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

摘要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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作者单位 Burn Injury Research Unit, Faculty Health and Medical Sciences, The University of Western Australia, M31835 Stirling Highway, Crawley, Perth,Western Australia 6009, Australia [1] Centre for Data Linkage, Curtin University,Perth, Western Australia, Australia [2] Curtin Medical School, Curtin University,Perth, Western Australia, Australia [3] School of Occupational Therapy Social work and Speech Pathology, Curtin University, Perth, Western Australia,Australia [4] Burn Injury Research Unit, Faculty Health and Medical Sciences, The University of Western Australia, M31835 Stirling Highway, Crawley, Perth,Western Australia 6009, Australia;Burns Service of Western Australia, Royal Perth Hospital and Princess Margaret Hospital, Perth, Western Australia, Australia [5]
栏目名称 Research Article
发布时间 2019-02-22
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