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Published on: September 30, 2020
Injury-Related Emergency Department Presentations Among Residential Aged Care Residents in Victoria, Australia
Ladan Yeganeh1,2, Lyndal Bugeja1,2, Janneke Berecki3
1Department of Forensic Medicine, 2541Monash University, Southbank, VIC, Australia.
Objective:
This study aimed to quantify and describe the characteristics of emergency department (ED) injury presentations and subsequent hospital admissions among residents of residential aged-care facilities (RACFs) in Victoria, Australia between 2008 and 2018.
Methods:
This study comprised a single jurisdiction population-based study of consecutive injury-related ED presentations of RACFs residents using the Victorian Emergency Minimum Dataset (VEMD).
Results:
The rate of ED injury presentations per 100,000 population decreased by .8% per year over 10 years (P = .03); however, the rate per 100,000 RACF bed days increased by .6% per year (P = .05). The proportion of presentations subsequently admitted to hospital increased 4.0% per year (P<.0001). The majority of presentations were due to falls (82.5%), with fracture(s) being the most common injury type (34.0%).
Discussion:
The increased rate of ED visits and hospital admissions in RACFs residents highlights the need to design specialized emergency care services and/or provide better direct access to hospital care for this vulnerable population.
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