Increased admissions for diabetes mellitus after burn

Janine Duke, S.M. Randall, Mark Fear, J.H. Boyd, Emily O'Halloran, Suzanne Rea, Fiona Wood

    Research output: Contribution to journalArticlepeer-review

    28 Citations (Scopus)


    © 2016 Elsevier Ltd and ISBIBackground Currently, limited long-term data on hyperglycaemia and insulin sensitivity in burn patients are available and the data that do exist are primarily related to paediatric severe burns. The aim of this study was to assess if burn is associated with increased post-burn admissions for diabetes mellitus. Methods A population-based longitudinal study using linked hospital morbidity and death data from Western Australia was undertaken of all persons hospitalized for a first burn (n = 30,997) in 1980–2012 and a frequency matched non-injury comparison cohort, randomly selected from Western Australia's birth registrations and electoral roll (n = 123,399). Crude admission rates and summed length of stay for diabetes mellitus were calculated. Negative binomial and Cox proportional hazards regression modelling were used to generate incidence rate ratios (IRR) and hazard ratios (HR), respectively. Results After adjustment for socio-demographic factors and pre-existing health status, the burn cohort had 2.21 times (95% Confidence Interval (CI): 1.36–1.56) as many admissions and almost three times the number of days in hospital with a diabetes mellitus diagnosis (IRR, 95% CI: 2.94, 2.12–4.09) than the uninjured cohort. Admission rates were significantly elevated for those burned during childhood (
    Original languageEnglish
    Pages (from-to)1734-1739
    Number of pages6
    Issue number8
    Publication statusPublished - 1 Dec 2016


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