dc.contributor.author | Mitchell, Rebecca J | |
dc.contributor.author | Cameron, Cate M | |
dc.contributor.author | McClure, Rod | |
dc.date.accessioned | 2017-08-31T12:30:42Z | |
dc.date.available | 2017-08-31T12:30:42Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 2044-6055 | |
dc.identifier.doi | 10.1136/bmjopen-2016-013266 | |
dc.identifier.uri | http://hdl.handle.net/10072/101156 | |
dc.description.abstract | morbidity and mortality attributable to traumatic
injury using a population-based matched cohort in
Australia.
Setting: New South Wales, Queensland and South
Australia, Australia.
Participants: Individuals ≥18 years who had an
injury-related hospital admission in 2009 formed the
injured cohort. The non-injured comparison cohort was
randomly selected from the electoral roll and was
matched 1:1 on age, gender and postcode of residence
at the date of the index injury admission of their
matched counterpart.
Primary outcome measures: Using linked
emergency department presentation, hospital
admission and mortality records from 1 January 2008
to 31 December 2010 for both the injured and noninjured
cohorts, 12-month mortality and pre-index and
post-index injury hospital service use was examined.
Adjusted rate ratios and attributable risk were
calculated.
Results: There were 167 600 individuals injured in
2009 and admitted to hospital in New South Wales,
South Australia or Queensland with a matched
comparison. The injured cohort had 3 times higher
proportion of having ≥1 comorbidity preinjury, higher
preinjury hospital service use, and a higher 12-month
mortality compared with a non-injured comparison
group. The injured cohort had 2.20 (95% CI 2.12 to
2.28) times higher rate of hospital admissions in the
12 months post the index injury admission compared
with the non-injured comparison cohort. Injury was a
likely contributory factor in at least 55% of
hospitalisations within 12 months of the index injury
hospitalisation.
Conclusions: Individuals who had an injury-related
hospitalisation had higher mortality and are
hospitalised at increased rates for many months
postinjury. While comorbid conditions are significant,
they do not account for the differences in outcomes.
This study contributes to informing research efforts on
better quantifying the attributable burden of
hospitalised injury-related disability and mortality in
Australia. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | BMJ Publishing Group | |
dc.relation.ispartofpagefrom | e013266-1 | |
dc.relation.ispartofpageto | e013266-9 | |
dc.relation.ispartofissue | 12 | |
dc.relation.ispartofjournal | BMJ Open | |
dc.relation.ispartofvolume | 6 | |
dc.subject.fieldofresearch | Public Health and Health Services not elsewhere classified | |
dc.subject.fieldofresearch | Clinical Sciences | |
dc.subject.fieldofresearch | Public Health and Health Services | |
dc.subject.fieldofresearch | Other Medical and Health Sciences | |
dc.subject.fieldofresearchcode | 111799 | |
dc.subject.fieldofresearchcode | 1103 | |
dc.subject.fieldofresearchcode | 1117 | |
dc.subject.fieldofresearchcode | 1199 | |
dc.title | Quantifying the hospitalised morbidity and mortality attributable to traumatic injury using a population-based matched cohort in Australia | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by/4.0/ | |
dc.description.version | Version of Record (VoR) | |
gro.rights.copyright | © The Author(s) 2016. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Cameron, Cate M. | |