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Estimating the prevalence of chronic conditions in children who die in England, Scotland and Wales: a data linkage cohort study
- Source :
- BMJ Open
- Publication Year :
- 2014
- Publisher :
- BMJ Publishing Group, 2014.
-
Abstract
- Objectives: To estimate the proportion of children who die with chronic conditions and examine time trends in childhood deaths involving chronic conditions.\ud \ud Design: Retrospective population-based death cohort study using linked death certificates and hospital discharge records.\ud \ud Setting: England, Scotland and Wales.\ud \ud Participants: All resident children who died aged 1–18 years between 2001 and 2010.\ud \ud Primary and secondary outcome measures: The primary outcome was the proportion of children who died with chronic conditions according to age group and type of chronic condition. The secondary outcome was trends over time in mortality rates involving chronic conditions per 100 000 children and trends in the proportion of children who died with chronic conditions.\ud \ud Results: 65.4% of 23 438 children (95% CI 64.8%, 66.0%) died with chronic conditions, using information from death certificates. This increased to 70.7% (95% CI 70.1% to 71.3%) if hospital records up to 1 year before death were also included and was highest (74.8–79.9% depending on age group) among children aged less than 15 years. Using data from death certificates only led to underascertainment of all types of chronic conditions apart from cancer/blood conditions. Neurological/sensory conditions were most common ( present in 38.5%). The rate of children dying with a chronic condition has declined since 2001, whereas the proportion of deaths affected by chronic conditions remained stable.\ud \ud Conclusions: The majority of children who died had a chronic condition. Neurological/sensory conditions were the most prevalent. Linkage between death certificate and hospital discharge data avoids some of the underrecording of non-cancer conditions on death certificates, and provides a low-cost, population-based method for monitoring chronic conditions in children who die.
- Subjects :
- Male
RJ
Epidemiology
Programme Board of the Royal College of Paediatrics and Child Health
Death Certificates
Cohort Studies
Medicine, General & Internal
MEDICAL COMPLEXITY
General & Internal Medicine
Cause of Death
Prevalence
Humans
Child
COMPLEX CHRONIC CONDITIONS
POPULATION
Science & Technology
Wales
MORTALITY
Research
Data Collection
Infant
Paediatrics
CARE
TRENDS
CANCER
England
Scotland
Child, Preschool
Child Mortality
Chronic Disease
Female
DEATH RATES
Life Sciences & Biomedicine
Child Death Overview Working Group
Subjects
Details
- Language :
- English
- ISSN :
- 20446055
- Volume :
- 4
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- BMJ Open
- Accession number :
- edsair.pmid.dedup....4afe39c6d98dddf70902204f024dffcf