Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study
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...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Oxford University Press
2018-11-01
|
| Series: | Burns & Trauma |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41038-018-0134-z |
| _version_ | 1828871901615751168 |
|---|---|
| author | Janine M. Duke Sean M. Randall Thirthar P. Vetrichevvel Sarah McGarry James H. Boyd Suzanne Rea Fiona M. Wood |
| author_facet | Janine M. Duke Sean M. Randall Thirthar P. Vetrichevvel Sarah McGarry James H. Boyd Suzanne Rea Fiona M. Wood |
| author_sort | Janine M. Duke |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T06:42:47Z |
| format | Article |
| id | doaj.art-a8161ed1b9aa41f99b7f45ddfd4f1600 |
| institution | Directory Open Access Journal |
| issn | 2321-3876 |
| language | English |
| last_indexed | 2024-12-13T06:42:47Z |
| publishDate | 2018-11-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Burns & Trauma |
| spelling | doaj.art-a8161ed1b9aa41f99b7f45ddfd4f16002022-12-21T23:56:23ZengOxford University PressBurns & Trauma2321-38762018-11-016111010.1186/s41038-018-0134-zLong-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort studyJanine M. Duke0Sean M. Randall1Thirthar P. Vetrichevvel2Sarah McGarry3James H. Boyd4Suzanne Rea5Fiona M. Wood6Burn Injury Research Unit, Faculty Health and Medical Sciences, The University of Western AustraliaCentre for Data Linkage, Curtin UniversityCurtin Medical School, Curtin UniversitySchool of Occupational Therapy Social work and Speech Pathology, Curtin UniversityCentre for Data Linkage, Curtin UniversityBurn Injury Research Unit, Faculty Health and Medical Sciences, The University of Western AustraliaBurn Injury Research Unit, Faculty Health and Medical Sciences, The University of Western AustraliaAbstract 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.http://link.springer.com/article/10.1186/s41038-018-0134-zPaediatric burnsDepressionAnxietySubstance abuseLongitudinal studyMental health |
| spellingShingle | Janine M. Duke Sean M. Randall Thirthar P. Vetrichevvel Sarah McGarry James H. Boyd Suzanne Rea Fiona M. Wood Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study Burns & Trauma Paediatric burns Depression Anxiety Substance abuse Longitudinal study Mental health |
| title | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_full | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_fullStr | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_full_unstemmed | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_short | Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study |
| title_sort | long term mental health outcomes after unintentional burns sustained during childhood a retrospective cohort study |
| topic | Paediatric burns Depression Anxiety Substance abuse Longitudinal study Mental health |
| url | http://link.springer.com/article/10.1186/s41038-018-0134-z |
| work_keys_str_mv | AT janinemduke longtermmentalhealthoutcomesafterunintentionalburnssustainedduringchildhoodaretrospectivecohortstudy AT seanmrandall longtermmentalhealthoutcomesafterunintentionalburnssustainedduringchildhoodaretrospectivecohortstudy AT thirtharpvetrichevvel longtermmentalhealthoutcomesafterunintentionalburnssustainedduringchildhoodaretrospectivecohortstudy AT sarahmcgarry longtermmentalhealthoutcomesafterunintentionalburnssustainedduringchildhoodaretrospectivecohortstudy AT jameshboyd longtermmentalhealthoutcomesafterunintentionalburnssustainedduringchildhoodaretrospectivecohortstudy AT suzannerea longtermmentalhealthoutcomesafterunintentionalburnssustainedduringchildhoodaretrospectivecohortstudy AT fionamwood longtermmentalhealthoutcomesafterunintentionalburnssustainedduringchildhoodaretrospectivecohortstudy |