Influence of early childhood burns on school performance: an Australian population study

Azzam, Nadin; Oei, Ju Lee; Adams, Susan; Bajuk, Barbara; Hilder, Lisa; Abdel-Latif, Mohamed E; Wright, Ian; Holland, A.J.A.

doi:10.1136/archdischild-2017-313355

Cited by 13 publications

(21 citation statements)

References 17 publications

(13 reference statements)

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“…Our review of the literature identified seven previous studies that specifically examined the impact of unplanned hospital inpatient admissions on educational outcome. [1,2,48–52] Consistent with our findings, O’Brien Caughy’s analysis of secondary data in the U.S.A. showed that inpatient hospital admissions during the first year of life was associated with lower scores on reading recognition, partially explained by differences in levels of maternal education and the home environment [1]. Kull et al tested the associations between child development at age five years and indicators of physical health during childhood (including acute conditions and unplanned hospitalisations) in a large national birth cohort of children in Boston U.S.A. [2].…”

Section: Discussionmentioning

confidence: 99%

“…Azzam et al examined the influence of burn injuries in national standardised curriculum-based school tests among children aged 8–14 years in Australia. They found that the most childhood burn injuries occur during the pre-school years, and children who were hospitalised had lower performance on academic assessments, suggesting that rehabilitation programmes for children with burn injuries should also include educational support for children [52].…”

Section: Discussionmentioning

confidence: 99%

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The role of health and social factors in education outcome: A record-linked electronic birth cohort analysis

et al. 2019

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Background and objective Health status in childhood is correlated with educational outcomes. Emergency hospital admissions during childhood are common but it is not known how these unplanned breaks from schooling impact on education outcomes. We hypothesised that children who had emergency hospital admissions had an increased risk of lower educational attainment, in addition to the increased risks associated with other health, social and school factors. Methods This record-linked electronic birth cohort, included children born in Wales between 1 January 1998 and 31 August 2001. We fitted multilevel logistic regression models grouped by schools, to determine whether emergency hospital inpatient admission before age 7 years was associated with the educational outcome of not attaining the expected level in a teacher-based assessment at age 7 years (KS1). We adjusted for pregnancy, perinatal, socio-economic, neighbourhood, pupil mobility and school-level factors. Results The cohort comprised 64 934 children. Overall, 4680 (7.2%) did not attain the expected educational level. Emergency admission to hospital was associated with poor educational attainment (OR 1.12 95% Credible Interval (CI) 1.05, 1.20 for all causes during childhood, OR 1.19 95%CI 1.07, 1.32 for injuries and external causes and OR 1.31 95%CI 1.04, 1.22 for admissions during infancy), after adjusting for known determinants of education outcomes such as extreme prematurity, being small for gestational age and socio-economic indicators, such as eligibility for free school meals. Conclusion Emergency inpatient hospital admission during childhood, particularly during infancy or for injuries and external causes was associated with an increased risk of lower education attainment at age 7 years, in addition to the effects of pregnancy factors (gestational age, birthweight) and social deprivation. These findings support the need for injury prevention measures and additional support in school for affected children to help them to achieve their potential.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The role of health and social factors in education outcome: A record-linked electronic birth cohort analysis

et al. 2019

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“…This will be a retrospective population-level case-comparison study of injured or chronically ill children (ie, diabetes, epilepsy, asthma or mental health conditions). These four health conditions and injury were selected as injuries are the leading cause of hospitalisation in Australia for children aged 1–18 years,17 and the four chronic health conditions represent the most common health conditions experienced by children in Australia18 that have previously been associated with having a detrimental impact on learning 2–9. This will be a retrospective epidemiological study of children aged ≤18 years at the date of admission for their index hospitalisation in New South Wales (NSW), Australia.…”

Section: Methods and Analysismentioning

confidence: 99%

“…Any restrictions on the ability of a child to perform to the best of their ability at school may adversely affect their career prospects and long-term quality of life. Traumatic injury or the presence of a chronic health condition, such as diabetes, epilepsy, asthma or mental health conditions, can have an adverse impact on the child’s performance at school 2–9. Interruptions to education can have a cumulative effect, resulting in being less likely to complete school or attend university and potentially limiting future employment opportunities 10.…”

Section: Introductionmentioning

confidence: 99%

Impact of chronic health conditions and injury on school performance and health outcomes in New South Wales, Australia: a retrospective record linkage study protocol

Mitchell

Cameron

Lystad

et al. 2019

bmjpo

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IntroductionChildren who have sustained a serious injury or who have a chronic health condition, such as diabetes or epilepsy, may have their school performance adversely impacted by the condition, treatment of the condition and/or time away from school. Examining the potential adverse impact requires the identification of children most likely to be affected and the use of objective measures of education performance. This may highlight educational disparities that could be addressed with learning support. This study aims to examine education performance, school completion and health outcomes of children in New South Wales (NSW), Australia, who were hospitalised with an injury or a chronic health condition compared with children who have not been hospitalised for these conditions.Method and analysisThis research will be a retrospective population-level case-comparison study of hospitalised injured or chronically ill children (ie, diabetes, epilepsy, asthma or mental health conditions) aged ≤18 years in NSW, Australia, using linked health and education administrative data collections. It will examine the education performance, school completion and health outcomes of children who have been hospitalised in NSW with an injury or a chronic health condition compared with children randomly drawn from the NSW population (matched on gender, age and residential postcode) who have not been hospitalised for these conditions.Ethics and disseminationThe study received ethics approval from the NSW Population Health Services Research Ethics Committee (2018HRE0904). Findings from the research will be published in peer-reviewed journals and presented at scientific conferences.

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“…Burn injuries are common in children and can have a lasting impact on their physical and psychosocial health 1–3 . The care of paediatric burn injuries places a significant burden on the health system 4 .…”

Section: Introductionmentioning

confidence: 99%

Holiday hazards: burns in children during school holidays

Tran

Holland

Bertinetti

2021

ANZ Journal of Surgery

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Background Paediatric burns are preventable injuries that can have a permanent impact on a child's health and wellbeing. The Burns Unit at the Children's Hospital at Westmead appeared to experience an increase in paediatric burn injury referrals during the school holidays. The evaluation of the characteristics of burn injuries in the school holidays compared to the school term may improve the effectiveness of burn prevention programmes. Methods A retrospective review was performed of all school‐aged children who were referred to our institution between January 2005 and January 2019. Patient details, burn aetiology, burn severity, length of stay and need for grafting were compared between burns sustained during the school holidays and burns sustained during school term. Results A total of 3020 children were referred to Children's Hospital at Westmead between January 2005 and January 2019. The mean number of burns sustained increased from 3.8 children per week during the school term to 5.4 children per week during school holidays (P < 0.0001). Contact burns were proportionally more common during school holidays than during the school term (26% versus 19.7%, P < 0.0001), whilst the proportion of scalds decreased significantly during the school holidays (43.5 versus 51.4%, P < 0.0001). There was no difference between mean age, % total body surface area, admission rates, length of stay or skin grafting rates. Conclusion There is a significant increase in burn injuries among school‐aged children during the school holidays. This highlights the need for targeted education and prevention campaigns in the periods immediately preceding the school holidays.

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Influence of early childhood burns on school performance: an Australian population study

Cited by 13 publications

References 17 publications

The role of health and social factors in education outcome: A record-linked electronic birth cohort analysis

The role of health and social factors in education outcome: A record-linked electronic birth cohort analysis

Impact of chronic health conditions and injury on school performance and health outcomes in New South Wales, Australia: a retrospective record linkage study protocol

Holiday hazards: burns in children during school holidays

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