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dc.contributor.authorMcAuley, K
dc.contributor.authorMcAullay, D
dc.contributor.authorStrobel, NA
dc.contributor.authorMarriott, R
dc.contributor.authorAtkinson, DN
dc.contributor.authorMarley, JV
dc.contributor.authorStanley, FJ
dc.contributor.authorEdmond, KM
dc.date.accessioned2020-12-21T02:21:35Z
dc.date.available2020-12-21T02:21:35Z
dc.date.issued2016-04-27
dc.identifierpii: PONE-D-16-03915
dc.identifier.citationMcAuley, K., McAullay, D., Strobel, N. A., Marriott, R., Atkinson, D. N., Marley, J. V., Stanley, F. J. & Edmond, K. M. (2016). Hospital Utilisation in Indigenous and Non-Indigenous Infants under 12 Months of Age in Western Australia, Prospective Population Based Data Linkage Study. PLOS ONE, 11 (4), https://doi.org/10.1371/journal.pone.0154171.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11343/256893
dc.description.abstractBACKGROUND: 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.
dc.languageEnglish
dc.publisherPUBLIC LIBRARY SCIENCE
dc.titleHospital Utilisation in Indigenous and Non-Indigenous Infants under 12 Months of Age in Western Australia, Prospective Population Based Data Linkage Study
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pone.0154171
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.source.titlePLoS One
melbourne.source.volume11
melbourne.source.issue4
dc.rights.licenseCC BY
melbourne.elementsid1231186
melbourne.contributor.authorStanley, Fiona
dc.identifier.eissn1932-6203
melbourne.accessrightsOpen Access


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