Home > Review Articles > Māori experience > Subsequent injuries experienced by Māori: results from a 24-month prospective study in New Zealand

Subsequent injuries experienced by Māori: results from a 24-month prospective study in New Zealand

Making Education Easy

Authors:
Summary:

It is already established that the burden of injury is disproportionately larger among Māori compared with non-Māori. Moreover, the impact of injury can be exacerbated by subsequent injuries, i.e. injuries that occur after, but not necessarily because of, an earlier or ‘sentinel’ injury. The Subsequent Injury Study analysed interview, Accident Compensation Corporation (ACC) and hospital discharge data within a 24-month period, to determine the number and timing of subsequent injuries experienced by Māori and reported to the ACC in the 24 months following a sentinel injury, the proportions who experienced subsequent injuries, and the nature of subsequent injuries. Of the 566 Māori in this analysis, two-thirds (62%) experienced ≥1 subsequent injury in the 24 months after the sentinel injury. Subsequent injuries were more common among those who drank moderate or high amounts of alcohol, or in those who had cognitive difficulties, before the sentinel injury. There were fewer subsequent injuries between 0–3 months after a sentinel injury than during later periods. Subsequent injuries were most commonly spine dislocations, sprains and strains.

Comment:
As the authors say, it is not just ‘an injury’ and caring for people with severe injury is very complex. Yet they’ve identified two simple things we could do better along care-pathways – consider ways to prevent further injury and manage the burden of multiple injuries.
Reference: N Z Med J. 2019;132(1499):23-35
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

Related Articles

A meal replacement intervention delivered in a specialist service achieved clinically meaningful weight loss and

A qualitative study has highlighted ontological approaches to aging-in-place for Indigenous peoples, as a strategy

Explore Māori Health Reviews

Dive into our publications and videos content from over 50 areas of medicine including Cardiology, Diabetes, Oncology, Haematology and Psychiatry. 

It looks like you are closest to our Australia site.

Australia
Australia
Find Reviews in Your Clinical Area
Please select your country of practice.
Terms and Conditions

Website terms of use 

By using our website, you agree to follow these terms and conditions. 

 

Privacy policy 

We take your privacy seriously. To understand how we collect, use, and protect your information, please read our Privacy Policy, which is part of these terms. 

 

Copyright and use of website content 

The content of our website is protected by copyright, trademarks, and other legal rights. You can: view, download, or print a single copy of content for your personal or professional use. 

You cannot:  copy, modify, or distribute website content, or use our website content for commercial purposes or in other works without permission. 

 

Links to third-party websites 

The Research Review website may link to third-party websites for your convenience. However: 

We do not endorse or approve their products, services, or actions. 

We are not responsible for their content or how they operate. 

There is no formal partnership between us and third parties unless we clearly state otherwise. 

 

Disclaimer and limitation of liability 

We do our best to keep the information on our website accurate, but we do not guarantee that it is always correct or up to date. 

To the fullest extent allowed by law, we are not responsible for: 

Any loss, damage, or costs you may suffer from using (or being unable to use) our website. 

Any decisions you make based on the information provided. 

Any business losses, such as lost profits, lost data, or business interruptions. 

 

Governing law 

These terms are governed by New Zealand law. If there is a dispute, it must be resolved in a New Zealand court.