Queensland Trauma Insights – March 20202020-04-06T10:21:37+10:00

Queensland Trauma Insights – March 2020

Low Speed Vehicle Run Over related injury hospitalisations: Queensland from 2015/16 to 2018/19

Authors: A/Prof Cate Cameron, Dr Shahera Banu
Last updated on 11 March 2020

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Background

Injuries from low speed vehicle runover (LSVRO) events often occur during childhood, however these types of injuries can happen at any age, with the elderly becoming a more prominent age group. It has been 10 years since an in-depth analysis of these injuries was conducted in Queensland in the 0 – 15 year old age group1. The following snapshot shows contemporaneous epidemiological trends for the most recent 4 financial years of hospitalisation data in Queensland.

Key findings

Between 01 July 2015 and 30 June 2019:

  • 430 LSVRO injury hospitalisation episodes in Qld public acute hospitals.
  • Highest incidence in 0-4 year olds.
  • Greatest gender difference for younger ages with males having a higher incidence.
  • Second peak with increased rates in adults over 60 years of age with females having a higher incidence.
  • Increasing incidence in older age group over the time period.
  • 53% of events had a length of stay one day or less.
  • Saturday had the highest number of cases for injury events occurring in home driveway and Thursday had the highest number of cases for public carparks.
  • 46% of injuries resulted in fractures or dislocations.
  • 30% of injuries occurred in non-metropolitan areas.

Key figures

Trends over time

Activity/Outcome 15/16 16/17 17/18 18/19 Total
Episodes of care 95 111 113 111 430
Patient days 421 647 471 411 1950
Av Length of stay 4.4 5.8 4.1 3.7 4.5
Discharged home 73% 67% 77% 67% 71%

Note: Total number of hospital deaths across the four financial years n=6

Year and Age Group

Age and gender breakdown

Main injury sustained by gender

Male Female Total
Fracture / Dislocation 103 (46%) 94 (46%) 197
Superficial constusions 37 (16%) 27 (13%) 64
Open wound 18 (8%) 25 (12%) 43
Unspecified injuries 17 (8%) 19 (9%) 36
Internal organ 18 (8%) 17 (8%) 35
Other specified 17 (8%) 11 (5%) 28
Crushing injury 9 (4%) <5 13
Burns <5 <5 <10
Blood vessel <5 <5 <10
Amputation <5 0 <5
Total 226 204 430

Day of admission by place of injury

Age group by place of injury

Month of injury

Length of stay

Demographics by geographic region

North QLD Central QLD Western QLD SE QLD
Gender
Male 61% 54% 48% 51%
Female 39% 46% 52% 49%
Age group
00-14 20% 26% 22% 24%
15-64 65% 20% 52% 40%
65+ 15% 54% 26% 36%
Indigenous
Crushing injury 85% 91% 96% 97%
Burns 15% 9% 4% 3%
Place of injury
Driveway 52% 78% 44% 64%
Carpark 2% 17% 22% 34%
Farm 28% 6% 33% 2%
Total 11% (n=46) 13% (n=54) 6% (n=27) 70% (n=303)

About us

The Jamieson Trauma Institute (JTI) connects clinicians, researchers, government and industry partners striving to advance trauma prevention, research and clinical management, to deliver the best possible care for people who experience traumatic injury. JTI was established with funding from the Motor Accident Insurance Commission and Metro North Hospital and Health Service.

For further information, contact: Jamieson_trauma_institute@health.qld.gov.au

Data scope and definitions

This overview was produced by the Jamieson Trauma Institute, in consultation with the Statistical Services Branch, Queensland Health, using injury hospitalisation data from all public acute hospitals (excluding Mater South Brisbane Hospitals), Queensland from the Queensland Hospital Admitted Patient Data Collection (QHAPDC).

Data Source

Queensland Hospital Admitted Patient Data Collection (QHAPDC) – derived subset of data tables comprising injury related hospital admissions only.

Data Scope

  • Admitted patient episodes with separation date between 01 July 2015 & 30 Jun 2019
  • Principal diagnosis within the ICD-10-AM code range: S00-T98
  • First external cause ICD-10-AM codes related to ‘pedestrian’ (V00-V09) and Place of injury codes related to ‘driveway or garage’ (Y9200 or Y9202) or ‘farm’ (Y927) or ‘carpark’ (Y9287).
  • Care Type = Acute
  • This overview presents raw counts and percentages, not age standardised rates, as data relate to episodes of care and not individual patients.

1.Griffin BR, Watt K, Wallis BA, Shields LE, Kimble RM. Incidence or peadiatric fatal and non-fatal low speed vehicle run over events in Queensland, Australia: eleven-year analysis. BMC Public Health 2014; 14:245