Measuring the burden of mental illness and substance use and the level and impact of health care response in patients with spinal trauma: a record linkage study.

Sharwood, L; Vaikuntam, B; Craig, A; Middleton, J; Young, J

Measuring the burden of mental illness and substance use and the level and impact of health care response in patients with spinal trauma: a record linkage study.

Sharwood, L

Vaikuntam, B Craig, A Middleton, J Young, J

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Publisher:: Swansea University
Publication Type:: Journal Article
Citation:: International Journal for Population Data Science, 4, (3)

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Field	Value	Language
dc.contributor.author	Sharwood, L https://orcid.org/0000-0001-8977-6144
dc.contributor.author	Vaikuntam, B
dc.contributor.author	Craig, A
dc.contributor.author	Middleton, J
dc.contributor.author	Young, J
dc.date.accessioned	2023-02-16T04:39:36Z
dc.date.available	2023-02-16T04:39:36Z
dc.identifier.citation	International Journal for Population Data Science, 4, (3)
dc.identifier.issn	2399-4908
dc.identifier.issn	2399-4908
dc.identifier.uri	http://hdl.handle.net/10453/166202
dc.description.abstract	<jats:p> Background with rationale Traumatic spinal injuries (TSI) include column fractures, spinal cord injury, or both. They are among the most severe injuries with potential long-term physical, psychological, and social consequences. Primary causes of TSIs are falls and motor vehicle crashes, however, mental illness and substance use are known to significantly increase all injury risk. Injury is also known to increase risks of mental deterioration and physical complications including self-harm and self-neglect. Main Aim We aimed to identify comorbid mental illness and/or substance use at incident TSI, quantifying associated costs and health service management of these inequities. Methods NSW record-linkage administrative data analyses (2013-2016) will determine accurate prevalence of mental illness and/or substance use disorder among all patients who sustained acute TSI during the study period. Using recurrent event analyses, we will estimate the contributions of mental illness and/or substance use disorder on the impact on hospital acquired complications (HAC), length of stay and costs; assessing records for social work and/or psychologist consultation. Results 13,489 individuals were hospitalised with acute TSI; 21% had either mental health and/or substance use diagnoses; 8.7% had both. These patients were more likely to have experienced falls or intentional self-harm, be male and have multiple comorbidity. Acute care stay and costs were on average twice that of patients with TSI without mental health and/or substance use diagnoses; additionally they were more than twice as likely to experience HACs. Only 56% of TSI patients with these comorbid conditions in the context of TSI, had documented social work or psychologist consultation. Conclusion Patients with mental illness and/or substance use disorder, experience significant health disparities that require concerted health system attention that should begin early in acute care.</jats:p>
dc.language	en
dc.publisher	Swansea University
dc.relation.ispartof	International Journal for Population Data Science
dc.relation.isbasedon	10.23889/ijpds.v4i3.1218
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Measuring the burden of mental illness and substance use and the level and impact of health care response in patients with spinal trauma: a record linkage study.
dc.type	Journal Article
utslib.citation.volume	4
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	2023-02-16T04:39:36Z
pubs.issue	3
pubs.publication-status	Published online
pubs.volume	4
utslib.citation.issue	3

Abstract:

Background with rationale Traumatic spinal injuries (TSI) include column fractures, spinal cord injury, or both. They are among the most severe injuries with potential long-term physical, psychological, and social consequences. Primary causes of TSIs are falls and motor vehicle crashes, however, mental illness and substance use are known to significantly increase all injury risk. Injury is also known to increase risks of mental deterioration and physical complications including self-harm and self-neglect. Main Aim We aimed to identify comorbid mental illness and/or substance use at incident TSI, quantifying associated costs and health service management of these inequities. Methods NSW record-linkage administrative data analyses (2013-2016) will determine accurate prevalence of mental illness and/or substance use disorder among all patients who sustained acute TSI during the study period. Using recurrent event analyses, we will estimate the contributions of mental illness and/or substance use disorder on the impact on hospital acquired complications (HAC), length of stay and costs; assessing records for social work and/or psychologist consultation. Results 13,489 individuals were hospitalised with acute TSI; 21% had either mental health and/or substance use diagnoses; 8.7% had both. These patients were more likely to have experienced falls or intentional self-harm, be male and have multiple comorbidity. Acute care stay and costs were on average twice that of patients with TSI without mental health and/or substance use diagnoses; additionally they were more than twice as likely to experience HACs. Only 56% of TSI patients with these comorbid conditions in the context of TSI, had documented social work or psychologist consultation. Conclusion Patients with mental illness and/or substance use disorder, experience significant health disparities that require concerted health system attention that should begin early in acute care.

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http://hdl.handle.net/10453/166202