Journal article
Hospital utilisation in indigenous and non-indigenous infants under 12 months of age in Western Australia, prospective population based data linkage study
PloS one, Vol.11(4), e0154171
2016
Abstract
Background
Indigenous infants (infants aged under 12 months) have the highest hospital admission and emergency department presentation risks in Australia. However, there have been no recent reports comparing hospital utilisation between Indigenous and non-Indigenous infants.
Methods
Our primary objective was to use a large prospective population-based linked dataset to assess the risk of all-cause hospital admission and emergency department presentation in Indigenous compared to non-Indigenous infants in Western Australia (WA). Secondary objectives were to assess the effect of socio-economic status (Index of Relative Socio-Economic Disadvantage [IRSD]) on hospital utilisation and to understand the causes of hospital utilisation.
Findings
There were 3,382 (5.4%) Indigenous and 59,583 (94.6%) non-Indigenous live births in WA from 1 January 2010 to 31 December 2011. Indigenous infants had a greater risk of hospital admission (adjusted odds ratio [aOR] 1.90, 95% confidence interval [95% CI] 1.77–2.04, p = <0.001) and emergency department presentation (aOR 2.15, 95% CI 1.98–2.33, p = <0.001) compared to non-Indigenous infants. Fifty nine percent (59.0%) of admissions in Indigenous children were classified as preventable compared to 31.2% of admissions in non-Indigenous infants (aOR 2.12, 95% CI 1.88–2.39). The risk of hospital admission in the most disadvantaged (IRSD 1) infants in the total cohort (35.7%) was similar to the risk in the least disadvantaged (IRSD 5) infants (30.6%) (aOR 1.04, 95% CI 0.96–1.13, p = 0.356).
Interpretation
WA Indigenous infants have much higher hospital utilisation than non Indigenous infants. WA health services should prioritise Indigenous infants regardless of their socio economic status or where they live.
Details
- Title
- Hospital utilisation in indigenous and non-indigenous infants under 12 months of age in Western Australia, prospective population based data linkage study
- Authors/Creators
- K. McAuley (Author/Creator) - The University of Western AustraliaD. McAullay (Author/Creator) - Edith Cowan UniversityN.A. Strobel (Author/Creator) - The University of Western AustraliaR. Marriott (Author/Creator) - Murdoch UniversityD.N. Atkinson (Author/Creator) - The University of Western AustraliaJ.V. Marley (Author/Creator) - The University of Western AustraliaF.J. Stanley (Author/Creator) - The Kids Research Institute AustraliaK.M. Edmond (Author/Creator) - The University of Western Australia
- Publication Details
- PloS one, Vol.11(4), e0154171
- Publisher
- Public Library of Science
- Identifiers
- 991005540870507891
- Copyright
- © 2016 McAuley et al.
- Murdoch Affiliation
- School of Psychology and Exercise Science
- Language
- English
- Resource Type
- Journal article
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