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Title: Trauma-related admissions to intensive care units in Australia: the influence of Indigenous status on outcomes.
Austin Authors: Magee, Fraser;Wilson, Anthony;Bailey, Michael J;Pilcher, David;Secombe, Paul J;Young, Paul;Bellomo, Rinaldo 
Affiliation: Alfred Hospital, Melbourne, VIC
Wellington Hospital, Wellington, New Zealand
Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom
Monash University, Melbourne, VIC
Centre for Outcome and Resource Evaluation, Australian and New Zealand Intensive Care Society, Melbourne, VIC
Alice Springs Hospital, Alice Springs, NT
Austin Health, Heidelberg, Victoria, Australia
Issue Date: 7-Dec-2018 2018-12-07
Publication information: Medical Journal of Australia 2019; 210(11): 493-498
Abstract: To investigate the admission characteristics and hospital outcomes for Indigenous and non-Indigenous patients admitted to intensive units (ICUs) after major trauma. Retrospective analysis of Australian and New Zealand Intensive Care Society (ANZICS) Adult Patient Database data from 92 Australian ICUs for the 6-year period 2010-2015. Patients older than 17 years of age admitted to public hospital ICUs with a primary diagnosis of trauma. ICU and overall hospital lengths of stay, hospital discharge destination, and ICU and overall hospital mortality rates for Indigenous and non-Indigenous patients. 23 804 people were admitted to Australian public hospital ICUs after major trauma; 3058 (12.8%) were Indigenous Australians. The population-standardised incidence of admissions was consistently higher for Indigenous Australians than for non-Indigenous Australians (1505 per million v 245 per million population; incidence ratio, 6.1; 95% CI, 5.9-6.4). Overall hospital mortality rates were similar for Indigenous and non-Indigenous patients (adjusted odds ratio [aOR], 1.01; 95% CI, 0.85-1.20). Indigenous patients were significantly more likely than non-Indigenous patients to be discharged to a rehabilitation facility (aOR, 1.98; 95% CI, 1.80-2.17) and less likely to be discharged home (aOR, 0.73; 95% CI, 0.65-0.82). The population rate of trauma-related ICU admissions was substantially higher for Indigenous than non-Indigenous patients, but hospital mortality rates after ICU admission were similar. Indigenous patients were more likely to be discharged to a rehabilitation facility and less likely to be discharged home than non-Indigenous patients.
DOI: 10.5694/mja2.12028
ORCID: 0000-0002-1650-8939
PubMed URL: 30644562
Type: Journal Article
Subjects: Intensive Care
Trauma Surgery
Appears in Collections:Journal articles

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