Firefighter Fatalities: Crude Mortality Rates and Risk Factors for Line of Duty Injury and Death

Journal of Burn Care & Research : Official Publication of the American Burn Association
Steven A KahnCarlos Siordia

Abstract

The United States Fire Administration (USFA) provides high-quality data for firefighter deaths (FFDs), but until now these data have not been analyzed for temporal trends. This analysis explores FFDs between 1990 and 2016 to determine high-risk groups for outreach and training. Mortality rates were calculated using USFA information compared against the total number of deaths per year. Rates were compared between 1990-2009 (early period) and 2010-2016 (recent period). Multinomial logistic regression was used to determine predictors of death in firefighters (FFs) by age group (≤45 and >45 years old) and by work status (career vs volunteer). Analysis of 3159 FFDs revealed a decline in crude-rate mortality between 1990-2009 and 2010-2016 (47.4 vs 35 FF deaths per million, P < .0001). FFs of ≤45 years old were less likely to die in the 2010s than in the 1990s-2000s (13.7 vs 24.7 FF deaths per million, P = .0002). Trauma-related deaths decreased (13.1 vs 8.1, P = .0003), whereas CV-related deaths remained constant (19.4 vs 19.5, P = .24). Regression analysis determined that volunteer FFs were more likely to die from burns (OR 1.7, CI: 1.2-2.4, P < .0001) and trauma (OR 1.8, CI: 1.5-2.2, P < .0001) than career FFs. Younger FFs were al...Continue Reading

References

Jan 1, 1995·Annual Review of Public Health·H Morgenstern
Mar 8, 2011·Accident; Analysis and Prevention·Kumar KunadharajuDavid M DeJoy
Aug 2, 2011·Public Health Reports·Chris R EstesDawn N Castillo
Oct 8, 2011·Journal of Burn Care & Research : Official Publication of the American Burn Association·Steven A KahnDerek E Bell
Jul 24, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·Steven A KahnLisa Rae
Aug 19, 2015·Journal of Burn Care & Research : Official Publication of the American Burn Association·Steven A KahnJames H Holmes
Sep 9, 2016·Journal of Burn Care & Research : Official Publication of the American Burn Association·Steven A KahnOliver L Gunter

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