The Nature and Cost of Readmissions after Work-Related Traumatic Spinal Injuries in New South Wales, Australia.

Sharwood, LN; Möller, H; Young, JT; Vaikuntam, B; Ivers, RQ; Driscoll, T; Middleton, JW

The Nature and Cost of Readmissions after Work-Related Traumatic Spinal Injuries in New South Wales, Australia.

Sharwood, LN Möller, H Young, JT Vaikuntam, B Ivers, RQ Driscoll, T Middleton, JW

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Publisher:: MDPI
Publication Type:: Journal Article
Citation:: Int J Environ Res Public Health, 2019, 16, (9), pp. E1509
Issue Date:: 2019-04-29

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Field	Value	Language
dc.contributor.author	Sharwood, LN
dc.contributor.author	Möller, H
dc.contributor.author	Young, JT
dc.contributor.author	Vaikuntam, B
dc.contributor.author	Ivers, RQ
dc.contributor.author	Driscoll, T
dc.contributor.author	Middleton, JW
dc.date.accessioned	2023-02-16T04:33:43Z
dc.date.available	2019-04-23
dc.date.available	2023-02-16T04:33:43Z
dc.date.issued	2019-04-29
dc.identifier.citation	Int J Environ Res Public Health, 2019, 16, (9), pp. E1509
dc.identifier.issn	1661-7827
dc.identifier.issn	1660-4601
dc.identifier.uri	http://hdl.handle.net/10453/166198
dc.description.abstract	This study aimed to measure the subsequent health and health service cost burden of a cohort of workers hospitalised after sustaining work-related traumatic spinal injuries (TSI) across New South Wales, Australia. A record-linkage study (June 2013-June 2016) of hospitalised cases of work-related spinal injury (ICD10-AM code U73.0 or workers compensation) was conducted. Of the 824 individuals injured during this time, 740 had sufficient follow-up data to analyse readmissions ≤90 days post-acute hospital discharge. Individuals with TSI were predominantly male (86.2%), mean age 46.6 years. Around 8% (n = 61) experienced 119 unplanned readmission episodes within 28 days from discharge, over half with the primary diagnosis being for care involving rehabilitation. Other readmissions involved device complications/infections (7.5%), genitourinary or respiratory infections (10%) or mental health needs (4.3%). The mean ± SD readmission cost was $6946 ± $14,532 per patient. Unplanned readmissions shortly post-discharge for TSI indicate unresolved issues within acute-care, or poor support services organisation in discharge planning. This study offers evidence of unmet needs after acute TSI and can assist trauma care-coordinators' comprehensive assessments of these patients prior to discharge. Improved quantification of the ongoing personal and health service after work-related injury is a vital part of the information needed to improve recovery after major work-related trauma.
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI
dc.relation.ispartof	Int J Environ Res Public Health
dc.relation.isbasedon	10.3390/ijerph16091509
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	Toxicology
dc.subject.mesh	Accidents, Occupational
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Cohort Studies
dc.subject.mesh	Critical Care
dc.subject.mesh	Female
dc.subject.mesh	Hospitalization
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	New South Wales
dc.subject.mesh	Patient Discharge
dc.subject.mesh	Patient Readmission
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Spinal Injuries
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Spinal Injuries
dc.subject.mesh	Critical Care
dc.subject.mesh	Hospitalization
dc.subject.mesh	Patient Discharge
dc.subject.mesh	Patient Readmission
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Cohort Studies
dc.subject.mesh	Accidents, Occupational
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	New South Wales
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.title	The Nature and Cost of Readmissions after Work-Related Traumatic Spinal Injuries in New South Wales, Australia.
dc.type	Journal Article
utslib.citation.volume	16
utslib.location.activity	Switzerland
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology/School of Mechanical and Mechatronic Engineering
utslib.copyright.status	open_access	*
dc.date.updated	2023-02-16T04:33:42Z
pubs.issue	9
pubs.publication-status	Published online
pubs.volume	16
utslib.citation.issue	9

Abstract:

This study aimed to measure the subsequent health and health service cost burden of a cohort of workers hospitalised after sustaining work-related traumatic spinal injuries (TSI) across New South Wales, Australia. A record-linkage study (June 2013-June 2016) of hospitalised cases of work-related spinal injury (ICD10-AM code U73.0 or workers compensation) was conducted. Of the 824 individuals injured during this time, 740 had sufficient follow-up data to analyse readmissions ≤90 days post-acute hospital discharge. Individuals with TSI were predominantly male (86.2%), mean age 46.6 years. Around 8% (n = 61) experienced 119 unplanned readmission episodes within 28 days from discharge, over half with the primary diagnosis being for care involving rehabilitation. Other readmissions involved device complications/infections (7.5%), genitourinary or respiratory infections (10%) or mental health needs (4.3%). The mean ± SD readmission cost was $6946 ± $14,532 per patient. Unplanned readmissions shortly post-discharge for TSI indicate unresolved issues within acute-care, or poor support services organisation in discharge planning. This study offers evidence of unmet needs after acute TSI and can assist trauma care-coordinators' comprehensive assessments of these patients prior to discharge. Improved quantification of the ongoing personal and health service after work-related injury is a vital part of the information needed to improve recovery after major work-related trauma.

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http://hdl.handle.net/10453/166198