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

Baker, Ruth and Tata, Laila J. and Kendrick, Denise and Burch, Tiffany and 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)

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Abstract

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.

Item Type: Article
Keywords: Burns; Children; Epidemiology; Thermal injuries; England
Schools/Departments: University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health
Identification Number: https://doi.org/10.1016/j.burns.2016.05.007
Related URLs:
URLURL Type
https://creativecommons.org/licenses/by/4.0/UNSPECIFIED
Depositing User: McCambridge, Mrs April
Date Deposited: 27 Jun 2016 07:22
Last Modified: 25 Sep 2016 06:31
URI: http://eprints.nottingham.ac.uk/id/eprint/34395

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