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