Deaths and risk of death by deprivation decile, stratified by the category of death and patient characteristics of child deaths
Measure | Deprivation decile | Ptrend | |||||
No of deaths | 1/2 (least deprived) | 3/4 | 5/6 | 7/8 | 9/10 (most deprived) | ||
N (%) | Median decile (IQR) | ||||||
All deaths | 293 (10.9%) | 383 (14.2%) | 476 (17.7%) | 644 (24.0%) | 892 (33.2%) | 7 (4–9) | 0.003 |
Category of death | |||||||
Acute medical and surgical | 22 (12.9%) | 30 (17.5%) | 28 (16.4%) | 46 (27.0%) | 45 (26.3%) | 7 (4–9) | 0.017 |
Congenital anomalies | 60 (9.0%) | 71 (10.7%) | 117 (17.6%) | 147 (22.1%) | 270 (40.6%) | 7 (5–9) | 0.003 |
Chronic medical | 15 (11.2%) | 16 (11.9%) | 30 (22.4%) | 31 (23.1%) | 42 (31.3%) | 7 (5–9) | 0.006 |
Deliberately inflicted injury | 8 (13.1%) | 8 (13.1%) | 8 (13.1%) | 16 (26.2%) | 21 (34.4%) | 8 (4–9) | 0.025 |
Infection | 23 (13.4%) | 15 (8.7%) | 25 (14.5%) | 54 (31.4%) | 55 (32.0%) | 7 (5–9) | 0.021 |
Malignancy | 38 (18.1%) | 41 (19.5%) | 42 (20.0%) | 36 (17.1%) | 53 (25.2%) | 5 (3–8) | 0.326 |
Perinatal | 74 (8.8%) | 128 (15.1%) | 152 (18.0%) | 223 (26.4%) | 268 (31.7%) | 7 (4–9) | 0.006 |
SUDIC | 17 (8.0%) | 30 (14.2%) | 44 (20.8%) | 48 (22.6%) | 73 (34.4%) | 7 (4–9) | 0.003 |
Suicide or deliberate self-inflicted harm | 19 (18.6%) | 20 (19.6%) | 17 (16.7%) | 18 (17.7%) | 28 (27.5%) | 6 (3–9) | 0.296 |
Trauma | 17 (14.7%) | 24 (20.7%) | 13 (11.2%) | 25 (21.6%) | 37 (31.9%) | 7 (3–9) | 0.038 |
Risk (per 100 000 children) (95% CI) | Overall risk (95% CI) | ||||||
All deaths | 13.25 (11.78 to 14.86) | 17.78 (16.04 to 19.65) | 21.10 (19.25 to 23.09) | 26.01 (24.04 to 28.10) | 31.14 (29.13 to 33.25) | 26.01 (24.04 to 28.10) | <0.001 |
Category of death | |||||||
Acute medical and surgical | 1.00 (0.62 to 1.51) | 1.39 (0.94 to 1.99) | 1.24 (0.82 to 1.79) | 1.86 (1.36 to 2.48) | 1.57 (1.15 to 2.10) | 1.43 (1.22 to 1.66) | 0.030 |
Congenital anomalies | 2.71 (2.07 to 3.49) | 3.30 (2.57 to 4.16) | 5.19 (4.29 to 6.22) | 5.94 (5.02 to 6.98) | 9.43 (8.33 to 10.62) | 5.56 (5.15 to 6.00) | <0.001 |
Chronic medical | 0.68 (0.38 to 1.12) | 0.75 (0.42 to 1.21) | 1.33 (0.90 to 1.90) | 1.25 (0.85 to 1.78) | 1.47 (1.06 to 1.98) | 1.12 (0.94 to 1.33) | 0.004 |
Deliberately inflicted injury | 0.13 (0.16 to 0.71) | 0.37 (0.16 to 0.73) | 0.35 (0.15 to 0.70) | 0.65 (0.37 to 1.050) | 0.73 (0.45 to 1.12) | 0.51 (0.39 to 0.66) | 0.009 |
Infection | 1.04 (0.66 to 1.56) | 0.70 (0.39 to 1.15) | 1.11 (0.72 to 1.64) | 2.18 (1.64 to 2.85) | 1.92 (1.45 to 2.50) | 1.44 (1.23 to 1.67) | <0.001 |
Malignancy | 1.72 (1.22 to 2.36) | 1.91 1.37 to 2.58) | 1.86 (1.34 to 2.52) | 1.45 (1.02 to 2.01) | 1.85 (1.39 to 2.42) | 1.76 (1.53 to 2.01) | 0.868 |
Perinatal | 3.35 (2.63 to 4.20) | 5.94 (4.96 to 7.07) | 6.74 (5.71 to 7.90) | 9.01 (7.86 to 10.27) | 9.36 (0.27 to 10.54) | 7.06 (6.60 to 7.56) | <0.001 |
SUDIC | 0.77 (0.45 to 1.23) | 1.39 (0.94 to 1.99) | 1.95 (1.42 to 2.62) | 1.94 (1.43 to 2.57) | 2.55 (2.00 to 3.20) | 1.77 (1.54 to 2.03) | <0.001 |
Suicide or deliberate self-inflicted harm | 0.86 (0.52 to 1.34) | 0.93 (0.57 to 1.43) | 0.75 (0.44 to 1.21) | 0.73 (0.43 to 1.15) | 0.98 (0.65 to 1.41) | 0.85 (0.70 to 1.04) | 0.831 |
Trauma | 0.77 (0.45 to 1.23) | 1.11 (0.71 to 1.66) | 0.58 (0.31 to 0.99) | 1.01 (0.65 to 1.49) | 1.29 (0.91 to 1.78) | 0.97 (0.80 to 1.16) | 0.075 |
N.B. In this work, an increase in the deprivation decile indicates a higher level of local deprivation.
SUDIC, sudden unexplained death in childhood.