Jamieson Trauma Institute, Royal Brisbane & Women's Hospital, Metro North Health, Brisbane, Australia; Centre for Healthcare Transformation, Australian Centre for Health Services Innovation (AusHSI), Queensland University of Technology, Brisbane, Australia.
Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Injury. 2022 Aug;53(8):2783-2789. doi: 10.1016/j.injury.2022.06.021. Epub 2022 Jun 14.
Children and young people who sustain injuries resulting in a hospital admission may experience adverse effects for months or years following the event. Understanding the attributable burden and health service needs is vital for public health planning as well as individual care provision. This study aims to identify the hospitalised morbidity associated with injury among young people by sex using a population-level matched cohort.
A population-level matched case-comparison retrospective cohort study of young people aged ≤18 years hospitalised for an injury during 2005-2018 in New South Wales, Australia using linked birth, health, and mortality records. The comparison cohort was matched on age, gender and residential postcode. Adjusted rate ratios (ARR) were calculated for age group, injury severity and nature of injury by sex.
There were 122,660 (60.9%) males and 78,712 (39.1%) females aged ≤18 years hospitalised after sustaining an injury. Males (ARR 2.89; 95%CI 2.81-2.97) and females (ARR 2.79; 95%CI 2.68-2.90) who were hospitalised after an injury had a higher risk of subsequent hospital admission than their matched peers. Males (ARR 3.38; 95%CI 2.81-4.05) and females (ARR 3.41; 95%CI 2.72-4.26) with serious injuries had a higher risk of admission compared to peers. Males with dislocations, sprains and strains (ARR 3.40; 95%CI 3.03-3.82), burns (ARR 3.37; 95%CI 2.99-3.80), and fractures (ARR 3.20; 95%CI 3.07-3.33), and females with burns (ARR 3.84; 95%CI 3.40-4.33), dislocations, sprains and strains (ARR 3.54; 95%CI 2.96-4.23), and traumatic brain injury (ARR 3.39; 95%CI 3.01-3.82) had the highest risk of subsequent hospitalisation compared to peers.
Patient management and care extends beyond the injury admission as many young people face high levels of contact with health services in the months and years following injury. These findings will inform health service planning and trauma care management for young people and families affected by injury.
儿童和青少年因受伤住院后，可能会在事件发生后的数月或数年内出现不良影响。了解可归因于伤害的负担和卫生服务需求对于公共卫生规划以及个体护理提供至关重要。本研究旨在通过人群水平匹配队列，确定年轻人群中因伤害而住院的发病率，并按性别进行比较。
这是一项基于人群的匹配病例对照回顾性队列研究，纳入了 2005 年至 2018 年期间在澳大利亚新南威尔士州因受伤住院的≤18 岁的年轻人，并使用了链接的出生、健康和死亡记录。将对照组按年龄、性别和居住邮政编码进行匹配。按性别和年龄组、伤害严重程度和伤害性质计算调整后的发病率比（ARR）。
共有 122660 名（60.9%）男性和 78712 名（39.1%）女性因受伤住院。与匹配的同龄人相比，受伤后住院的男性（ARR 2.89；95%CI 2.81-2.97）和女性（ARR 2.79；95%CI 2.68-2.90）再次住院的风险更高。与同龄人相比，受伤后住院的男性（ARR 3.38；95%CI 2.81-4.05）和女性（ARR 3.41；95%CI 2.72-4.26）因严重伤害而再次住院的风险更高。男性的脱位、扭伤和拉伤（ARR 3.40；95%CI 3.03-3.82）、烧伤（ARR 3.37；95%CI 2.99-3.80）和骨折（ARR 3.20；95%CI 3.07-3.33），以及女性的烧伤（ARR 3.84；95%CI 3.40-4.33）、脱位、扭伤和拉伤（ARR 3.54；95%CI 2.96-4.23）和创伤性脑损伤（ARR 3.39；95%CI 3.01-3.82），与同龄人相比，再次住院的风险最高。
由于许多年轻人在受伤后数月和数年内会频繁接触卫生服务，因此患者的管理和护理不应仅限于受伤入院期间。这些发现将为年轻人及其家庭提供有关伤害的卫生服务规划和创伤护理管理的信息。
