TY - JOUR
AU - Thompson Sandra
AU - Atkins Emily
AU - Katzenellenbogen Judith
AU - Hersh Deborah
AU - Coffin Juli
AU - Flicker Leon
AU - Hayward Colleen
AU - Ciccone Natalie
AU - Woods Deborah
AU - Greenland Melanie
AU - McAllister Meaghan
AU - Armstrong Elizabeth
AB - <p><b>OBJECTIVE: </b>To investigate differences in the profile and outcomes between Aboriginal and non-Aboriginal Western Australians (WAs) hospitalized with traumatic brain injury (TBI).</p><p><b>SETTING: </b>WA hospitals.</p><p><b>PARTICIPANTS: </b>TBI cases aged 15 to 79 years surviving their first admission during 2002-2011.</p><p><b>DESIGN: </b>Patients identified from diagnostic codes and followed up for 12 months or more using WA-wide person-based linked hospital and mortality data.</p><p><b>MAIN MEASURES: </b>Demographic profile, 5-year comorbidity history, injury mechanism, injury severity, 12-month readmission, and mortality risks. Determinants of 12-month readmission.</p><p><b>RESULTS: </b>Of 16 601 TBI survivors, 14% were Aboriginal. Aboriginal patients were more likely to be female, live remotely, and have comorbidities. The mechanism of injury was an assault in 57% of Aboriginal patients (vs 20%) and transport in 33% of non-Aboriginal patients (vs 17%), varying by remoteness. One in 10 Aboriginal TBI patients discharged themselves against medical advice. Crude 12-month readmission but not mortality risk was significantly higher in Aboriginal patients (48% vs 36%). The effect of age, sex, and injury mechanism on 12-month readmission was different for Aboriginal and non-Aboriginal patients.</p><p><b>CONCLUSION: </b>These findings suggest an urgent need for multisectoral primary prevention of TBI, as well as culturally secure and logistically appropriate medical and rehabilitation service delivery models to optimize outcomes.</p>
BT - J Head Trauma Rehabil
C1 - https://www.ncbi.nlm.nih.gov/pubmed/29601340?dopt=Abstract
DO - 10.1097/HTR.0000000000000371
J2 - J Head Trauma Rehabil
LA - eng
N2 - <p><b>OBJECTIVE: </b>To investigate differences in the profile and outcomes between Aboriginal and non-Aboriginal Western Australians (WAs) hospitalized with traumatic brain injury (TBI).</p><p><b>SETTING: </b>WA hospitals.</p><p><b>PARTICIPANTS: </b>TBI cases aged 15 to 79 years surviving their first admission during 2002-2011.</p><p><b>DESIGN: </b>Patients identified from diagnostic codes and followed up for 12 months or more using WA-wide person-based linked hospital and mortality data.</p><p><b>MAIN MEASURES: </b>Demographic profile, 5-year comorbidity history, injury mechanism, injury severity, 12-month readmission, and mortality risks. Determinants of 12-month readmission.</p><p><b>RESULTS: </b>Of 16 601 TBI survivors, 14% were Aboriginal. Aboriginal patients were more likely to be female, live remotely, and have comorbidities. The mechanism of injury was an assault in 57% of Aboriginal patients (vs 20%) and transport in 33% of non-Aboriginal patients (vs 17%), varying by remoteness. One in 10 Aboriginal TBI patients discharged themselves against medical advice. Crude 12-month readmission but not mortality risk was significantly higher in Aboriginal patients (48% vs 36%). The effect of age, sex, and injury mechanism on 12-month readmission was different for Aboriginal and non-Aboriginal patients.</p><p><b>CONCLUSION: </b>These findings suggest an urgent need for multisectoral primary prevention of TBI, as well as culturally secure and logistically appropriate medical and rehabilitation service delivery models to optimize outcomes.</p>
PY - 2018
T2 - J Head Trauma Rehabil
TI - Missing Voices: Profile, Extent, and 12-Month Outcomes of Nonfatal Traumatic Brain Injury in Aboriginal and Non-Aboriginal Adults in Western Australia Using Linked Administrative Records.
SN - 1550-509X
ER -