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Published on: November 21, 2017
Differing patterns in thermal injury incidence and hospitalisations among 0-4 year old children from England
Ruth Baker1, Laila J Tata2, Denise Kendrick1
1Division of Primary Care, The University of Nottingham, Tower Building, University Park, Nottingham NG7 2RD, United Kingdom.
Insights
Thermal injury incidence in young children decreased overall and for severe cases between 1998 and 2013. However, significant socioeconomic disparities persist, especially for serious thermal injuries, highlighting the need for targeted prevention in deprived areas.
Area of Science:
- Pediatric Public Health
- Injury Prevention Science
- Epidemiology
Background:
- Thermal injuries pose a significant risk to young children.
- Understanding incidence patterns is crucial for effective public health interventions.
Purpose of the Study:
- To analyze trends in thermal injury incidence and hospitalizations among 0-4 year olds in England from 1998 to 2013.
- To investigate variations by age, gender, calendar year, and socioeconomic status.
- To identify socioeconomic gradients in thermal injury risk.
Main Methods:
- Utilized linked primary care (CPRD) and hospitalisation (HES) data for 708,050 children.
- Calculated incidence rates for all, hospitalised, and serious thermal injuries (≥72h hospitalization).
- Employed Poisson regression to estimate adjusted incidence rate ratios (IRR) and 95% confidence intervals (95%CI).
Main Results:
- Overall thermal injury incidence was 59.5/10,000 person-years; hospitalised injuries were 11.3/10,000; serious injuries were 2.15/10,000.
- The socioeconomic gradient was most pronounced for serious thermal injuries (IRR 3.17).
- Incidence of all and serious thermal injuries decreased over the study period, while hospitalised injuries showed no significant change.
Conclusions:
- A reduction in overall and serious thermal injuries was observed over time.
- Steep socioeconomic gradients underscore the need for targeted prevention strategies in deprived communities.
- Continued focus on high-risk populations is essential for reducing pediatric thermal injury burden.
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.
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