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Impact of an injury hospital admission on childhood academic performance: a Welsh population-based data linkage study.
Dipnall, Joanna F; Lyons, Jane; Lyons, Ronan A; Ameratunga, Shanthi; Brussoni, Mariana; Lecky, Fiona E; Beck, Ben; Schneeberg, Amy; Harrison, James E; Gabbe, Belinda J.
Afiliación
  • Dipnall JF; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia joanna.dipnall@monash.edu.
  • Lyons J; Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University Faculty of Health, Geelong, Victoria, Australia.
  • Lyons RA; Population Data Science, Faculty of Medicine, Health & Life Science, Swansea University Medical School, Swansea, UK.
  • Ameratunga S; Administrative Data Research Wales, Wales, UK.
  • Brussoni M; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
  • Lecky FE; Population Data Science, Faculty of Medicine, Health & Life Science, Swansea University Medical School, Swansea, UK.
  • Beck B; Administrative Data Research Wales, Wales, UK.
  • Schneeberg A; National Centre for Population Health and Wellbeing Research, Swansea University, Swansea, UK.
  • Harrison JE; School of Population Health, The University of Auckland, Auckland, New Zealand.
  • Gabbe BJ; Counties Manukau District Health Board, Kidz First Hospital and Population Health Directorate, Auckland, New Zealand.
Inj Prev ; 30(3): 206-215, 2024 May 20.
Article en En | MEDLINE | ID: mdl-38124009
ABSTRACT

BACKGROUND:

While injuries can impact on children's educational achievements (with threats to their development and employment prospects), these risks are poorly quantified. This population-based longitudinal study investigated the impact of an injury-related hospital admission on Welsh children's academic performance.

METHODS:

The Secure Anonymised Information Linkage databank, 55 587 children residing in Wales from 2006 to 2016 who had an injury hospital admission (58.2% males; 16.8% born in most deprived Wales area; 80.1% one injury hospital admission) were linked to data from the Wales Electronic Cohort for Children. The primary outcome was the Core Subject Indicator reflecting educational achievement at key stages 2 (school years 3-6), 3 (school years 7-9) and 4 (school years 10-11). Covariates in models included demographic, birth, injury and school characteristics.

RESULTS:

Educational achievement of children was negatively associated with pedestrian injuries (adjusted risk ratio, (95% CIs)) (0.87, (0.83 to 0.92)), cyclist (0.96, (0.94 to 0.99)), high fall (0.96, (0.94 to 0.97)), fire/flames/smoke (0.85, (0.73 to 0.99)), cutting/piercing object (0.96, (0.93 to 0.99)), intentional self-harm (0.86, (0.82 to 0.91)), minor traumatic brain injury (0.92, (0.86 to 0.99)), contusion/open wound (0.93, (0.91 to 0.95)), fracture of vertebral column (0.78, (0.64 to 0.95)), fracture of femur (0.88, (0.84 to 0.93)), internal abdomen/pelvic haemorrhage (0.82, (0.69 to 0.97)), superficial injury (0.94, (0.92 to 0.97)), young maternal age (<18 years 0.91, (0.88 to 0.94); 19-24 years 0.94, (0.93 to 0.96)); area based socioeconomic status (0.98, (0.97 to 0.98)); moving to a more deprived area (0.95, (0.93 to 0.97)); requiring special educational needs (0.46, (0.44 to 0.47)). Positive associations were being female (1.04, (1.03 to 1.06)); larger pupil school sizes and maternal age 30+ years.

CONCLUSION:

This study highlights the importance on a child's education of preventing injuries and implementing intervention programmes that support injured children. Greater attention is needed on equity-focused educational support and social policies addressing needs of children at risk of underachievement, including those from families experiencing poverty. VIBES-JUNIOR STUDY PROTOCOL http//dx.doi.org/10.1136/bmjopen-2018-024755.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Heridas y Lesiones / Rendimiento Académico Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Inj Prev Asunto de la revista: PEDIATRIA / TRAUMATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Australia

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Heridas y Lesiones / Rendimiento Académico Límite: Adolescent / Child / Child, preschool / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Inj Prev Asunto de la revista: PEDIATRIA / TRAUMATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Australia