Mitchell Rebecca J, Lower Tony
Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Australian Centre for Agricultural Health and Safety, Department of Public Health and Community Medicine, University of Sydney, Moree, New South Wales, Australia.
Aust J Rural Health. 2018 Jun;26(3):165-172. doi: 10.1111/ajr.12408. Epub 2018 Apr 19.
To compare differences in injury characteristics, health outcomes and treatment costs between urban and rural residents who were hospitalised following an injury.
A retrospective examination of injury-linked hospitalisation and mortality data in New South Wales from 1 January 2010 to 30 June 2014.
Urban (496 325) and rural (213 139) residents who were hospitalised following an injury.
Demographic and injury characteristics, injury severity, hospital length of stay, 28-day hospital readmission, 90-day mortality and treatment cost.
Rural residents had an increased likelihood of being hospitalised for injuries from motorcycles, vehicles, animate causes, venomous animals or plants and assault compared to urban residents. Rural residents were less likely to be readmitted to hospital within 28 days and had a lower length of stay and age-adjusted length of stay than urban residents. Injury-related hospitalisations for urban and rural residents cost $4.4 billion and $1.7 billion, respectively. Annually, acute injury treatment ($1.1 billion), rehabilitation ($130 million) and subacute non-acute patient care ($57 million) cost $1.3 billion ($990 million for urban and $384 million for rural residents) in New South Wales. Fall-related injuries and transport incidents were the costliest injury mechanisms for both urban and rural residents.
Injuries contribute substantially to hospitalised morbidity and its cost. The development and implementation of injury prevention strategies targeting the most common injuries for urban and rural residents will go some way towards reducing hospitalised injury and its cost.
比较因伤住院的城乡居民在损伤特征、健康结局和治疗费用方面的差异。
对2010年1月1日至2014年6月30日新南威尔士州与损伤相关的住院和死亡率数据进行回顾性分析。
因伤住院的城市居民（496325人）和农村居民（213139人）。
人口统计学和损伤特征、损伤严重程度、住院时间、28天内再次入院率、90天死亡率和治疗费用。
与城市居民相比，农村居民因摩托车、车辆、动物致伤、有毒动植物和袭击而住院的可能性增加。农村居民在28天内再次入院的可能性较小，住院时间和年龄调整后的住院时间均低于城市居民。城乡居民因伤住院的费用分别为44亿澳元和17亿澳元。在新南威尔士州，每年急性损伤治疗（11亿澳元）、康复治疗（1.3亿澳元）和亚急性非急性患者护理（5700万澳元）的费用为13亿澳元（城市居民9.9亿澳元，农村居民3.84亿澳元）。跌倒相关损伤和交通事件是城乡居民最昂贵的损伤机制。
损伤是住院发病率及其费用的重要原因。制定和实施针对城乡居民最常见损伤的预防策略，将在一定程度上减少因伤住院及其费用。
