Mortality after burn injury in children: A 33-year population-based study
OBJECTIVE: To assess the impact of burn injury sustained during childhood on long-term abstract mortality and to quantify any increased risk of death attributable to burn injury. METHODS: A population-based cohort study of children younger than 15 years hospitalized for burn injury in Western Austra...
| Main Authors: | , , , , |
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| Format: | Journal Article |
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American Academy of Pediatrics
2015
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| Online Access: | http://hdl.handle.net/20.500.11937/38653 |
| _version_ | 1848755378898075648 |
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| author | Duke, J. Rea, S. Boyd, James Randall, S. Wood, F. |
| author_facet | Duke, J. Rea, S. Boyd, James Randall, S. Wood, F. |
| author_sort | Duke, J. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | OBJECTIVE: To assess the impact of burn injury sustained during childhood on long-term abstract mortality and to quantify any increased risk of death attributable to burn injury. METHODS: A population-based cohort study of children younger than 15 years hospitalized for burn injury in Western Australia (1980-2012) and a matched noninjured comparison group. Deidentified extraction of linked hospital morbidity and death records for the period 1980-2012 were provided by the Western Australian Data Linkage System. An inception cohort (1980-2012) of burn cases younger than 15 years of age when hospitalized for a first burn injury (n = 10 426) and a frequency matched noninjured comparison cohort (n = 40 818) were identified. Survival analysis was conducted by using the Kaplan-Meier method and Cox proportional hazards regression. Mortality rate ratios and attributable risk percent adjusted for sociodemographic and preexisting heath factors were generated. RESULTS: The median follow-up time for the pediatric burn cohort was 18.1 years after discharge. The adjusted all-cause mortality rate ratios for burn injury was 1.6 (95% confidence interval: 1.3-2.0); children with burn injury had a 1.6 times greater rate of mortality than those with no injury. The index burn injury was estimated to account for 38% (attributable risk percent) of all recorded deaths in the burn injury cohort during the study period. CONCLUSIONS: Burn injury sustained by children is associated with an increased risk of long-term all-cause mortality. Estimates of the total mortality burden based on in-hospital deaths alone underestimates the true burden from burn injury. |
| first_indexed | 2025-11-14T08:55:22Z |
| format | Journal Article |
| id | curtin-20.500.11937-38653 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:55:22Z |
| publishDate | 2015 |
| publisher | American Academy of Pediatrics |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-386532017-09-13T14:19:01Z Mortality after burn injury in children: A 33-year population-based study Duke, J. Rea, S. Boyd, James Randall, S. Wood, F. OBJECTIVE: To assess the impact of burn injury sustained during childhood on long-term abstract mortality and to quantify any increased risk of death attributable to burn injury. METHODS: A population-based cohort study of children younger than 15 years hospitalized for burn injury in Western Australia (1980-2012) and a matched noninjured comparison group. Deidentified extraction of linked hospital morbidity and death records for the period 1980-2012 were provided by the Western Australian Data Linkage System. An inception cohort (1980-2012) of burn cases younger than 15 years of age when hospitalized for a first burn injury (n = 10 426) and a frequency matched noninjured comparison cohort (n = 40 818) were identified. Survival analysis was conducted by using the Kaplan-Meier method and Cox proportional hazards regression. Mortality rate ratios and attributable risk percent adjusted for sociodemographic and preexisting heath factors were generated. RESULTS: The median follow-up time for the pediatric burn cohort was 18.1 years after discharge. The adjusted all-cause mortality rate ratios for burn injury was 1.6 (95% confidence interval: 1.3-2.0); children with burn injury had a 1.6 times greater rate of mortality than those with no injury. The index burn injury was estimated to account for 38% (attributable risk percent) of all recorded deaths in the burn injury cohort during the study period. CONCLUSIONS: Burn injury sustained by children is associated with an increased risk of long-term all-cause mortality. Estimates of the total mortality burden based on in-hospital deaths alone underestimates the true burden from burn injury. 2015 Journal Article http://hdl.handle.net/20.500.11937/38653 10.1542/peds.2014-3140 American Academy of Pediatrics unknown |
| spellingShingle | Duke, J. Rea, S. Boyd, James Randall, S. Wood, F. Mortality after burn injury in children: A 33-year population-based study |
| title | Mortality after burn injury in children: A 33-year population-based study |
| title_full | Mortality after burn injury in children: A 33-year population-based study |
| title_fullStr | Mortality after burn injury in children: A 33-year population-based study |
| title_full_unstemmed | Mortality after burn injury in children: A 33-year population-based study |
| title_short | Mortality after burn injury in children: A 33-year population-based study |
| title_sort | mortality after burn injury in children: a 33-year population-based study |
| url | http://hdl.handle.net/20.500.11937/38653 |