Epidemiology of hospitalised traumatic brain injury in the state of New South Wales, Australia: a population‐based study

Autor: Ian D. Cameron, Ilaria Pozzato, Ulrike Rosenkoetter, Robyn L. Tate
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
medicine.medical_specialty
Native Hawaiian or Other Pacific Islander
Adolescent
030309 nutrition & dietetics
Traumatic brain injury
Population
Risk Assessment
03 medical and health sciences
0302 clinical medicine
International Classification of Diseases
Environmental health
External cause
Epidemiology
Brain Injuries
Traumatic
medicine
Humans
030212 general & internal medicine
education
Aged
0303 health sciences
education.field_of_study
Trauma Severity Indices
business.industry
Public health
Incidence (epidemiology)
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
Australia
lcsh:RA1-1270
Middle Aged
medicine.disease
brain injury
Population based study
Hospitalization
Torres strait
Population Surveillance
incidence
Female
epidemiology
Morbidity
New South Wales
business
Zdroj: Australian and New Zealand Journal of Public Health, Vol 43, Iss 4, Pp 382-388 (2019)
ISSN: 1326-0200
1753-6405
Popis: Objective: To describe the population‐based incidence and epidemiological characteristics of hospitalised traumatic brain injury (TBI) in New South Wales (NSW), Australia. Methods: One‐year statewide hospital admission data from the NSW Department of Health were analysed. TBI cases were identified using a combination of TBI‐related diagnostic and external cause codes from the International Classification of Diseases (ICD‐10th Revision). Sociodemographics, causes, associated factors, severity and medical details of hospitalisation were examined. Results: There were 6,827 hospitalised TBI cases that met review criteria. Incidence rate was 99.1/100,000 population. Incidence in persons older than 75 years of age and residents in remote areas was three times higher. Aboriginal and Torres Strait Islander peoples were 1.7 times more likely to sustain a TBI than the general population, and risk was greater for all NSW residents from areas that were remote and disadvantaged‐socioeconomically. Older adults and those with severe injuries showed prolonged hospitalisation, higher morbidity and mortality. Conclusions: Overall TBI incidence in NSW is lower than international estimates. Nevertheless, groups with higher incidence rates and/or poor in‐hospital outcomes were identified, highlighting directions for prevention and future research. Implications for public health: There is a need for identifying risk factors/barriers and assessing the impact of recent policies on these population groups.
Databáze: OpenAIRE
Externí odkaz: