hospitalisation rate long-term morbidity |
| url | http://hdl.handle.net/20.500.11937/18303 |