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Indigenous and non-Indigenous Australian children hospitalised for burn injuries: a population data linkage study.

Abstract To investigate differences in the characteristics of burn injuries leading to hospitalisation of Indigenous Australian and non-Indigenous children in New South Wales.Design, setting: Population-based cohort analysis of linked hospital and mortality data for 2000-2014.
PMID
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Authors

Mayor MeshTerms

Hospitalization

Keywords
Journal Title the medical journal of australia
Publication Year Start




PMID- 28490304
OWN - NLM
STAT- MEDLINE
DA  - 20170511
DCOM- 20170517
LR  - 20170517
IS  - 1326-5377 (Electronic)
IS  - 0025-729X (Linking)
VI  - 206
IP  - 9
DP  - 2017 May 15
TI  - Indigenous and non-Indigenous Australian children hospitalised for burn injuries:
      a population data linkage study.
PG  - 392-397
AB  - OBJECTIVE: To investigate differences in the characteristics of burn injuries
      leading to hospitalisation of Indigenous Australian and non-Indigenous children
      in New South Wales.Design, setting: Population-based cohort analysis of linked
      hospital and mortality data for 2000-2014. PARTICIPANTS: 35 749 Indigenous and 1 
      088 938 non-Indigenous children aged 0-13 years. MAIN OUTCOME MEASURES: The
      external cause of the injury, its anatomic location, total body surface area
      affected (%TBSA), burn depth, length of hospital stay (LOS). RESULTS: 4246
      non-Indigenous and 323 Indigenous children were hospitalised for a first burn
      injury during 2000-2014. A higher proportion of Indigenous than non-Indigenous
      children were admitted with burns affecting more than 10% TBSA (17% v 12%) and a 
      lower proportion of Indigenous children than of non-Indigenous children were
      treated at a hospital with a paediatric tertiary referral burn unit (40% v 50%; P
      < 0.001). The mean LOS during the index admission was almost 3 days longer for
      Indigenous children than for non-Indigenous children (6.1 days [95% CI, 4.8-7.4
      days] v 3.4 days [95% CI, 3.2-3.7 days]; P < 0.001); the difference in LOS was
      still statistically significant after adjusting for characteristics of the burn
      and residential location. CONCLUSION: The proportion of Indigenous children with 
      burns who presented with burn injuries affecting more than 10% TBSA was greater
      than for non-Indigenous children. Their mean LOS was also longer; the difference 
      remained statistically significant after adjusting for characteristics of the
      burn and of residential location.
FAU - Moller, Holger
AU  - Moller H
AD  - Centre for Big Data Research in Health, University of New South Wales, Sydney,
      NSW [email protected]
FAU - Harvey, Lara
AU  - Harvey L
AD  - Falls, Balance and Injury Research Centre, Neuroscience Research Australia,
      Sydney, NSW.
FAU - Falster, Kathleen
AU  - Falster K
AD  - Centre for Big Data Research in Health, University of New South Wales, Sydney,
      NSW.
FAU - Ivers, Rebecca
AU  - Ivers R
AD  - The George Institute for Global Health, Sydney, NSW.
FAU - Clapham, Kathleen F
AU  - Clapham KF
AD  - University of New South Wales, Sydney, NSW.
FAU - Jorm, Louisa
AU  - Jorm L
AD  - Centre for Big Data Research in Health, University of New South Wales, Sydney,
      NSW.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Australia
TA  - Med J Aust
JT  - The Medical journal of Australia
JID - 0400714
SB  - IM
MH  - Adolescent
MH  - Age Distribution
MH  - Burn Units/*statistics & numerical data
MH  - Burns/*ethnology
MH  - Child
MH  - Child, Preschool
MH  - Cohort Studies
MH  - Female
MH  - *Hospitalization
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Information Storage and Retrieval
MH  - Length of Stay
MH  - Male
MH  - New South Wales
MH  - Proportional Hazards Models
MH  - Sex Distribution
EDAT- 2017/05/12 06:00
MHDA- 2017/05/18 06:00
CRDT- 2017/05/12 06:00
PHST- 2016/02/25 [received]
PHST- 2016/11/08 [accepted]
AID - 10.5694/mja16.00213 [pii]
PST - ppublish
SO  - Med J Aust. 2017 May 15;206(9):392-397.

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