Display Settings:

Format

Send to:

Choose Destination
Clin Experiment Ophthalmol. 2013 Nov;41(8):773-8. doi: 10.1111/ceo.12101. Epub 2013 Apr 11.

Hospitalization rates of children who are blind.

Author information

  • 1Centre for Population Health Research, Curtin Health Innovation Research Institute, Curtin University, Perth, Western Australia, Australia.

Abstract

BACKGROUND:

To evaluate the impact of blindness on hospitalization rates of children.

DESIGN:

Matched cohort study.

PARTICIPANTS:

Children confirmed as legally blind (2003-2009), age- and gender-matched to control cohort of normally sighted children from the state register of births.

METHODS:

The rates and reasons for admission to hospital were compared using hospital morbidity records. The association of blindness with rates of admission and length of stay in hospital, 2003-2010, were estimated using multivariate negative binomial regression models.

MAIN OUTCOME MEASURES:

Descriptive statistics, incident rate ratios, and predicted means for hospital separations and length of stay.

RESULTS:

Fifty-nine blind and 59 control children had a combined total of 107 separations accounting for 237 bed days in hospital after the index date of legal blindness. The median age at the index date was 8 years. Over 90% of separations and 92% of bed days were incurred by 22 blind children. Blind children had four (95% confidence interval 1.9-9.3) times more hospital separations and stayed in hospital six (95% confidence interval 1.9-17.5) times longer than the control cohort children. There were more than 40 times as many comorbidities recorded by the blind children (n = 201) compared with the control children (n = 5). A third of the blind children were hospitalized for respiratory conditions.

CONCLUSIONS:

Children who are born or become blind in childhood have more and longer periods in hospital than sighted children likely because of complex comorbid health problems. There was a disproportionate incidence of comorbid respiratory diseases in the blind children.

© 2013 The Authors. Clinical and Experimental Ophthalmology © 2013 Royal Australian and New Zealand College of Ophthalmologists.

KEYWORDS:

blind; children; hospitalization; respiratory

Comment in

PMID:
23448541
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Blackwell Publishing
    Loading ...
    Write to the Help Desk