Injury and healthcare use

Injury attributable healthcare use and mortality in Australia. Population Health Research Network

Project Members - Macquarie University

Rebecca Mitchell - Associate Professor  E: r.mitchell@mq.edu.au

Project Main Description

This proof of concept project for national data linkage examines the healthcare use and mortality of injured people in Australia and quantifies the extent to which these outcomes were attributed to their injury.  This is the first time that healthcare use pre- and post-injury has been quantified in Australia.

This is a retrospective matched cohort study of adults aged 18 years and older using linked national emergency department presentation, hospital admission, and mortality records for a 3-year period in four Australian states (New South Wales, Queensland, South Australia and Tasmania).  A matched comparison cohort was drawn from Australian electoral rolls. An index injury admission was identified and health service use 1 year prior and health service use and mortality 1 year post the index injury admission identified. Healthcare use and mortality records were also identified for matched counterparts.

This research directly contributes to worldwide research efforts to understand how comorbidities (and which comorbidities) affect long-term disability following injury being conducted by the International Collaborative Effort on Injury Statistics, led by the US Center for Disease Control and Prevention.

Publications

The following articles from this research have been published:

1. Lystad R. Cameron C. Mitchell R. (2019) Excess mortality among adults hospitalised with traumatic brain injury in Australia: a population-based matched cohort study. Journal of Health Trauma Rehabilitation, 34(3), E1-E9 https://doi.org/10.1097/HTR.0000000000000445
2. Mitchell R. Cameron C. (2017) Self-harm hospitalised morbidity and mortality risk using a matched population-based cohort design. Australian and New Zealand Journal of Psychiatry   https://doi.org/10.1177%2F0004867417717797
3. Lystad R. Cameron C. Mitchell R. (2017) Mortality risk among adults hospitalised with hip fracture: a population-based matched cohort study. Archives of Osteoporosis 12; 67
4. Mitchell R. Cameron C. McClure R. (2017) Patterns of health care use among injured adults: a population-based matched cohort study. Injury 48 (7),1393-1399.
5. Mitchell R. Cameron C. McClure R. (2017) Higher mortality risk among injured individuals in a population-based matched cohort in Australia. BMC Public Health 17: 150.
6. Mitchell, R. Cameron C. McClure R. (2016).Quantify the morbidity and mortality attributable to traumatic injury using a population-based matched cohort in Australia. BMJ Open, 6 e013266.

Project Sponsors

Population Health Research Network; Australian Government National Collaborative Research Infrastructure Strategy; Western Australian Minister for Science and Innovation

Collaborators

Dr Cate Cameron
Principal Research Fellow, Jamieson Trauma Institute, Royal Brisbane & Women’s Hospital

Professor Rod McClure
Adjunct Professor, Harvard Injury Control Research Center, Harvard School of Population Health

Related Projects

CareTrack Australia

Related stream of research

Health outcomes

Patient safety and appropriateness of care

Project Status

Completed

Centres Related to this Project

Centre for Healthcare Resilience and Implementation Science