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dc.contributor.authorDuke, J.
dc.contributor.authorRea, S.
dc.contributor.authorBoyd, James
dc.contributor.authorRandall, S.
dc.contributor.authorWood, F.
dc.date.accessioned2017-01-30T14:24:14Z
dc.date.available2017-01-30T14:24:14Z
dc.date.created2015-10-29T04:10:13Z
dc.date.issued2015
dc.identifier.citationDuke, J. and Rea, S. and Boyd, J. and Randall, S. and Wood, F. 2015. Mortality after burn injury in children: A 33-year population-based study. Pediatrics. 135 (4): pp. e903-e910.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/38653
dc.identifier.doi10.1542/peds.2014-3140
dc.description.abstract

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.

dc.publisherAmerican Academy of Pediatrics
dc.titleMortality after burn injury in children: A 33-year population-based study
dc.typeJournal Article
dcterms.source.volume135
dcterms.source.number4
dcterms.source.startPagee903
dcterms.source.endPagee910
dcterms.source.issn0031-4005
dcterms.source.titlePediatrics
curtin.departmentCentre for Population Health Research
curtin.accessStatusOpen access via publisher


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