George Institute for Global Health, University of Sydney, Sydney, NSW
Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW.
Med J Aust. 2017 Jul 3;207(1):31-35. doi: 10.5694/mja16.01173.
To compare the socio-demographic characteristics and type of injury sustained, the use of hospital resources and rates of hospitalisation by injury type, and survival following fall injuries to older Aboriginal people and non-Indigenous Australian people hospitalised for fall-related injuries.
Population-based retrospective cohort data linkage study. Setting, participants: New South Wales residents aged 50 years or more admitted to a public or private NSW hospital for a fall-related injury during 1 January 2003 - 31 December 2012.
Proportions of patients with defined injury types, mean hospital length of stay (LOS), 30-day mortality, age-standardised hospitalisation rates and age-adjusted rate ratios, 28-day re-admission rates.
There were 312 758 fall-related injury hospitalisations for 234 979 individuals; 2660 admissions (0.85%) were of Aboriginal people. The proportion of hospitalisations for fall-related fracture injuries was lower for Aboriginal than for non-Indigenous Australians (49% v 60% of fall-related hospitalisations; P < 0.001). The major injury type for Aboriginal patients was non-fracture injury to head or neck (19% of hospitalisations); for non-Indigenous patients it was hip fractures (18%). Age-adjusted LOS was lower for Aboriginal than for non-Indigenous patients (9.1 v 14.0 days; P < 0.001), as was 30-day mortality (2.9% v 4.2%; P < 0.001). For Aboriginal people, fall injury hospitalisations increased at an annual rate of 5.8% (95% CI, 4.0-7.7%; P < 0.001); for non-Indigenous patients, the mean annual increase was 2.5% (95% CI, 2.1-3.0; P < 0.001).
The patterns of injury and outcomes of fall injury hospitalisations were different for older Aboriginal people and other older Australians, suggesting that different approaches are required to prevent and treat fall injuries.
比较老年原住民和非原住民澳大利亚人因跌倒相关损伤住院的社会人口统计学特征和损伤类型、医院资源利用和损伤类型住院率以及跌倒损伤后的存活率。
基于人群的回顾性队列数据链接研究。地点、参与者：2003 年 1 月 1 日至 2012 年 12 月 31 日期间在新南威尔士州一家公立医院或私立医院因跌倒相关损伤住院的年龄在 50 岁或以上的新南威尔士州居民。
定义损伤类型的患者比例、平均住院时间（LOS）、30 天死亡率、年龄标准化住院率和年龄调整的比率比、28 天再入院率。
共发生 312758 例跌倒相关损伤住院，涉及 234979 人；2660 例（0.85%）为原住民。与非原住民澳大利亚人相比，原住民跌倒相关骨折损伤的住院比例较低（跌倒相关住院的 49% v 60%；P<0.001）。原住民患者的主要损伤类型是头部或颈部非骨折损伤（19%的住院）；非原住民患者则是髋部骨折（18%）。与非原住民患者相比，原住民患者的年龄调整 LOS 较低（9.1 天 v 14.0 天；P<0.001），30 天死亡率也较低（2.9% v 4.2%；P<0.001）。对于原住民，跌倒损伤住院率以每年 5.8%的速度增长（95%CI，4.0-7.7%；P<0.001）；对于非原住民患者，平均每年增长率为 2.5%（95%CI，2.1-3.0%；P<0.001）。
老年原住民和其他老年澳大利亚人跌倒损伤住院的损伤模式和结果不同，表明需要采取不同的方法来预防和治疗跌倒损伤。
