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Deaths and hospital admissions as a result of home injuries among young and middle-aged New Zealand adults

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Authors:
Summary:

This study describes the epidemiology of unintentional home injuries resulting in death or admission to hospital among young and middle-age New Zealanders. The study authors selected cases from Ministry of Health public hospital discharge (2000–2009) and mortality data (1998–2007), and included all 20–64 year olds where the place of injury occurrence was classified as ‘home’. Only initial hospitalisations with a stay of ≥24 hours were included. The analysis revealed that on average 4,000 young and middle-age adults are admitted to hospital and 60 die annually as a result of unintentional injuries sustained at home. The highest mortality rates are associated with being male, older age (50 to 64 years), and Māori. Similarly, the highest hospitalisation rates are amongst males, older age groups (>40 years), and Māori. Poisoning, falls, and burns are the leading causes of unintentional home injury deaths. As age increased so did the incidence of hospital admission. The leading contributors resulting in admission to hospital were falls, cutting or piercing, overexertion, and poisoning. Falls-related injuries had the highest median length of hospital stay and in-hospital mortality rate. As deprivation increased so did the frequency of hospital admissions due to fall and cutting or piercing injuries.

Comment:
In addition to the large numbers and inequities in home injuries, there are also significant disparities in the rates for long-term sequelae. These too should drive the development of targeted injury prevention strategies.
Reference: N Z Med J. 2011;124(1347):16-26.
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.

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