title: Mental and Physical Health Outcomes in Parents of Children with Burn Injuries as Compared with Matched Controls.
abstract: Pediatric burn injuries are common, and the stress of caring for them can affect caregivers' health. This study's objective was to examine the rates of common mental and physical disorders of parents of burn-injured children (cases) compared with matched controls (controls). This is a population-based study linking the Regional Pediatric burn registry with administrative health information. Pediatric burn cases were matched 1:5 with control children from the general population based on age, sex, and geographical location then parents identified. One thousand and twenty-six parental cases and 4858 controls were identified. International Classification of Disease codes were used to identify diagnoses of common mental and physical disorders. Using rates of disease 2 years before and 2 years after the date of burn, the changes in the relative rates of health outcomes were compared between the cases and the controls. The cases had higher rates of postinjury mental and physical illness compared with the matches. However, it was found that controls also had increased rates postindex date and additionally cases had increased rates of preinjury illnesses. There was no difference in the relative rates of illnesses between the groups from pre- to post-index date. The higher rate of illness in cases postinjury could be explained by preinjury illness, and similar rate increases in the control cohort. Evaluation of the effect of a child's burn injury on parents should take into context the preexisting health of the parent. Socioeconomic factors associated with increased risk of burns may also be associated with adverse health outcomes.
authors.affiliation: From the *Faculty of Medicine, University of Manitoba, Winnipeg, Canada; †Manitoba Firefighters Burn Unit, Winnipeg, Canada; ‡Manitoba Center for Health Policy, University of Manitoba, Winnipeg, Canada; §Faculty of Medicine, Department of Psychiatry, University of Manitoba, Winnipeg, Canada; and ‖Faculty of Medicine, Department of Surgery, Sections of General and Plastic Surgery, University of Manitoba, Winnipeg, Canada.
authors.forename: Jessica
authors.initials: J
authors.lastname: Enns
authors.forename: Justin P
authors.initials: JP
authors.lastname: Gawaziuk
authors.forename: Sazzadul
authors.initials: S
authors.lastname: Khan
authors.forename: Dan
authors.initials: D
authors.lastname: Chateau
authors.forename: James M
authors.initials: JM
authors.lastname: Bolton
authors.forename: Jitender
authors.initials: J
authors.lastname: Sareen
authors.forename: James
authors.initials: J
authors.lastname: Stone
authors.forename: Malcolm
authors.initials: M
authors.lastname: Doupe
authors.forename: Sarvesh
authors.initials: S
authors.lastname: Logsetty
mesh_terms: D000328:Adult; D002056:Burns / Q000150:complications / Q000523:psychology / Q000628:therapy*; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005260:Female; D006304:Health Status; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D017063:Outcome Assessment, Health Care; D010290:Parents / Q000523:psychology*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires