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    Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study

    Access Status
    Fulltext not available
    Authors
    Duke, J.
    Randall, Sean
    Vetrichevvel, Thirthar P.
    McGarry, Sarah
    Boyd, James
    Rea, S.
    Wood, F.
    Date
    2018
    Type
    Journal Article
    
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    Citation
    Duke, J. and Randall, S. and Vetrichevvel, T. and McGarry, S. and Boyd, J. and Rea, S. and Wood, F. 2018. Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study. Burns & Trauma. 6: 32.
    Source Title
    Burns & Trauma
    DOI
    10.1186/s41038-018-0134-z
    ISSN
    2321-3868
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/71250
    Collection
    • Curtin Research Publications
    Abstract

    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.

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