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, gender, 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 Pra...

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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/34395/
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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, gender, 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 h). 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 h 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-343952020-05-04T17:57:43Z https://eprints.nottingham.ac.uk/34395/ 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, gender, 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 h). 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 h 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 (In Press) 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/34395/
https://eprints.nottingham.ac.uk/34395/
https://eprints.nottingham.ac.uk/34395/