{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T13:09:18Z","timestamp":1699276158138},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,9,5]],"date-time":"2016-09-05T00:00:00Z","timestamp":1473033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe chronic conditions and injuries as a proportion of total emergency presentations to a large public hospital in regional Queensland, and to investigate differences in presentation rates associated with Indigenous status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional analysis using Emergency Department Information System data between 1 July 2012 and 30 June 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Regional Queensland, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 95 238 emergency presentations were generated by 50 083 local residents living in the 10 statistical local areas (<jats:styled-content style=\"fixed-case\">SLA<\/jats:styled-content>s) immediately around the hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Emergency presentations for chronic conditions and injuries identified from discharge <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">AM<\/jats:styled-content> principal diagnosis. Age\u2010standardised presentation rates were calculated using the Australian 2001 reference population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately half of all presentations were for chronic conditions (20.2%) and injuries (28.8%). Two\u2010thirds of all chronic condition presentations were for mental and behavioural disorders (34.6%) and circulatory diseases (33.2%). Head injuries accounted for the highest proportion of injuries (18.9%). Age\u2010standardised rates for major diagnostic groups were consistently higher for Indigenous residents, whose presentations were lower in mean age (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) by 7.7 (7.3\u20138.1) years, 23% less likely to be potentially avoidable <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>\u2010type presentations [<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) = 0.77 (0.75\u20130.80)], 30% more likely to arrive by ambulance [1.31 (1.28\u20131.33)] and 11% more likely to require hospital admission [1.11 (1.08\u20131.13)].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Opportunities exist to enhance current coordinated hospital avoidance and primary health services in regional Queensland targeting common mental and circulatory disorders, especially for Indigenous Australians.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12320","type":"journal-article","created":{"date-parts":[[2016,9,6]],"date-time":"2016-09-06T03:02:44Z","timestamp":1473130964000},"page":"392-401","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["When chronic conditions become emergencies \u2013 a report from regional Queensland"],"prefix":"10.1111","volume":"24","author":[{"given":"Linton R.","family":"Harriss","sequence":"first","affiliation":[{"name":"Centre for Chronic Disease Prevention AITHM, College of Public Health, Medical and Veterinary Sciences James Cook University Cairns Queensland Australia"},{"name":"School of Health Sciences Centre for Population Health Research Sansom Institute for Health Research University of South Australia Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fintan","family":"Thompson","sequence":"additional","affiliation":[{"name":"Centre for Chronic Disease Prevention AITHM, College of Public Health, Medical and Veterinary Sciences James Cook University Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arindam","family":"Dey","sequence":"additional","affiliation":[{"name":"Centre for Chronic Disease Prevention AITHM, College of Public Health, Medical and Veterinary Sciences James Cook University Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Mills","sequence":"additional","affiliation":[{"name":"College of Healthcare Sciences James Cook University Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerrianne","family":"Watt","sequence":"additional","affiliation":[{"name":"College of Public Health, Medical and Veterinary Sciences James Cook University Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn","family":"McDermott","sequence":"additional","affiliation":[{"name":"Centre for Chronic Disease Prevention AITHM, College of Public Health, Medical and Veterinary Sciences James Cook University Cairns Queensland Australia"},{"name":"School of Health Sciences Centre for Population Health Research Sansom Institute for Health Research University of South Australia Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","unstructured":"Australian Institute of Health and Welfare 2014. 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