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

被引：12

作者：

Ryder, Courtney ^{[1
,2
]}

Mackean, Tamara ^{[1
,2
]}

Hunter, Kate ^{[1
]}

Towers, Kurt ^{[3
]}

Rogers, Kris ^{[1
,4
]}

Holland, Andrew J. A. ^{[5
]}

Ivers, Rebecca ^{[1
,6
]}

机构：

[1] UNSW, George Inst Global Hlth Australia, POB M201,Missenden Rd, Sydney, NSW 2050, Australia

[2] Flinders Univ S Australia, Coll Med & Publ Hlth, Aboriginal & Torres Strait Islander Hlth, GPO Box 2100, Adelaide, SA 5001, Australia

[3] Watto Paruna Aboriginal Hlth Northern Adelaide Lo, Corner Mark & Oldham Rd, Elizabeth Vale, SA 5112, Australia

[4] Univ Technol Sydney, Grad Sch Hlth, POB 123, Sydney, NSW 2007, Australia

[5] Univ Sydney, Fac Med & Hlth, Sydney Med Sch, Childrens Hosp Westmead,Clin Sch, Westmead, NSW 2145, Australia

[6] UNSW, Sch Publ Hlth & Community Med, Sydney, NSW 2052, Australia

来源：

INJURY EPIDEMIOLOGY | 2020年 / 7卷 / 01期

基金：

澳大利亚国家健康与医学研究理事会; 英国医学研究理事会;

关键词：

Length of stay; Aboriginal and Torres Strait islander; Children; Burn injury; Prognostic factors; PEDIATRIC BURNS; HEALTH-CARE; MODEL;

D O I：

10.1186/s40621-020-00278-7

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundAboriginal 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.MethodsBurns Registry of Australia and New Zealand admissions of children <16years 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.ResultsA 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 (5days [CI 5-6]) was 4days longer than other Australian children (1day [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.ConclusionRemoteness, 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.

引用

页数：11

共 74 条

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