Article Text

other Versions

Epidemiology of critically ill children in England and Wales: incidence, mortality, deprivation and ethnicity
  1. ROGER C PARSLOW (r.c.parslow{at}
  1. UNIVERSITY OF LEEDS, United Kingdom
    1. Robert Charles Tasker (rct31{at}
    1. University of Cambridge Clinical School, United Kingdom
      1. Elizabeth S Draper (msn{at}
      1. University of Leicester, United Kingdom
        1. Gareth J Parry, Dr (gareth.j.parry{at}
        1. National Initiative for Children's Healthcare Quality (NICHQ) Cambridge, MA, United States
          1. Sam Jones (s.jones{at}
          1. Clinical Research Facility, Royal Hallamshire Hospital, Sheffield, United Kingdom
            1. Tim Chater (t.chater{at}
            1. University of Sheffield, United Kingdom
              1. Krishnan Thiru (thiruk1{at}
              1. Great Ormond Street Hospital For Sick Children, United Kingdom
                1. Patricia A McKinney (p.a.mckinney{at}
                1. Paediatric Epidemiology Group, United Kingdom


                  Objective: The purpose of this work was to investigate the incidence rate for admission and mortality of children receiving paediatric intensive care in relation to socioeconomic status and ethnicity in England & Wales.

                  Design: National cohort of sequential hospital admissions.

                  Setting: Twenty-nine paediatric intensive care units in England and Wales. Participants All children aged under 16 years admitted to paediatric intensive care in the four years 2004-2007.

                  Main outcome measures: Incidence rates for admission and odds ratios (OR) for risk adjusted mortality by an area based measure of deprivation (Townsend score) and ethnic group (south Asian versus non-south Asian determined using 2 name analysis algorithms).

                  Results: Incidence for south Asian children was higher than that of non-south Asians (138 versus 95/100000, incidence rate ratio 1.36, 95% CI 1.32-1.40). The age-sex standardised incidence for children admitted to paediatric intensive care ranged from 69/100000 in the least deprived fifth of the population to 124/100000 in the most deprived fifth. The risk-adjusted OR for mortality for south Asian children was 1.36 (95% CI 1.18-1.57) overall, rising to 2.40 (95% CI 1.40-4.10) in the least deprived fifth of the population when a statistical interaction term for deprivation was included.

                  Conclusions: In England and Wales, the admission rate to paediatric intensive care is higher in children from more deprived areas and 36% higher for children from the south Asian population. Risked-adjusted mortality increases in south Asian children as deprivation decreases.

                  Statistics from

                  Request Permissions

                  If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.