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Developmental and behavioural associations of burns and scalds in children: A prospective population-based study

Emond, Alan; Sheahan, Clare; Mytton, Julie; Hollén, Linda

Developmental and behavioural associations of burns and scalds in children: A prospective population-based study Thumbnail


Authors

Alan Emond

Clare Sheahan

Linda Hollén



Abstract

Objective
To investigate child developmental and behavioural characteristics and risk of burns and scalds.

Design
Data on burns in children up to 11 years from 12 966 participants in the Avon Longitudinal Study of Parents and Children were linked to developmental profiles measured before the burn injury.

Measures
Preinjury profiles of the children derived from maternal questionnaires completed in pregnancy, and at 6, 18, 42, 47 and 54 months. Injury data collected by questionnaire at 6, 15 and 24 months and 3.5, 4.5, 5.5, 6.5, 8.5 and 11 years of age.

Results
Incidence: Burn rates were as follows: Birth-2 years 71.9/1000/year; 2-4.5 years 42.2/1000/year; 5-11 years 14.3/1000/year. Boys < 2 years were more likely to sustain burns, and girls had more burns between age 5 and 11 years. Medical attention was sought for 11% of burn injuries. Development: Up to age 2 years, burns were more likely in children with the most advanced gross motor developmental scores and the slowest fine motor development. Children with coordination problems at 4.5 years of age had increased risk of burns between 5 and 11 years. No associations were observed with cognitive skills. Behaviour: At 3.5 years, the Strengths and Difficulties Questionnaire scores and reported frequent temper tantrums predicted subsequent burns in primary school age. After adjustment for confounders, burns in the preschool period were related to gender and motor development, and in school-aged children, to frequent temper tantrums, hyperactivity and coordination difficulties.

Conclusion Child factors associated with increased risk of burns were male gender in infancy and female gender at school age, advanced gross motor development, coordination difficulties, hyperactivity and problems with emotional regulation.

Journal Article Type Article
Acceptance Date Oct 23, 2016
Online Publication Date Nov 13, 2016
Publication Date Apr 19, 2017
Deposit Date Nov 25, 2016
Publicly Available Date Nov 25, 2016
Journal Archives of Disease in Childhood
Print ISSN 0003-9888
Electronic ISSN 1468-2044
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 102
Issue 5
Pages 428-433
DOI https://doi.org/10.1136/archdischild-2016-311644
Keywords developmental, behavioural, burns, scalds, children, prospective, population
Public URL https://uwe-repository.worktribe.com/output/906162
Publisher URL http://dx.doi.org/10.1136/archdischild-2016-311644
Additional Information Additional Information : The final publication is available at http://adc.bmj.com/content/early/2016/11/13/archdischild-2016-311644.short?rss=1
Contract Date Nov 25, 2016

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