The data deficit for asthma emergency presentations might surprise you: how RAHDaR addresses the data chasm

Terry, Daniel; Peck, Blake; Kloot, Kate

doi:10.22605/rrh5776

Cited by 7 publications

(16 citation statements)

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“…Existing research highlights that access to the non-VEMD data represents a 35% improvement in our current ability to detect emergency injury presentations in the region investigated [10,24]. With respect to age, emergency injury presentations increased across the sample in each of the age brackets.…”

Section: Discussionmentioning

confidence: 99%

Predictive Characteristics of Childhood Emergency Injury Presentations in a Non-Urban Area of Victoria, Australia

Peck,

Terry,

Kloot

2024

Emergency Care and Medicine

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Injury is the leading cause of death and disability amongst those between 0 and 16 years of age. Routinely associated with a social gradient of health, childhood injury is reportedly higher in rural and regional areas. A retrospective cross-sectional study collected deidentified emergency injury presentation data from nine health services in regional Victoria for children aged 0–14 years between 2017 and 2022. Emergency injury presentation incidence rates and predictor variables were analysed using hierarchical multiple regression. Significance was determined at p < 0.05. Amongst the 15,884 emergency injury presentations, 35.2% (n = 5597) occurred at health services that did not routinely report data to government datasets. Although some findings are consistent with current research, this study highlights specific factors that are predictive of injury amongst 0–4-year-old children who require deeper investigation, including general practitioner access and health literacy-related elements such as preschool health assessment attendance rates, parent education levels, and overseas birth. These findings provide more comprehensive insights for healthcare workers and policymakers as they seek to support people with injuries and accurately address health inequities.

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Section: Discussionmentioning

confidence: 99%

Predictive Characteristics of Childhood Emergency Injury Presentations in a Non-Urban Area of Victoria, Australia

Peck,

Terry,

Kloot

2024

Emergency Care and Medicine

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“…17,18 It has been reported that up to 35% of injury-related emergency presentations among children aged 0-14 years occur in small rural emergency facilities that do not report to the VEMD. 19,20 However, some of this deficit in emergency presentations are reported to the Victorian Department of Health in aggregate form via the AIMS Urgent Care Centre collection. Additionally, the VEMD captures fewer emergency presentations for injury in rural compared to urban areas.…”

Section: Discussionmentioning

confidence: 99%

Emergency presentations for farm‐related injuries in older adults residing in south‐western Victoria, Australia

Holloway‐Kew,

Baker,

Sajjad

et al. 2024

Australian J Rural Health

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IntroductionFarm workers are at high risk for injuries, and epidemiological data are needed to plan resource allocation.ObjectiveThis study identified regions with high farm‐related injury rates in the Barwon South West region of Victoria, Australia, for residents aged ≥50 yr.DesignRetrospective synthesis using electronic medical records of emergency presentations occurring during 2017–2019 inclusive for Local Government Areas (LGA) in the study region. For each LGA, age‐standardised incidence rates (per 1000 population/year) were calculated.FindingsFor men and women combined, there were 31 218 emergency presentations for any injury, and 1150 (3.68%) of these were farm‐related. The overall age‐standardised rate for farm‐related injury presentations was 2.6 (95% CI 2.4–2.7); men had a higher rate than women (4.1, 95% CI 3.9–4.4 versus 1.2, 95% CI 1.0–1.3, respectively). For individual LGAs, the highest rates of farm‐related emergency presentations occurred in Moyne and Southern Grampians, both rural LGAs. Approximately two‐thirds of farm‐related injuries occurred during work activities (65.0%), and most individuals arrived at the hospital by transport classified as “other” (including private car, 83.3%). There were also several common injury causes identified: “other animal related injury” (20.2%), “cutting, piercing object” (19.5%), “fall ⟨1 m” (13.1%), and “struck by or collision with object” (12.5%). Few injuries were caused by machinery (1.7%) and these occurred mainly in the LGA of Moyne (65%).Discussion and ConclusionThis study provides data to inform future research and resource allocation for the prevention of farm‐related injuries.

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“…UCCs provide first-line emergency care; they can perform emergency resuscitation, stabilisation, and preparation of patient transfers to facilities that provide higher levels of care [ 22 , 23 , 24 ]. Though the Victorian Emergency Minimum Dataset (VEMD) includes mandatory-reported emergency presentations from larger Emergency Departments, RAHDaR also captures presentations at the lower-resourced south-west Victorian sites, such as the UCCs, and highlights as much as a 35% deficit in the data currently available via the government-reported dataset [ 25 , 26 ]. All data utilised in RAHDaR is Victorian Emergency Minimum Dataset (VEMD) and VEMD-equivalent data, and uses the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

High-Heat Days and Presentations to Emergency Departments in Regional Victoria, Australia

Adams¹,

Brumby²,

Kloot

et al. 2022

IJERPH

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Heat kills more Australians than any other natural disaster. Previous Australian research has identified increases in Emergency Department presentations in capital cities; however, little research has examined the effects of heat in rural/regional locations. This retrospective cohort study aimed to determine if Emergency Department (ED) presentations across the south-west region of Victoria, Australia, increased on high-heat days (1 February 2017 to 31 January 2020) using the Rural Acute Hospital Data Register (RAHDaR). The study also explored differences in presentations between farming towns and non-farming towns. High-heat days were defined as days over the 95th temperature percentile. International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) codes associated with heat-related illness were identified from previous studies. As the region has a large agricultural sector, a framework was developed to identify towns estimated to have 70% or more of the population involved in farming. Overall, there were 61,631 presentations from individuals residing in the nine Local Government Areas. Of these presentations, 3064 (5.0%) were on days of high-heat, and 58,567 (95.0%) were of days of non-high-heat. Unlike previous metropolitan studies, ED presentations in rural south-west Victoria decrease on high-heat days. This decrease was more prominent in the farming cohort; a potential explanation for this may be behavioural adaption.

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The data deficit for asthma emergency presentations might surprise you: how RAHDaR addresses the data chasm

Cited by 7 publications

References 0 publications

Predictive Characteristics of Childhood Emergency Injury Presentations in a Non-Urban Area of Victoria, Australia

Predictive Characteristics of Childhood Emergency Injury Presentations in a Non-Urban Area of Victoria, Australia

Emergency presentations for farm‐related injuries in older adults residing in south‐western Victoria, Australia

High-Heat Days and Presentations to Emergency Departments in Regional Victoria, Australia

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