Emergency Registrar. Emergency Department, Middlemore Hospital. Otahuhu, Auckland.
Plastic Surgeon, Plastics Department, Middlemore Hospital, Otahuhu, Auckland.
N Z Med J. 2022 May 6;135(1554):111-128.
To describe the epidemiology of DRIs in New Zealand.
A review of Accident Compensation Corporation (ACC) new claims for DRIs that required medical attention, and publicly funded hospital discharges identified from the National Minimum Dataset (NMDS) for the period of 1 July 2014 to 30 June 2019. ACC cases were identified using the TE60 READ code and relevant diagnosis or external agency descriptions; NMDS cases with an ICD-10-AM external cause of injury code of W540, W541, or W548 were included.
There were 108,324 new ACC claims for DRIs and 3,456 hospitalisations during the five-year review period. The majority of injuries were dog bites (51%, n=54,754 ACC claims; 89%, n=3,084 hospitalisations). The all-age incidence of ACC claims for all DRIs significantly increased by 1.75% per year (p<0.001) during the period reviewed, with a significant increase in claims for dog bite injuries of 1.64% per year (p<0.001), a significant increase in DRI hospitalisations (2.43% per year, p=0.046), and a non-significant annual increase (p=0.217) in dog bite injury hospitalisations. Children aged 0-9 years had similar rates to adults of ACC claims for dog bite injuries; however, children 0-9 years were more likely to be hospitalised. Māori had a higher incidence of ACC claims and hospitalisations for dog bite injuries than non-Māori. ACC claims and hospitalisations for dog bite injuries were more likely to occur in areas of greater deprivation, with substantial regional variation across the country.
The incidence of injury from dogs in New Zealand is increasing. Inequity exists with substantial regional variation, in higher rates among those living in areas of greater deprivation, and with Māori in the setting of the ongoing effects of colonisation. Children aged 0-9 years are no more likely than other age groups to present for medical attention but are more likely to be hospitalised. Reasons for these disparities require further investigation.
描述新西兰 DRIs 的流行病学。
对 2014 年 7 月 1 日至 2019 年 6 月 30 日期间因 DRIs 需要医疗护理的 ACC 新索赔和从国家最低数据集 (NMDS) 中确定的公共资助的医院出院进行审查。ACC 病例使用 TE60 READ 代码和相关诊断或外部机构描述进行识别；NMDS 病例使用 ICD-10-AM 伤害外部原因代码 W540、W541 或 W548 进行纳入。
在五年审查期间，有 108,324 例新的 ACC 索赔和 3,456 例住院治疗用于 DRIs。大多数伤害是狗咬伤（51%，n=54,754 ACC 索赔；89%，n=3,084 住院治疗）。在此期间，所有年龄段的所有 DRIs 的 ACC 索赔发生率以每年 1.75%的速度显著增加（p<0.001），狗咬伤的索赔发生率以每年 1.64%的速度显著增加（p<0.001），DRI 住院治疗的数量以每年 2.43%的速度显著增加（p=0.046），狗咬伤住院治疗的数量每年增加 0.217%（p=0.217）。0-9 岁的儿童与成年人的狗咬伤 ACC 索赔率相似；然而，0-9 岁的儿童更有可能住院治疗。毛利族比非毛利族更有可能因狗咬伤而遭受 ACC 索赔和住院治疗。ACC 索赔和狗咬伤住院治疗更有可能发生在贫困程度较高的地区，全国各地存在着巨大的区域差异。
新西兰狗咬伤的发生率正在上升。存在不平等现象，在贫困程度较高的地区，以及在殖民化持续影响下的毛利族，这种不平等现象更为严重。0-9 岁的儿童与其他年龄组相比，不太可能接受医疗护理，但更有可能住院治疗。这些差异的原因需要进一步调查。
