{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:41:03Z","timestamp":1791232863642,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:00:00Z","timestamp":1551225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"APA Scholarship"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Injuries to the hand and wrist are estimated to account for between 10% and 30% of all ED presentations. The economic burden placed on the healthcare system can be extensive and rise sharply with increase in injury severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This cost\u2010analysis was performed with the aim of estimating the economic implications of ED attendances for hand and wrist injuries from the perspective of one Australian public health network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from two EDs were retrieved from the electronic billing records of one large health network across two financial year periods (2014\u20132015 and 2015\u20132016) using ICD\u201010 codes. All costs that resulted from the treatment of any acute hand or wrist injury across the 2 year period were calculated and are presented by age, sex, injury type and mechanism of injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 10\u2009024 individuals presented to the two EDs in the 2 year period, accounting for approximately 5.4% of all presentations. The most common presentations were males (62.2%), people aged 25\u201334\u2009years (26.9%) and lacerations (31.2%). The total cost in the 2 year study period was $3\u2009959\u2009535.38 ($1\u2009923\u2009852.38 in 2014\u20132015; $2\u2009035\u2009683.00 in 2015\u20132016). The mean cost per presentation was $383 (95% CI [$373, $393]) in 2014\u20132015 and $407 (95% CI [$394, $421]) in 2015\u20132016.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Acute hand and wrist injuries contribute to a significant volume of ED presentations each year in one Australian public health network leading to significant expenditure and health resources. Further research into how to best utilise resources and reduce avoidable injuries should be priority areas to reduce the cost of these injuries to the healthcare system and society.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.13246","type":"journal-article","created":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T18:44:45Z","timestamp":1551293085000},"page":"772-779","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Description and cost\u2010analysis of emergency department attendances for hand and wrist injuries"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4449-7357","authenticated-orcid":false,"given":"Luke S","family":"Robinson","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy Monash University  Melbourne Victoria Australia"},{"name":"Department of Occupational Therapy Alfred Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4149-6669","authenticated-orcid":false,"given":"Lisa","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00561"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193412469012"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-501"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.07.023"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-531"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(02)00352-2"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-73"},{"key":"e_1_2_9_9_1","volume-title":"Australia's Heath 2016","author":"Australian Institute of Health and Welfare","year":"2016"},{"key":"e_1_2_9_10_1","volume-title":"The Australian Health Care System","author":"Duckett S","year":"2015"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH16034"},{"key":"e_1_2_9_12_1","first-page":"17","volume-title":"Understanding the Australian Health Care System","author":"Krassnitze L","year":"2016"},{"key":"e_1_2_9_13_1","volume-title":"Work\u2010Related Hand and Wrist Injuries in Australia","author":"Driscoll TF","year":"2008"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-10-19"},{"key":"e_1_2_9_15_1","volume-title":"Methods for the Economic Evaluation of Health Care Programmes","author":"Drummond MF","year":"2015"},{"key":"e_1_2_9_16_1","unstructured":"Victorian Agency for Health Information. 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