Injury Prevention Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, Otago, New Zealand.
Ngāi Tahu Māori Health Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, Otago New Zealand.
Inj Prev. 2017 Dec;23(6):429. doi: 10.1136/injuryprev-2016-042193. Epub 2016 Oct 20.
Subsequent injury (SI) is a major contributor to disability and costs for individuals and society.
To identify modifiable risk factors predictive of SI and SI health and disability outcomes and costs.
To (1) describe the nature of SIs reported to New Zealand's no-fault injury insurer (the Accident Compensation Corporation (ACC)); (2) identify characteristics of people underaccessing ACC for SI; (3) determine factors predicting or protecting against SI; and (4) investigate outcomes for individuals, and costs to society, in relation to SI.
Prospective cohort study.
Previously collected data will be linked including data from interviews undertaken as part of the earlier Prospective Outcomes of Injury Study (POIS), ACC electronic data and national hospitalisation data about SI. POIS participants (N=2856, including 566 Māori) were recruited via ACC's injury register following an injury serious enough to warrant compensation entitlements. We will examine SI over the following 24 months for these participants using descriptive and inferential statistics including multivariable generalised linear models and Cox's proportional hazards regression.
Subsequent Injury Study (SInS) will deliver information about the risks, protective factors and outcomes related to SI for New Zealanders. As a result of sourcing injury data from New Zealand's 'all injury' insurer ACC, SInS includes people who have been hospitalised and not hospitalised for injury. Consequently, SInS will provide insights that are novel internationally as other studies are usually confined to examining trauma registries, specific injuries or injured workers who are covered by a workplace insurer rather than a 'real-world' injury population.
继发伤（SI）是导致个人和社会残疾和成本增加的主要原因。
确定可改变的风险因素，预测 SI 及 SI 健康和残疾结果及成本。
（1）描述新西兰无过错伤害保险公司（意外赔偿公司（ACC））报告的 SI 的性质；（2）确定未充分利用 ACC 进行 SI 治疗的人群特征；（3）确定预测或预防 SI 的因素；（4）调查与 SI 相关的个人结果和社会成本。
前瞻性队列研究。
将对之前收集的数据进行链接，包括作为早期伤害后果研究（POIS）的一部分进行的访谈数据、ACC 电子数据以及关于 SI 的国家住院数据。POIS 参与者（N=2856，包括 566 名毛利人）通过 ACC 的伤害登记系统招募，这些参与者因受伤严重而有权获得赔偿。我们将使用描述性和推断性统计方法，包括多变量广义线性模型和 Cox 比例风险回归，对这些参与者在接下来的 24 个月内进行 SI 研究。
继发伤研究（SInS）将提供有关新西兰人 SI 相关风险、保护因素和结果的信息。由于从新西兰“全伤”保险公司 ACC 收集伤害数据，SInS 包括已住院和未住院的伤害患者。因此，SInS 将提供国际上新颖的见解，因为其他研究通常仅限于检查创伤登记、特定伤害或由工作场所保险公司承保的受伤工人，而不是“真实世界”的伤害人群。
