Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England

Objective: To describe patterns in thermal injury incidence and hospitalisations by age, sex, calendar year and socioeconomic status among 0-4 year olds in England for the period 1998-2013. Participants: 708,050 children with linked primary care and hospitalisation data from the Clinical Practice...

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Main Authors: Baker, Ruth, Tata, Laila J., Kendrick, Denise, Burch, Tiffany, Kennedy, Mary, Orton, Elizabeth
Format: Article
Published: Elsevier 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/33514/
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author Baker, Ruth
Tata, Laila J.
Kendrick, Denise
Burch, Tiffany
Kennedy, Mary
Orton, Elizabeth
author_facet Baker, Ruth
Tata, Laila J.
Kendrick, Denise
Burch, Tiffany
Kennedy, Mary
Orton, Elizabeth
author_sort Baker, Ruth
building Nottingham Research Data Repository
collection Online Access
description Objective: To describe patterns in thermal injury incidence and hospitalisations by age, sex, calendar year and socioeconomic status among 0-4 year olds in England for the period 1998-2013. Participants: 708,050 children with linked primary care and hospitalisation data from the Clinical Practice Research Datalink (CPRD) and Hospital Episode Statistics (HES), respectively. Analysis: Incidence rates of all thermal injuries (identified in CPRD and/or HES), hospitalised thermal injuries, and serious thermal injuries (hospitalised for ≥72 hours). Adjusted incidence rate ratios (IRR) and 95% confidence intervals (95%CI), estimated using Poisson regression. Results: Incidence rates of all thermal injuries, hospitalised thermal injuries, and serious thermal injuries were 59.5 per 10,000 person-years (95%CI 58.4-60.6), 11.3 (10.8-11.8) and 2.15 (1.95-2.37), respectively. Socioeconomic gradients, between the most and least deprived quintiles, were steepest for serious thermal injuries (IRR 3.17, 95%CI 2.53-3.96). Incidence of all thermal injuries (IRR 0.64, 95%CI 0.58-0.70) and serious thermal injuries (IRR 0.44, 95%CI 0.33-0.59) reduced between 1998/9 and 2012/13. Incidence rates of hospitalised thermal injuries did not significantly change over time. Conclusion: Incidence of all thermal injuries and those hospitalised for ≥72 hours reduced over time. Steep socioeconomic gradients support continued targeting of preventative interventions to those living in the most deprived areas.
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spelling nottingham-335142020-05-04T17:57:42Z https://eprints.nottingham.ac.uk/33514/ Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England Baker, Ruth Tata, Laila J. Kendrick, Denise Burch, Tiffany Kennedy, Mary Orton, Elizabeth Objective: To describe patterns in thermal injury incidence and hospitalisations by age, sex, calendar year and socioeconomic status among 0-4 year olds in England for the period 1998-2013. Participants: 708,050 children with linked primary care and hospitalisation data from the Clinical Practice Research Datalink (CPRD) and Hospital Episode Statistics (HES), respectively. Analysis: Incidence rates of all thermal injuries (identified in CPRD and/or HES), hospitalised thermal injuries, and serious thermal injuries (hospitalised for ≥72 hours). Adjusted incidence rate ratios (IRR) and 95% confidence intervals (95%CI), estimated using Poisson regression. Results: Incidence rates of all thermal injuries, hospitalised thermal injuries, and serious thermal injuries were 59.5 per 10,000 person-years (95%CI 58.4-60.6), 11.3 (10.8-11.8) and 2.15 (1.95-2.37), respectively. Socioeconomic gradients, between the most and least deprived quintiles, were steepest for serious thermal injuries (IRR 3.17, 95%CI 2.53-3.96). Incidence of all thermal injuries (IRR 0.64, 95%CI 0.58-0.70) and serious thermal injuries (IRR 0.44, 95%CI 0.33-0.59) reduced between 1998/9 and 2012/13. Incidence rates of hospitalised thermal injuries did not significantly change over time. Conclusion: Incidence of all thermal injuries and those hospitalised for ≥72 hours reduced over time. Steep socioeconomic gradients support continued targeting of preventative interventions to those living in the most deprived areas. Elsevier 2016-06-04 Article PeerReviewed Baker, Ruth, Tata, Laila J., Kendrick, Denise, Burch, Tiffany, Kennedy, Mary and Orton, Elizabeth (2016) Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England. Burns . ISSN 1879-1409 Burns; children; epidemiology thermal injuries; England http://www.sciencedirect.com/science/article/pii/S0305417916301322 doi:10.1016/j.burns.2016.05.007 doi:10.1016/j.burns.2016.05.007
spellingShingle Burns; children; epidemiology thermal injuries; England
Baker, Ruth
Tata, Laila J.
Kendrick, Denise
Burch, Tiffany
Kennedy, Mary
Orton, Elizabeth
Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England
title Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England
title_full Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England
title_fullStr Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England
title_full_unstemmed Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England
title_short Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England
title_sort differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from england
topic Burns; children; epidemiology thermal injuries; England
url https://eprints.nottingham.ac.uk/33514/
https://eprints.nottingham.ac.uk/33514/
https://eprints.nottingham.ac.uk/33514/