Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study
Background: Burns are a devastating injury that can cause physical and psychological issues. Limited data exist on long-term mental health (MH) after unintentional burns sustained during childhood. This study assessed long-term MH admissions after paediatric burns. Methods: This retrospective cohort...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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Medknow Publications and Media Pvt. Ltd.
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/71250 |
| _version_ | 1848762430112399360 |
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| author | Duke, J. Randall, Sean Vetrichevvel, Thirthar P. McGarry, Sarah Boyd, James Rea, S. Wood, F. |
| author_facet | Duke, J. Randall, Sean Vetrichevvel, Thirthar P. McGarry, Sarah Boyd, James Rea, S. Wood, F. |
| author_sort | Duke, J. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Burns are a devastating injury that can cause physical and psychological issues. Limited data exist on long-term mental health (MH) after unintentional burns sustained during childhood. This study assessed long-term MH admissions after paediatric burns. Methods: This retrospective cohort study included all children (<?18 years) hospitalised for a first burn (n?=?11,967) in Western Australia, 1980-2012, and a frequency matched uninjured comparison cohort (n?=?46,548). Linked hospital, MH and death data were examined. Multivariable negative binomial regression modelling was used to generate incidence rate ratios (IRR) and 95% confidence intervals (CI). Results: The burn cohort had a significantly higher adjusted rate of post-burn MH admissions compared to the uninjured cohort (IRR, 95% CI: 2.55, 2.07-3.15). Post-burn MH admission rates were twice as high for those younger than 5 years at index burn (IRR, 95% CI 2.06, 1.54-2.74), three times higher for those 5-9 years and 15-18 years (IRR, 95% CI: 3.21, 1.92-5.37 and 3.37, 2.13-5.33, respectively) and almost five times higher for those aged 10-14 (IRR, 95% CI: 4.90, 3.10-7.76), when compared with respective ages of uninjured children. The burn cohort had higher admission rates for mood and anxiety disorders (IRR, 95% CI: 2.79, 2.20-3.53), psychotic disorders (IRR, 95% CI: 2.82, 1.97-4.03) and mental and behavioural conditions relating to drug and alcohol abuse (IRR, 95% CI: 4.25, 3.39-5.32). Conclusions: Ongoing MH support is indicated for paediatric burn patients for a prolonged period after discharge to potentially prevent psychiatric morbidity and associated academic, social and psychological issues. |
| first_indexed | 2025-11-14T10:47:26Z |
| format | Journal Article |
| id | curtin-20.500.11937-71250 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:47:26Z |
| publishDate | 2018 |
| publisher | Medknow Publications and Media Pvt. Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-712502019-04-08T04:27:22Z Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study Duke, J. Randall, Sean Vetrichevvel, Thirthar P. McGarry, Sarah Boyd, James Rea, S. Wood, F. Background: Burns are a devastating injury that can cause physical and psychological issues. Limited data exist on long-term mental health (MH) after unintentional burns sustained during childhood. This study assessed long-term MH admissions after paediatric burns. Methods: This retrospective cohort study included all children (<?18 years) hospitalised for a first burn (n?=?11,967) in Western Australia, 1980-2012, and a frequency matched uninjured comparison cohort (n?=?46,548). Linked hospital, MH and death data were examined. Multivariable negative binomial regression modelling was used to generate incidence rate ratios (IRR) and 95% confidence intervals (CI). Results: The burn cohort had a significantly higher adjusted rate of post-burn MH admissions compared to the uninjured cohort (IRR, 95% CI: 2.55, 2.07-3.15). Post-burn MH admission rates were twice as high for those younger than 5 years at index burn (IRR, 95% CI 2.06, 1.54-2.74), three times higher for those 5-9 years and 15-18 years (IRR, 95% CI: 3.21, 1.92-5.37 and 3.37, 2.13-5.33, respectively) and almost five times higher for those aged 10-14 (IRR, 95% CI: 4.90, 3.10-7.76), when compared with respective ages of uninjured children. The burn cohort had higher admission rates for mood and anxiety disorders (IRR, 95% CI: 2.79, 2.20-3.53), psychotic disorders (IRR, 95% CI: 2.82, 1.97-4.03) and mental and behavioural conditions relating to drug and alcohol abuse (IRR, 95% CI: 4.25, 3.39-5.32). Conclusions: Ongoing MH support is indicated for paediatric burn patients for a prolonged period after discharge to potentially prevent psychiatric morbidity and associated academic, social and psychological issues. 2018 Journal Article http://hdl.handle.net/20.500.11937/71250 10.1186/s41038-018-0134-z Medknow Publications and Media Pvt. Ltd. restricted |
| spellingShingle | Duke, J. Randall, Sean Vetrichevvel, Thirthar P. McGarry, Sarah Boyd, James Rea, S. Wood, F. Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_full | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_fullStr | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_full_unstemmed | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_short | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_sort | long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| url | http://hdl.handle.net/20.500.11937/71250 |