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dc.contributor.authorMitchell, Rebecca J
dc.contributor.authorCameron, Cate M
dc.contributor.authorMcClure, Rod
dc.date.accessioned2017-08-29T00:24:14Z
dc.date.available2017-08-29T00:24:14Z
dc.date.issued2017
dc.identifier.issn0020-1383
dc.identifier.doi10.1016/j.injury.2017.04.014
dc.identifier.urihttp://hdl.handle.net/10072/345197
dc.description.abstractBackground: Healthcare use by traumatically injured individuals prior to and subsequent to their injury are not often explored for different types of injuries. This study aims to describe health care use 12 months preceding and 12 months following a traumatic injury by injury type and injury severity. Method: Hospital and mortality data from three Australian states were linked in a population-based matched cohort study. Individuals 18 years who had an injury-related hospital admission in 2009 were identified as the injured cohort. A comparison cohort of non-injured people, matched 1:1 on age, gender and postcode of residence, was randomly selected from the electoral roll. Twelve-month pre- and postindex injury health service use was examined. Rates, adjusted rate ratios and attributable risk proportions were calculated by injury type and severity. Results: The injury cohort experienced higher 12-month pre- and post-injury hospital admissions than the non-injured group. By 6 to 7 months post-injury, the injury cohort had largely returned to their preinjury health service use levels, exceptfor injuries involving dislocations, sprains and strains and injury to nerves and spinal cord. Hip fracture (17.69 per 100 person-months) and poisoning (16.09 per 100 personmonths) had the highest rates of post-injury hospitalisation in the injured cohort. The adjusted rate ratios (ARR) for post-injury hospitalisation were highest for poisoning (ARR: 3.77; 95% CI: 3.38–4.21) and injury to nerves and spinal cord (ARR: 2.73; 95% CI: 2.27–3.28). Poisoning also had the highest ARR for postinjury LOS (ARR: 5.31; 95% CI: 4.51–6.27). Conclusions: After sustaining a traumatic injury, many individuals are readmitted to hospital and require ongoing care up to 12 months post-injury. That injured individuals post-injury largely return to their preindex injury hospital use by 6 to 7 months could imply a return to pre-injury function and/or that other measures of health service use should be explored. Trauma services should consider long-term follow-up and support services for seriously injured patients post-hospital discharge.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherElsevier
dc.relation.ispartofpagefrom1393
dc.relation.ispartofpageto1399
dc.relation.ispartofissue7
dc.relation.ispartofjournalInjury
dc.relation.ispartofvolume48
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111099
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1117
dc.titlePatterns of health care use of injured adults: A population-based matched cohort study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorCameron, Cate M.


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