Citation

Baker R, Tata LJ, Kendrick D, Burch T, Kennedy M, Orton E. Burns 2016; 42(7): 1609-1616.

Affiliation

Division of Primary Care, The University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, United Kingdom. Electronic address: elizabeth.orton@nottingham.ac.uk.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.burns.2016.05.007

PMID

27268109

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 ≥72h). 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 ≥72h reduced over time. Steep socioeconomic gradients support continued targeting of preventative interventions to those living in the most deprived areas.

Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Language: en