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Aim: To examine the incidence and outcomes of paediatric playground and tree‐related injuries in the Midland region of New Zealand. Methods: A retrospective review of Midland Trauma Registry hospitalisation data between January 2012 and December 2018 was undertaken. Cases included children aged 0–14 years hospitalised for playground and tree‐related injuries. Demographic and event information, injury severity and hospital‐related outcomes were examined. Results: Playground and tree‐related hospitalisations (n = 1941) occurred with an age‐standardised rate of 144.3/100 000 (confidence interval (CI) 127.3–161.3) and increased 1.4% (CI 1.3–4.2%) annually. The highest incidence was observed in 5–9‐year olds (248.8/100 000) with 0–4 and 10–14‐year olds at 86.0 and 89.2/100 000, respectively. Injuries most commonly occurred at home, school or pre‐school (77.1%), 93.7% were due to falls and, the upper extremity was the most frequently injured body region (69.9%), particularly due to forearm (55.6%) and upper arm (34.7%) fractures. Tree‐related incidents comprised 11.6% of all injuries and explained 57.1% of injuries classified as major severity. Fifty‐eight percent of children were hospitalised for 1 day and 97.0% for less than 5 days. Estimated hospital costs were NZ$1.2 million annually with a median of NZ$3898 per incident. Injuries classified as minor severity accounted for 86.5% of the total estimated cost. Conclusion: Children aged 5–9 years' experience high rates of costly hospitalisation for playground and tree‐related injuries. Targeted injury prevention initiatives, particularly in the home and school environments, are imperative to reduce the incidence and burden of playground and tree‐related injuries to affected children, their families and hospital resources. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Occupational health on farms is important because farms are not only workplaces where agriculture workers are vulnerable to high injury and fatality rates, they are also homes where families and visitors undertake a variety of activities that can result in injury. AIM: To profile and describe injuries requiring hospital admission that occurred on farms, both for injuries related to farming activities and injuries unrelated to farm work in the Midland region of New Zealand. METHODS: A review of anonymised prospectively collected Midland trauma registry data from 1 July 2012 to 30 June 2018 was undertaken. Cases include unintentional injuries occurring on a farm. Non-major injuries are included to better quantify the trauma burden. RESULTS: In total, 2303 hospital admissions met the study criteria. Non-major injury accounted for 93.1% of events and 45.0% of injuries occurred during farming activities. Five people died in hospital; all injured while undertaking farm work. Males made up 84.8% of farm work and 70.9% of non-farm work injuries. Horse riding had the highest number of injuries, with off-road motorcycles, livestock, falls and quad bike injuries comprising the most common injury activities and mechanisms. Farming-related major injuries commonly involved quad bikes, non-traffic vehicles and motorcycles. Farmers in the Districts of Waitomo, Rotorua, Waipa and Taupo had the highest standardised hospitalisation rates. DISCUSSION: The nature of farms and farming exposes people to different risks from the risks people in urban areas are exposed to. Injury prevention efforts should remain on work-related farming injuries, but also encompass the high number of injuries that are not related to farm work but happening on farms. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Despite more than 10 years of the diabetes annual review (DAR) programme, ensuring the annual return of diabetic patients for review remains a challenge for primary care. Regardless of future arrangements for diabetes review programmes, regular review of patients remains clinically important. AIM: To investigate the effect of patient and practice characteristics on the retention of patients continuously enrolled with the same practice in the DAR programme. METHODS: We undertook a retrospective, observational study of a cohort of enrolled diabetic patients who had a DAR in the July 2006 - June 2007 reporting year and remained enrolled with the same practice for the following three years. Controlling for death and migration, retention rates were calculated for age, gender, ethnicity, rurality, practice fundingtype and practice nurse (PN) to general practitioner (GP) ratio. RESULTS: The study included data from 78 practices and 6610 patients with Type 2 diabetes. Non-Maori and those aged 60 years and over were more likely to be retained in the programme. For practice factors, those with a higher PN to GP ratio had a significant retention advantage. Rurality and funding type was not shown to have a significant role in retention. DISCUSSION: Results support the view that both patient and practice factors influence a patient's retention within the DAR programme. The PN to GP ratio may be an important factor in the retention of patients in a DAR programme and warrants further research and consideration when planning future primary care models. [ABSTRACT FROM AUTHOR]