Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury.

Ryder, C; Mackean, T; Hunter, K; Towers, K; Rogers, K; Holland, AJA; Ivers, R

Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury.

Ryder, C Mackean, T Hunter, K Towers, K Rogers, K

Holland, AJA Ivers, R

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: Injury epidemiology, 2020, 7, (1)
Issue Date:: 2020-10-05

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Field	Value	Language
dc.contributor.author	Ryder, C
dc.contributor.author	Mackean, T
dc.contributor.author	Hunter, K
dc.contributor.author	Towers, K
dc.contributor.author	Rogers, K https://orcid.org/0000-0001-5497-4298
dc.contributor.author	Holland, AJA
dc.contributor.author	Ivers, R
dc.date.accessioned	2020-10-19T22:58:44Z
dc.date.available	2020-08-19
dc.date.available	2020-10-19T22:58:44Z
dc.date.issued	2020-10-05
dc.identifier.citation	Injury epidemiology, 2020, 7, (1)
dc.identifier.issn	2197-1714
dc.identifier.issn	2197-1714
dc.identifier.uri	http://hdl.handle.net/10453/143387
dc.description.abstract	BACKGROUND:Aboriginal and Torres Strait Islander children have higher incidence, severity and hospital length of stay for their acute burn injuries than other Australian children. We examined factors contributing to longer length of stay for Aboriginal and Torres Strait Islander children with an acute burn injury. METHODS:Burns Registry of Australia and New Zealand admissions of children < 16 years of age between October 2009 and July 2018 were analysed. Descriptive statistics explored patient and injury characteristics; Cox-regression models estimated characteristics associated with longer length of stay. Knowledge Interface methodology and Indigenous research methods were used throughout. RESULTS:A total of 723 children were identified as Aboriginal and Torres Strait Islander and 6257 as other Australian. The median hospital length of stay for Aboriginal and Torres Strait Islander children (5 days [CI 5-6]) was 4 days longer than other Australian children (1 day [CI 1-2]). Remoteness, flame burns, high percentage total body surface area (%TBSA) and full thickness burns were factors associated with longer length of stay for Aboriginal and Torres Strait Islander children. Similar prognostic factors were identified for other Australian children along with Streptococcus sp. and Staphylococcus sp. infection. CONCLUSION:Remoteness, flame burns, %TBSA, and full thickness burns are prognostic factors contributing to extended hospital length of stay for all Australian children. These factors are more prevalent in Aboriginal and Torres Strait Islander children, impacting length of stay. Treatment programs, clinical guidelines, and burns policies should engage with the unique circumstances of Aboriginal and Torres Strait Islander children to mitigate inequities in health.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation.ispartof	Injury epidemiology
dc.relation.isbasedon	10.1186/s40621-020-00278-7
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	This is a post-peer-review, pre-copyedit version of an article published in Injury epidemiology. The final authenticated version is available online at: https://dx.doi.org/10.1186/s40621-020-00278-7.	en_US
dc.subject	1117 Public Health and Health Services
dc.title	Factors contributing to longer length of stay in Aboriginal and Torres Strait Islander children hospitalised for burn injury.
dc.type	Journal Article
utslib.citation.volume	7
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2020-10-19T22:58:35Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	7
utslib.citation.issue	1

Abstract:

BACKGROUND:Aboriginal and Torres Strait Islander children have higher incidence, severity and hospital length of stay for their acute burn injuries than other Australian children. We examined factors contributing to longer length of stay for Aboriginal and Torres Strait Islander children with an acute burn injury. METHODS:Burns Registry of Australia and New Zealand admissions of children < 16 years of age between October 2009 and July 2018 were analysed. Descriptive statistics explored patient and injury characteristics; Cox-regression models estimated characteristics associated with longer length of stay. Knowledge Interface methodology and Indigenous research methods were used throughout. RESULTS:A total of 723 children were identified as Aboriginal and Torres Strait Islander and 6257 as other Australian. The median hospital length of stay for Aboriginal and Torres Strait Islander children (5 days [CI 5-6]) was 4 days longer than other Australian children (1 day [CI 1-2]). Remoteness, flame burns, high percentage total body surface area (%TBSA) and full thickness burns were factors associated with longer length of stay for Aboriginal and Torres Strait Islander children. Similar prognostic factors were identified for other Australian children along with Streptococcus sp. and Staphylococcus sp. infection. CONCLUSION:Remoteness, flame burns, %TBSA, and full thickness burns are prognostic factors contributing to extended hospital length of stay for all Australian children. These factors are more prevalent in Aboriginal and Torres Strait Islander children, impacting length of stay. Treatment programs, clinical guidelines, and burns policies should engage with the unique circumstances of Aboriginal and Torres Strait Islander children to mitigate inequities in health.

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http://hdl.handle.net/10453/143387