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Effects of Pediatric Burns on Gastrointestinal Diseases: A Population-Based Study.
- Source :
-
Journal of burn care & research : official publication of the American Burn Association [J Burn Care Res] 2017 Mar/Apr; Vol. 38 (2), pp. 125-133. - Publication Year :
- 2017
-
Abstract
- The systemic responses triggered by burns have been shown to include effects on the gastrointestinal tract. However, it is not clear if these changes lead to long-term gastrointestinal morbidity in patients with burns. The aim of this study was to assess if pediatric burns are associated with increased hospital use for gastrointestinal diseases after discharge for the initial injury. A population-based longitudinal study was performed using linked hospital and death data from Western Australia for children younger than 15 years when hospitalized for a first burn injury (n = 10,436) between 1980 and 2012, along with a frequency-matched noninjury comparison cohort, randomly selected from Western Australia's birth registrations (n = 40,819). Crude admission rates and cumulative length of stay for digestive diseases were calculated. Negative binomial and Cox proportional hazards regression modeling were used to generate incidence rate ratios (IRRs) and hazard ratios, respectively. After discharge, the pediatric burn cohort experienced twice the rate of gastrointestinal disease admissions (IRR, 95% confidence interval [CI]: 2.03, 1.56-2.65), spent over twice as long in hospital (IRR, 95% CI: 2.23, 1.67-2.98), and had a higher rate of first-time or incident gastrointestinal disease admissions (hazard ratio, 95% CI: 1.18, 1.08-1.29) when compared with the uninjured cohort, after adjusting for demographic and preexisting health factors. Children who experience a burn injury hospitalization are at increased risk of postburn hospital service use for gastrointestinal diseases when compared with uninjured children.
- Subjects :
- Adolescent
Age Factors
Burns diagnosis
Burns therapy
Child
Child, Preschool
Cohort Studies
Comorbidity
Confidence Intervals
Databases, Factual
Female
Gastrointestinal Diseases physiopathology
Humans
Incidence
Injury Severity Score
Male
Patient Readmission statistics & numerical data
Retrospective Studies
Risk Assessment
Sex Factors
Survival Analysis
Western Australia
Burns epidemiology
Gastrointestinal Diseases epidemiology
Gastrointestinal Diseases etiology
Hospitalization statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1559-0488
- Volume :
- 38
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of burn care & research : official publication of the American Burn Association
- Publication Type :
- Academic Journal
- Accession number :
- 28253212
- Full Text :
- https://doi.org/10.1097/BCR.0000000000000415