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Table 3 Associations between injury outcomes and population groups: results of univariate modelling

From: Complications, burden and in-hospital death among hospital treated injury patients in Victoria, Australia: a data linkage study

 

Outcomes

In-hospital death

OR (95% CI)

Number of complications IRR (95% CI)

Care needed post index admission discharge

OR (95% CI)

Hospital cost (index admission) Beta coefficient (95% CI)

Length of stay (days) IRR (95% CI)

Age group (years)

 0–14 years

0.03 (0.01–0.05)

0.07 (0.06–0.08)

1.48 (1.43–1.54)

− 0.86 (− 0.89--0.84)

0.13 (0.13–0.13)

 15–24 years

0.03 (0.02–0.06)

0.17 (0.16–0.18)

0.83 (0.79–0.86)

− 0.61 (− 0.64--0.59)

0.21 (0.20–0.21)

 25–44 years

0.10 (0.07–0.13)

0.21 (0.20–0.22)

0.76 (0.73–0.79)

− 0.53 (− 0.55--0.51)

0.26 (0.26–0.27)

 45–64 years

0.16 (0.13–0.20)

0.35 (0.33–0.36)

0.76 (0.73–0.78)

− 0.37 (− 0.39--0.34)

0.40 (0.40–0.41)

 65–84 years

Reference

Reference

Reference

Reference

Reference

 85 and over

2.78 (2.46–3.12)

1.53 (1.45–1.62)

1.78 (1.71–1.86)

0.17 (0.14–0.19)

1.36 (1.33–1.39)

Gender

 Male

Reference

Reference

Reference

Reference

Reference

 Female

1.26 (1.14–1.41)

1.79 (1.73–1.86)

1.08 (1.06–1.11)

0.09 (0.07–0.10)

1.73 (1.71–1.75)

Number of comorbidities

 0

Reference

Reference

Reference

Reference

Reference

 1

5.23 (4.55–6.01)

3.26 (3.11–3.41)

1.23 (1.19–1.27)

0.53 (0.51–0.55)

2.59 (2.54–2.64)

 2

14.53 (12.46–16.94)

5.80 (5.36–6.27)

1.76 (1.66–1.86)

1.14 (1.10–1.17)

3.99 (3.86–4.12)

 3

22.08 (18.25–26.70)

7.76 (6.85–8.79)

1.90 (1.73–2.09)

1.47 (1.41–1.52)

5.00 (4.75–5.27)

  > 3

36.16 (28.88–45.28)

10.92 (9.07–13.16)

2.45 (2.13–2.83)

1.94 (1.86–2.02)

6.93 (6.41–7.49)

Injury severity

 Serious injury (ICISS< 0.941)

17.56 (15.60–19.76)

8.83 (8.48–9.19)

1.81 (1.75–1.87)

1.46 (1.44–1.48)

5.08 (4.99–5.17)

 Other injury (ICISS> = 0.941)

Reference

Reference

Reference

Reference

Reference

Body region

 Head

Reference

Reference

Reference

Reference

Reference

 Neck

1.02 (0.74–1.41)

1.76 (1.58–1.96)

0.82 (0.75–0.90)

0.28 (0.24–0.32)

1.75 (1.67–1.82)

 Thorax

1.12 (0.89–1.41)

2.65 (2.45–2.86)

0.85 (0.79–0.91)

0.59 (0.56–0.63)

1.96 (1.90–2.02)

 Abdomen, lower back, lumbar spine & pelvis

0.94 (0.75–1.17)

2.71 (2.53–2.91)

1.21 (1.15–1.28)

0.60 (0.57–0.63)

2.52 (2.45–2.59)

 Shoulder & upper arm

0.55 (0.42–0.70)

1.38 (1.28–1.48)

1.22 (1.16–1.28)

0.59 (0.56–0.62)

1.42 (1.38–1.46)

 Elbow & forearm

0.11 (0.07–0.17)

0.64 (0.59–0.68)

1.45 (1.38–1.52)

0.53 (0.50–0.55)

0.76 (0.74–0.78)

 Wrist & hand

0.02 (0.01–0.05)

0.18 (0.16–0.19)

1.60 (1.54–1.67)

0.23 (0.20–0.25)

0.40 (0.39–0.41)

 Hip & thigh

3.35 (2.90–3.86)

7.10 (6.68–7.54)

2.25 (2.15–2.36)

1.60 (1.57–1.62)

4.47 (4.36–4.59)

 Knee & lower leg

0.22 (0.16–0.29)

1.34 (1.26–1.42)

1.18 (1.13–1.23)

0.92 (0.89–0.94)

1.67 (1.63–1.70)

 Ankle & foot

0.10 (0.05–0.22)

0.64 (0.58–0.71)

1.11 (1.04–1.19)

0.34 (0.30–0.37)

0.94 (0.91–0.98)

 Foreign body

0.35 (0.19–0.64)

0.45 (0.38–0.53)

1.14 (1.03–1.25)

− 0.04 (− 0.09–0.01)

0.40 (0.38–0.43)

 Burns

0.28 (0.12–0.62)

1.94 (1.68–2.23)

1.84 (1.66–2.04)

0.43 (0.38–0.49)

1.71 (1.62–1.81)

 Multiple body regions

##

1.11 (0.38–3.23)

0.95 (0.41–2.18)

0.07 (−0.37–0.51)

1.63 (1.10–2.41)

 Unspecified body region

0.31 (0.08–1.24)

0.85 (0.63–1.14)

0.68 (0.54–0.86)

0.07 (− 0.05–0.19)

1.26 (1.14–1.40)

 Body region not relevant

0.75 (0.60–0.94)

1.18 (1.10–1.27)

1.06 (1.01–1.12)

0.10 (0.07–0.12)

1.01 (0.98–1.03)

 Grouped injury type (first occurring)

 Superficial injury

0.10 (0.07–0.14)

0.29 (0.26–0.32)

0.50 (0.47–0.53)

−1.03 (−1.06--1.00)

0.44 (0.43–0.46)

 Open wound

0.05 (0.03–0.06)

0.17 (0.16–0.18)

0.87 (0.84–0.90)

− 0.88 (− 0.90--0.86)

0.31 (0.30–0.32)

 Fracture

0.27 (0.24–0.31)

Reference

Reference

Reference

Reference

 Dislocation, sprain & strain

0.04 (0.02–0.06)

0.20 (0.18–0.22)

0.36 (0.34–0.38)

−0.87 (− 0.90--0.84)

0.27 (0.26–0.28)

 Injury to nerves & spinal cord

0.12 (0.07–0.23)

0.42 (0.36–0.49)

0.95 (0.87–1.05)

−0.22 (− 0.27--0.16)

0.72 (0.68–0.76)

 Injury to blood vessels

0.12 (0.06–0.25)

0.30 (0.25–0.37)

0.89 (0.79–1.00)

−0.03 (− 0.10–0.04)

0.43 (0.40–0.46)

 Injury to muscle & tendon

0.01 (0.01–0.03)

0.16 (0.14–0.17)

0.60 (0.57–0.63)

−0.57 (− 0.61--0.54)

0.26 (0.26–0.27)

 Crushing injury

##

0.04 (0.02–0.09)

0.76 (0.59–0.97)

− 1.13 (− 1.28--0.98)

0.18 (0.15–0.21)

 Traumatic amputation

0.01 (0.00–0.10)

0.24 (0.20–0.30)

1.12 (1.01–1.25)

− 0.36 (− 0.42--0.29)

0.31 (0.29–0.33)

 Eye injury- excluding foreign body

0.05 (0.01–0.33)

0.31 (0.22–0.43)

1.97 (1.64–2.37)

− 0.54 (− 0.64--0.43)

0.39 (0.35–0.44)

 Intracranial injury

Reference

1.05 (0.96–1.13)

0.49 (0.46–0.53)

−0.59 (− 0.62--0.56)

1.03 (1.00–1.07)

 Injury to internal organs

0.36 (0.24–0.54)

1.64 (1.42–1.89)

0.77 (0.69–0.86)

0.40 (0.34–0.46)

1.04 (0.98–1.10)

 Foreign body

0.09 (0.05–0.17)

0.17 (0.14–0.20)

0.68 (0.62–0.75)

− 0.99 (− 1.03--0.94)

0.19 (0.18–0.20)

 Burns

0.07 (0.03–0.17)

0.73 (0.63–0.85)

1.10 (0.99–1.21)

− 0.51 (− 0.57--0.46)

0.79 (0.75–0.84)

 Other and unspecified injury

0.08 (0.06–0.11)

0.23 (0.22–0.25)

0.41 (0.39–0.43)

− 1.20 (− 1.22--1.18)

0.42 (0.41–0.43)

 Systemic-poisoning/toxic effects

0.12 (0.09–0.16)

0.39 (0.36–0.42)

0.64 (0.61–0.67)

−0.91 (− 0.93--0.88)

0.40 (0.39–0.41)

 Other effects of external cause/complication

0.92 (0.67–1.27)

0.91 (0.76–1.09)

0.62 (0.54–0.72)

−0.34 (− 0.41--0.27)

1.03 (0.96–1.10)

SEIFA

 1

Reference

Reference

Reference

Reference

Reference

 2

1.03 (0.78–1.35)

1.04 (0.95–1.15)

1.08 (1.02–1.14)

0.16 (0.12–0.19)

1.00 (0.96–1.03)

 3

1.22 (0.96–1.56)

1.14 (1.04–1.24)

0.84 (0.79–0.89)

0.10 (0.07–0.14)

1.05 (1.02–1.09)

 4

0.99 (0.79–1.24)

0.90 (0.83–0.97)

1.00 (0.96–1.05)

−0.04 (−0.07--0.02)

1.04 (1.01–1.07)

 5

0.93 (0.72–1.22)

0.83 (0.76–0.91)

0.94 (0.89–0.99)

0.02 (−0.01–0.05)

0.88 (0.85–0.91)

 6

0.82 (0.63–1.08)

0.82 (0.75–0.89)

0.82 (0.77–0.86)

−0.03 (− 0.06–0.00)

0.89 (0.86–0.92)

 7

0.73 (0.55–0.97)

1.01 (0.92–1.10)

0.80 (0.76–0.84)

− 0.05 (− 0.08--0.02)

1.01 (0.98–1.04)

 8

0.92 (0.75–1.14)

0.96 (0.89–1.03)

0.58 (0.56–0.61)

−0.07 (− 0.10--0.04)

0.96 (0.93–0.98)

 9

0.95 (0.77–1.17)

1.00 (0.93–1.07)

0.73 (0.70–0.76)

− 0.10 (− 0.13--0.08)

1.04 (1.01–1.07)

 10

0.98 (0.79–1.21)

1.02 (0.95–1.10)

0.50 (0.47–0.52)

−0.09 (− 0.12--0.06)

1.04 (1.02–1.07)

 999

##

##

##

0.03 (−2.33–2.40)

0.18 (0.02–1.74)

 

Outcomes

 

ICU stay OR (95% CI)

MV use

OR (95% CI)

CCU stay OR (95% CI)

30 day-all-cause readmission OR (95% CI)

30 day-non-planned readmission OR (95% CI)

30 day-potentially avoidable readmission OR (95% CI)

Age group (years)

 0–14 years

0.21 (0.18–0.25)

0.30 (0.24–0.39)

0.05 (0.02–0.10)

0.31 (0.29–0.32)

0.34 (0.31–0.37)

0.43 (0.38–0.48)

 15–24 years

0.87 (0.79–0.96)

1.55 (1.34–1.79)

0.35 (0.26–0.46)

0.41 (0.39–0.43)

0.47 (0.44–0.50)

0.54 (0.49–0.60)

 25–44 years

1.02 (0.94–1.11)

1.87 (1.64–2.13)

0.33 (0.26–0.42)

0.50 (0.48–0.52)

0.58 (0.55–0.62)

0.75 (0.69–0.82)

 45–64 years

1.06 (0.97–1.16)

1.62 (1.42–1.86)

0.61 (0.49–0.75)

0.64 (0.61–0.67)

0.65 (0.62–0.69)

0.83 (0.76–0.91)

 65–84 years

Reference

Reference

Reference

Reference

Reference

Reference

 85 and over

0.70 (0.62–0.79)

0.33 (0.25–0.43)

1.02 (0.83–1.27)

1.13 (1.08–1.19)

1.26 (1.19–1.34)

1.06 (0.96–1.17)

Gender

 Male

Reference

Reference

Reference

Reference

Reference

Reference

 Female

0.89 (0.84–0.95)

0.71 (0.65–0.77)

1.32 (1.13–1.54)

1.29 (1.25–1.33)

1.21 (1.16–1.25)

1.01 (0.96–1.08)

Number of comorbidities

 0

Reference

Reference

Reference

Reference

Reference

Reference

 1

4.46 (4.15–4.78)

4.86 (4.41–5.35)

3.32 (2.76–4.00)

1.72 (1.65–1.79)

1.83 (1.74–1.92)

1.42 (1.31–1.54)

 2

9.10 (8.32–9.96)

9.07 (8.01–10.27)

7.50 (6.01–9.37)

2.35 (2.20–2.52)

2.59 (2.39–2.80)

1.87 (1.65–2.12)

 3

9.52 (8.33–10.88)

8.99 (7.46–10.83)

8.00 (5.78–11.08)

2.77 (2.49–3.07)

3.06 (2.72–3.45)

2.32 (1.93–2.79)

  > 3

15.03 (12.69–17.80)

9.67 (7.43–12.59)

13.74 (9.45–20.00)

3.95 (3.41–4.58)

4.65 (3.96–5.46)

3.10 (2.41–3.98)

Injury severity

 Serious injury (ICISS< 0.941)

8.65 (8.14–9.19)

8.15 (7.49–8.87)

2.87 (2.42–3.39)

1.78 (1.71–1.86)

1.98 (1.89–2.08)

1.88 (1.75–2.03)

 Other injury (ICISS> = 0.941)

Reference

Reference

Reference

Reference

Reference

Reference

 Body region

 Head

Reference

Reference

Reference

Reference

Reference

Reference

 Neck

1.44 (1.20–1.73)

0.97 (0.76–1.23)

1.13 (0.63–2.03)

1.00 (0.89–1.13)

1.05 (0.92–1.20)

1.13 (0.90–1.40)

 Thorax

2.95 (2.64–3.28)

1.32 (1.13–1.54)

2.41 (1.73–3.35)

1.47 (1.36–1.58)

1.43 (1.31–1.56)

1.29 (1.10–1.50)

 Abdomen, lower back, lumbar spine & pelvis

1.23 (1.08–1.40)

0.57 (0.47–0.69)

0.98 (0.65–1.48)

1.67 (1.56–1.79)

1.57 (1.45–1.70)

1.58 (1.38–1.80)

 Shoulder & upper arm

0.29 (0.23–0.36)

0.10 (0.07–0.15)

1.01 (0.69–1.48)

1.45 (1.35–1.55)

1.17 (1.08–1.27)

1.60 (1.41–1.81)

 Elbow & forearm

0.10 (0.07–0.13)

0.04 (0.02–0.07)

0.91 (0.64–1.29)

1.23 (1.15–1.31)

0.93 (0.86–1.00)

1.38 (1.22–1.55)

 Wrist & hand

0.03 (0.02–0.05)

0.02 (0.01–0.03)

0.66 (0.47–0.92)

0.75 (0.70–0.79)

0.58 (0.54–0.63)

0.90 (0.80–1.01)

 Hip & thigh

1.46 (1.30–1.63)

0.27 (0.21–0.34)

2.54 (1.92–3.37)

1.92 (1.81–2.04)

1.70 (1.58–1.82)

1.78 (1.59–2.01)

 Knee & lower leg

0.24 (0.20–0.29)

0.08 (0.06–0.11)

0.89 (0.64–1.24)

1.11 (1.05–1.18)

0.88 (0.82–0.95)

1.46 (1.31–1.63)

 Ankle & foot

0.09 (0.05–0.14)

0.04 (0.02–0.10)

0.42 (0.20–0.87)

1.13 (1.03–1.24)

1.06 (0.95–1.18)

1.77 (1.52–2.06)

 Foreign body

0.54 (0.40–0.74)

0.34 (0.22–0.53)

1.27 (0.68–2.38)

0.85 (0.73–0.97)

0.74 (0.62–0.88)

0.58 (0.42–0.81)

 Burns

2.15 (1.76–2.64)

1.82 (1.43–2.33)

1.16 (0.54–2.51)

1.57 (1.38–1.80)

1.78 (1.53–2.06)

3.32 (2.75–4.02)

 Multiple body regions

0.92 (0.13–6.72)

##

##

2.31 (1.00–5.32)

1.71 (0.60–4.87)

##

 Unspecified body region

0.12 (0.03–0.49)

##

##

1.56 (1.22–1.98)

1.22 (0.90–1.65)

0.92 (0.51–1.64)

 Body region not relevant

5.39 (4.94–5.90)

3.91 (3.52–4.34)

3.80 (2.90–4.97)

1.58 (1.48–1.69)

1.42 (1.31–1.53)

1.11 (0.97–1.28)

Grouped injury type (first occurring)

 Superficial injury

0.33 (0.25–0.43)

0.57 (0.39–0.85)

0.41 (0.24–0.69)

0.80 (0.74–0.86)

0.88 (0.81–0.97)

0.50 (0.42–0.59)

 Open wound

0.18 (0.14–0.22)

0.33 (0.24–0.45)

0.57 (0.43–0.75)

0.63 (0.60–0.66)

0.65 (0.61–0.69)

0.58 (0.52–0.63)

 Fracture

Reference

Reference

Reference

Reference

Reference

Reference

 Dislocation, sprain & strain

0.12 (0.08–0.17)

0.05 (0.01–0.14)

0.25 (0.14–0.43)

0.57 (0.53–0.61)

0.59 (0.54–0.64)

0.48 (0.41–0.55)

 Injury to nerves & spinal cord

1.19 (0.90–1.57)

2.81 (1.98–4.01)

0.51 (0.21–1.23)

0.59 (0.51–0.69)

0.66 (0.54–0.80)

0.55 (0.41–0.74)

 Injury to blood vessels

1.66 (1.24–2.21)

3.73 (2.56–5.43)

1.06 (0.50–2.25)

0.54 (0.44–0.66)

0.56 (0.43–0.71)

0.42 (0.28–0.63)

 Injury to muscle & tendon

0.08 (0.05–0.14)

0.06 (0.02–0.18)

0.32 (0.18–0.56)

0.51 (0.47–0.55)

0.49 (0.44–0.55)

0.46 (0.39–0.54)

 Crushing injury

##

##

##

0.55 (0.37–0.81)

0.47 (0.28–0.81)

0.21 (0.07–0.66)

 Traumatic amputation

0.30 (0.17–0.55)

0.92 (0.48–1.79)

0.25 (0.06–1.02)

0.81 (0.69–0.94)

0.73 (0.60–0.89)

0.98 (0.77–1.26)

 Eye injury- excluding foreign body

0.36 (0.14–0.97)

0.68 (0.17–2.72)

0.42 (0.06–2.99)

1.45 (1.15–1.82)

1.60 (1.23–2.09)

1.15 (0.75–1.75)

 Intracranial injury

4.67 (4.23–5.16)

13.53 (11.80–15.53)

1.27 (0.91–1.79)

0.83 (0.77–0.91)

1.07 (0.98–1.18)

0.75 (0.64–0.87)

 Injury to internal organs

14.69 (13.01–16.59)

19.37 (16.12–23.28)

2.17 (1.35–3.51)

1.02 (0.88–1.17)

1.46 (1.25–1.69)

1.05 (0.83–1.34)

 Foreign body

0.73 (0.54–1.00)

1.33 (0.85–2.06)

0.86 (0.47–1.57)

0.59 (0.52–0.68)

0.63 (0.53–0.74)

0.33 (0.24–0.46)

 Burns

2.90 (2.38–3.54)

7.03 (5.46–9.04)

0.78 (0.37–1.66)

1.11 (0.97–1.26)

1.50 (1.30–1.73)

1.91 (1.60–2.28)

 Other and unspecified injury

0.14 (0.10–0.19)

0.25 (0.16–0.39)

0.34 (0.22–0.52)

0.86 (0.81–0.91)

1.00 (0.94–1.07)

0.35 (0.30–0.40)

 Systemic-poisoning/toxic effects

7.56 (7.00–8.16)

15.46 (13.69–17.46)

2.63 (2.13–3.23)

1.13 (1.07–1.20)

1.21 (1.13–1.30)

0.61 (0.53–0.70)

 Other effects of external cause/complication

5.02 (4.13–6.10)

11.65 (9.08–14.95)

2.07 (1.16–3.70)

0.97 (0.82–1.15)

1.07 (0.87–1.31)

0.87 (0.64–1.19)

SEIFA

 1

Reference

Reference

Reference

Reference

Reference

Reference

 2

0.94 (0.81–1.08)

0.85 (0.69–1.06)

0.39 (0.20–0.76)

1.12 (1.04–1.22)

1.03 (0.93–1.13)

0.97 (0.83–1.12)

 3

1.07 (0.94–1.22)

0.93 (0.76–1.13)

2.21 (1.54–3.17)

1.06 (0.98–1.14)

1.01 (0.92–1.11)

1.04 (0.91–1.19)

 4

0.85 (0.76–0.96)

0.97 (0.82–1.15)

1.26 (0.88–1.81)

1.08 (1.01–1.15)

1.03 (0.95–1.11)

0.94 (0.84–1.06)

 5

0.74 (0.64–0.85)

0.88 (0.72–1.08)

0.94 (0.60–1.48)

0.91 (0.84–0.99)

0.86 (0.78–0.94)

0.88 (0.76–1.01)

 6

0.77 (0.67–0.88)

0.98 (0.81–1.18)

1.16 (0.77–1.75)

1.03 (0.96–1.11)

0.99 (0.91–1.08)

1.04 (0.91–1.19)

 7

0.74 (0.65–0.85)

0.81 (0.67–0.99)

1.20 (0.80–1.81)

0.97 (0.90–1.05)

0.94 (0.86–1.03)

0.93 (0.81–1.06)

 8

0.73 (0.65–0.81)

0.88 (0.75–1.03)

1.70 (1.23–2.34)

1.04 (0.97–1.10)

0.93 (0.87–1.00)

0.94 (0.84–1.05)

 9

0.68 (0.61–0.77)

0.75 (0.63–0.88)

1.62 (1.17–2.25)

1.10 (1.03–1.17)

0.92 (0.86–0.99)

0.85 (0.76–0.95)

 10

0.65 (0.57–0.73)

0.77 (0.65–0.91)

1.59 (1.14–2.22)

1.13 (1.06–1.20)

0.85 (0.79–0.92)

0.81 (0.72–0.91)

 999

##

##

##

##

##

##

  1. Notes
  2. ## Omitted from analysis due to zero observations with outcome