Citation

McInnes JA, Cleland HJ, Cameron PA, Darton A, Tracy LM, Wood FM, Singer Y, Gabbe BJ. Burns 2019; ePub(ePub): ePub.

Affiliation

Pre-hospital, Emergency and Trauma Research Unit, Department of Epidemiology and Preventive Medicine, Monash University, Level 3, 553 St. Kilda Road, Melbourne, Victoria 3004, Australia; Health Data Research UK, Swansea University Medical School, Swansea University, Singleton Park, Sketty, Swansea SA2 8PP, UK. Electronic address: Belinda.Gabbe@monash.edu.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.burns.2019.07.003

PMID

31350032

Abstract

BACKGROUND: Knowledge of the epidemiology of burn-related fatalities is limited, with most previous studies based on hospital and burn centre data only. AIMS: To describe the epidemiological characteristics of all burn-related fatalities in Australia and New Zealand, and to identify any trends in burn-related fatality incidence over the study period.

METHODS: Data from the National Coronial Information System, including data for pre-hospital and in-hospital burn-related fatality cases, was used to examine the characteristics of burn-related fatalities occurring in Australia and New Zealand from 2009 to 2015. Burn-related fatality rates per 100,000 population were estimated, and incidence trends assessed using Poisson regression analysis.

RESULTS: Of the 310 burn-related fatalities that occurred in Australia and New Zealand, 2009-2015, 41% occurred in a pre-hospital setting. Overall, most burn-related fatality cases were fire related, occurred at home, and were of people aged 41-80 years. One quarter of all burn-related fatalities were a result of intentional self-harm. The population incidence of all burn-related fatalities combined, and for NSW, decreased over the study period.

CONCLUSIONS: This study has identified the importance of examining all burn-related fatalities. If this is not done, vulnerable population subgroups will be missed and prevention efforts poorly targeted.

Copyright © 2019 Elsevier Ltd and ISBI. All rights reserved.

Language: en

Keywords

Australia; Burns; Epidemiology; Fatality; Mortality; New Zealand