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Effects of Pediatric Burns on Gastrointestinal Diseases: A Population-Based Study

James H Boyd1, Fiona M Wood, Sean M Randall

  • 1From the *Centre for Data Linkage, Curtin University, Western Australia, Perth, Australia; †Burn Injury Research Unit, School of Surgery, University of Western Australia, Western Australia, Perth, Australia; and ‡Burns Service of Western Australia, Fiona Stanley Hospital and Princess Margaret Hospital, Western Australia, Perth, Australia.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|March 3, 2017
PubMed

Insights

Pediatric burn survivors face double the rate of gastrointestinal disease hospitalizations and longer stays post-discharge. This highlights a significant long-term health risk following burn injuries in children.

Area of Science:

  • Pediatric Gastroenterology
  • Burn Injury Outcomes
  • Public Health Research

Background:

  • Systemic responses to burns can affect the gastrointestinal tract.
  • Long-term gastrointestinal morbidity following pediatric burns is not well understood.

Purpose of the Study:

  • To determine if pediatric burns are associated with increased hospital use for gastrointestinal diseases after initial discharge.
  • To assess the long-term gastrointestinal health outcomes in children following burn injuries.

Main Methods:

  • Population-based longitudinal study using linked hospital and death data from Western Australia (1980-2012).
  • Inclusion of 10,436 children hospitalized for a first burn injury and 40,819 matched controls.
  • Analysis of admission rates, length of stay, and incident gastrointestinal diseases using negative binomial and Cox regression models.

Main Results:

  • The pediatric burn cohort showed twice the rate of gastrointestinal disease admissions (IRR: 2.03) and hospital stays (IRR: 2.23) compared to controls.
  • Burn survivors had a higher rate of first-time gastrointestinal disease admissions (HR: 1.18).
  • Adjustments were made for demographic and pre-existing health factors.

Conclusions:

  • Pediatric burn hospitalizations are linked to increased postburn hospital service use for gastrointestinal diseases.
  • Children with burn injuries face a heightened risk of long-term gastrointestinal morbidity.
  • Findings underscore the need for monitoring and management of gastrointestinal health in pediatric burn survivors.

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