5 results
Search Results
2. Traumatic and non-traumatic spinal cord impairment in New Zealand: incidence and characteristics of people admitted to spinal units.
- Author
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Derrett, Sarah, Beaver, Carolyn, J Sullivan, Martin, Herbison, G Peter, Acland, Rick, and Paul, Charlotte
- Subjects
ATTITUDE (Psychology) ,DISEASES ,ETHNIC groups ,HEALTH status indicators ,INTERVIEWING ,LONGITUDINAL method ,QUESTIONNAIRES ,RESEARCH funding ,SELF-evaluation ,SPINAL cord injuries ,PRE-tests & post-tests ,DISEASE incidence ,SEVERITY of illness index - Abstract
ABSTRACT:This paper estimates the incidence (all ages) of spinal cord neurological impairment (SCI; traumatic and non traumatic) in New Zealand and describes pre-SCI characteristics and early post-SCI outcomes for participants (16-64 years) in this longitudinal study. Demographic and clinical data on all people admitted to New Zealand's two spinal units (mid-2007 to mid-2009 )were included for the estimate of incidence. Participants in this longitudinal study were asked at first interview about pre-SCI socio-demographic, health and behavioural characteristics, and about post-SCI symptoms, general health status (EQ-5D) and disability (WHODAS 12-item). Age-adjusted incidence rates (95% CI) for European,Maori, Pacific and 'Other' ethnicities were 29 (24-34), 46 (30-64), 70 (40-100) and 16 (9-22) per million, respectively. Interviews with 118 (73%) participants (16-64 years), occurred 6.5 months post-SCI. Most reported bother with symptoms, and problems with health status and disability. Compared with Europeans, the incidence of SCI is high among Maori and particularly high among Pacific people. Six months after SCI, proximate to discharge from the spinal units, considerable symptomatic, general health and disability burden was borne by people with SCI. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
3. RESPOND: a programme to prevent secondary falls in older people presenting to the emergency department with a fall: protocol for an economic evaluation.
- Author
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Morello, R. T., Morris, R. L., Hill, K. D., Haines, T. P., Arendts, G., Redfern, J., Etherton-Beer, C. D., Lowthian, J. A., Brand, C. A., Liew, D., Watts, J. J., and Barker, A. L.
- Subjects
ACCIDENTAL fall prevention ,ECONOMICS ,AGE distribution ,CONFIDENCE intervals ,ETHICS ,PATIENT aftercare ,HOSPITAL emergency services ,LONGITUDINAL method ,MEDICAL care ,EVALUATION of medical care ,MEDICAL care costs ,MEDICAL protocols ,PATIENTS ,QUESTIONNAIRES ,RESEARCH funding ,SOCIOECONOMIC factors ,INDEPENDENT living ,ACQUISITION of data ,DATA analysis software - Published
- 2017
- Full Text
- View/download PDF
4. Factors predictive of subsequent injury in a longitudinal cohort study.
- Author
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Harcombe, Helen, Derrett, Sarah, Samaranayaka, Ari, Davie, Gabrielle, Wyeth, Emma, and Wilson, Suzanne
- Subjects
INJURY risk factors ,COMPARATIVE studies ,CONFIDENCE intervals ,FUNCTIONAL assessment ,INTERVIEWING ,LONGITUDINAL method ,QUESTIONNAIRES ,REGRESSION analysis ,SELF-evaluation ,MATHEMATICAL variables ,WORKERS' compensation ,WOUNDS & injuries ,BODY mass index ,RELATIVE medical risk ,DISEASE incidence ,SEVERITY of illness index ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Objectives: The aims are to: (1) Determine the cumulative incidence of self-reported subsequent injury (of any anatomical site or injury type) occurring between 3 months and 12 months after a sentinel injury among participants in the Prospective Outcomes of Injury Study in New Zealand and (2) Examine the preinjury and injury-related predictors of subsequent injury. Methods: Prospective Outcomes of Injury Study participants (n=2282) were interviewed 3 months, 5 months and 12 months after a sentinel injury event. Data were collected about a range of preinjury and injury-related factors at the 3-month interview and about subsequent injury at the 5-month and 12-month interviews. Poisson regression modelling was used to determine the preinjury and injury-related predictors of subsequent injury. Results: Between the 3-month and 12 month interviews 28% of the participants reported at least one subsequent injury. Subsequent injury was 34% more likely among participants with a prior injury affecting them at the time of the sentinel injury compared with participants without a prior injury affecting them, and more likely among non-workers (31% more likely) and trade/manual workers (32% more likely) compared with professionals. Participants whose sentinel injury was due to assault were 43% more likely to report a subsequent injury compared with those whose sentinel injury was accidental. A subsequent injury was 23% less likely if the sentinel injury was a lower extremity fracture compared with other injuries, and 21% less likely if the sentinel injury event involved hospitalisation. Conclusions: Among general injury populations it may be possible to identify people at increased risk for subsequent injury. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
5. Prospective Outcomes of Injury Study: recruitment, and participant characteristics, health and disability status.
- Author
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Derrett, Sarah, Davie, Gabrielle, Ameratunga, Shanthi, Wyeth, Emma, Colhoun, Sarah, Wilson, Suzanne, Samaranayaka, Ari, Lilley, Rebbecca, Hokowhitu, Brendan, Langley, John, and Hansen, Paul
- Subjects
EVALUATION of medical care ,CHI-squared test ,FUNCTIONAL assessment ,HEALTH status indicators ,INTERVIEWING ,LONGITUDINAL method ,QUALITY of life ,QUESTIONNAIRES ,RESEARCH funding ,SELF-evaluation ,T-test (Statistics) ,WOUNDS & injuries ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
The Prospective Outcomes of Injury Study aims to identify predictors of disability following injury. Participants were selected from the entitlement claims register of New Zealand's no-fault compensation insurer, the Accident Compensation Corporation, and followed up by interview for 2 years. This report describes changes to intended Prospective Outcomes of Injury Study methods and key characteristics of the cohort, with an emphasis on general health and disability before injury and soon afterwards. There were 2856 injured participants in the first interview, which occurred 3.2 months (median) after injury. The recruitment period was extended to enable inclusion of sufficient Mori participants. At the first interview, most participants were experiencing worse health status and increased disability compared to before injury, despite less than one-third reporting admission to hospital because of their injury. Analysis of outcome predictors related to post-injury function, disability and return-to-work soon after injury and 1 year later is now under way. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
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