The epidemiology of emergency presentations for falls from height across Western Victoria, Australia.


Journal

Australasian emergency care
ISSN: 2588-994X
Titre abrégé: Australas Emerg Care
Pays: Australia
ID NLM: 101727782

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 10 09 2019
accepted: 13 09 2019
pubmed: 16 10 2019
medline: 2 10 2020
entrez: 16 10 2019
Statut: ppublish

Résumé

In order to implement intervention strategies to prevent falls from height, epidemiological data are needed. The aim of this study was to map emergency presentations for falls from height in residents aged ≥40yr of the western region of Victoria, Australia. Emergency presentations following a fall from height (≥1m) were obtained from electronic medical records for 2014-2016 inclusive. For each Local Government Area, age-standardised incidence rates (per 10,000 population/year) were calculated. The age-standardised incidence rate was lowest in the Northern Grampians (3.4 95%CI 0.8-5.9), which has several main industries including health care, agriculture and manufacturing. The highest rates occurred in Corangamite (26.0 95%CI 19.9-32.0), Colac-Otway (23.7 95%CI 18.5-28.8) and Moyne (22.5 95%CI 16.8-28.3), which are sparsely populated (15,000-20,000 people each). Patterns were similar for men and women. Most falls occurred during "leisure" (38.0%), followed by "other work" (15.4%). Men were more likely than women to experience a fall from height while undertaking work activities. Many falls occurred in the home (53.2%). Future research should inform strategies to prevent falls from height in the region. This could include specific locations such as the home or farm, and during leisure activities or work.

Sections du résumé

BACKGROUND BACKGROUND
In order to implement intervention strategies to prevent falls from height, epidemiological data are needed. The aim of this study was to map emergency presentations for falls from height in residents aged ≥40yr of the western region of Victoria, Australia.
METHODS METHODS
Emergency presentations following a fall from height (≥1m) were obtained from electronic medical records for 2014-2016 inclusive. For each Local Government Area, age-standardised incidence rates (per 10,000 population/year) were calculated.
RESULTS RESULTS
The age-standardised incidence rate was lowest in the Northern Grampians (3.4 95%CI 0.8-5.9), which has several main industries including health care, agriculture and manufacturing. The highest rates occurred in Corangamite (26.0 95%CI 19.9-32.0), Colac-Otway (23.7 95%CI 18.5-28.8) and Moyne (22.5 95%CI 16.8-28.3), which are sparsely populated (15,000-20,000 people each). Patterns were similar for men and women. Most falls occurred during "leisure" (38.0%), followed by "other work" (15.4%). Men were more likely than women to experience a fall from height while undertaking work activities. Many falls occurred in the home (53.2%).
CONCLUSION CONCLUSIONS
Future research should inform strategies to prevent falls from height in the region. This could include specific locations such as the home or farm, and during leisure activities or work.

Identifiants

pubmed: 31611147
pii: S2588-994X(19)30068-5
doi: 10.1016/j.auec.2019.09.002
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

119-125

Informations de copyright

Copyright © 2019 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.

Auteurs

Kara L Holloway-Kew (KL)

Deakin University, Geelong, Australia. Electronic address: khollo@barwonhealth.org.au.

Tim R Baker (TR)

Deakin University, Geelong, Australia.

Muhammad A Sajjad (MA)

Deakin University, Geelong, Australia.

Mark A Kotowicz (MA)

Deakin University, Geelong, Australia; Department of Medicine-Western Health, The University of Melbourne, St Albans, Australia; University Hospital Geelong, Barwon Health, Geelong, Australia.

Patricia M Livingston (PM)

Deakin University, Geelong, Australia.

Mustafa Khasraw (M)

The University of Sydney, Sydney, Australia.

Sharon Hakkennes (S)

University Hospital Geelong, Barwon Health, Geelong, Australia.

Trisha L Dunning (TL)

Deakin University, Geelong, Australia.

Susan Brumby (S)

Deakin University, Geelong, Australia; National Centre for Farmer Health, Western District Health Service, Hamilton, Australia.

Richard S Page (RS)

Deakin University, Geelong, Australia; University Hospital Geelong, Barwon Health, Geelong, Australia; Barwon Centre for Orthopaedic Research and Education, Barwon Health and St John of God Hospital Geelong, Australia.

Alasdair G Sutherland (AG)

Deakin University, Geelong, Australia; South West Healthcare, Warrnambool, Australia.

Sharon L Brennan-Olsen (SL)

Department of Medicine-Western Health, The University of Melbourne, St Albans, Australia; Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St Albans, Australia.

Lana J Williams (LJ)

Deakin University, Geelong, Australia.

Julie A Pasco (JA)

Deakin University, Geelong, Australia; Department of Medicine-Western Health, The University of Melbourne, St Albans, Australia; University Hospital Geelong, Barwon Health, Geelong, Australia.

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