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Quantifying the hospitalised morbidity and mortality attributable to traumatic injury using a population-based matched cohort in Australia889.56 kB
Published VersionCC BY-NC V4.0, Open Access
Journal article
Quantifying the hospitalised morbidity and mortality attributable to traumatic injury using a population-based matched cohort in Australia
BMJ Open, Vol.6(12), pp.1-9
2016
PMCID: PMC5168691
PMID: 27927664
Abstract
Objectives: To quantify the 12-month hospitalised 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 non-injured 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.
Details
- Title
- Quantifying the hospitalised morbidity and mortality attributable to traumatic injury using a population-based matched cohort in Australia
- Authors
- Rebecca J Mitchell (Author) - Macquarie UniversityCate M Cameron (Author) - Griffith UniversityRod McClure (Author) - Harvard University
- Publication details
- BMJ Open, Vol.6(12), pp.1-9
- Publisher
- B M J Group
- Date published
- 2016
- DOI
- 10.1136/bmjopen-2016-013266
- ISSN
- 2044-6055
- PMID
- 27927664; PMC5168691
- Copyright note
- 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/
- Organisation Unit
- Centre for Human Factors and Systems Science; University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99651251402621
- Output Type
- Journal article
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