Evidence map›Paper›PMID 27120331›Full record

ArticlePloS one2016

Hospital Utilisation in Indigenous and Non-Indigenous Infants under 12 Months of Age in Western Australia, Prospective Population Based Data Linkage Study.

Kimberley McAuley, Daniel McAullay, Natalie A Strobel, Rhonda Marriott, David N Atkinson, Julia V Marley, Fiona J Stanley, Karen M Edmond

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Kimberley McAuleySchool of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
Daniel McAullaySchool of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
Natalie A StrobelSchool of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
Rhonda MarriottSchool of Psychology and Exercise Science, Murdoch University, Perth, Western Australia, Australia.
David N AtkinsonThe Rural Clinical School of Western Australia, The University of Western Australia, Broome, Western Australia, Australia.
Julia V MarleyThe Rural Clinical School of Western Australia, The University of Western Australia, Broome, Western Australia, Australia.
Fiona J StanleyTelethon Kids Institute, Perth, Western Australia, Australia.
Karen M EdmondSchool of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
University of Western Australia · AUEdith Cowan University · AUMurdoch University · AUThe Kids Research Institute Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndigenous infants (infants aged under 12 months) have the highest hospital admission and emergency department presentation risks in Australia. However, there have been no recent reports comparing hospital utilisation between Indigenous and non-Indigenous infants.

methodsOur primary objective was to use a large prospective population-based linked dataset to assess the risk of all-cause hospital admission and emergency department presentation in Indigenous compared to non-Indigenous infants in Western Australia (WA). Secondary objectives were to assess the effect of socio-economic status (Index of Relative Socio-Economic Disadvantage [IRSD]) on hospital utilisation and to understand the causes of hospital utilisation.

findingsThere were 3,382 (5.4%) Indigenous and 59,583 (94.6%) non-Indigenous live births in WA from 1 January 2010 to 31 December 2011. Indigenous infants had a greater risk of hospital admission (adjusted odds ratio [aOR] 1.90, 95% confidence interval [95% CI] 1.77-2.04, p = <0.001) and emergency department presentation (aOR 2.15, 95% CI 1.98-2.33, p = <0.001) compared to non-Indigenous infants. Fifty nine percent (59.0%) of admissions in Indigenous children were classified as preventable compared to 31.2% of admissions in non-Indigenous infants (aOR 2.12, 95% CI 1.88-2.39). The risk of hospital admission in the most disadvantaged (IRSD 1) infants in the total cohort (35.7%) was similar to the risk in the least disadvantaged (IRSD 5) infants (30.6%) (aOR 1.04, 95% CI 0.96-1.13, p = 0.356).

interpretationWA Indigenous infants have much higher hospital utilisation than non Indigenous infants. WA health services should prioritise Indigenous infants regardless of their socio economic status or where they live.

Indexed as

Emergency Service, HospitalHealth ServicesHospitalizationHumansInfantInfant, NewbornInformation Storage and RetrievalParturitionProspective StudiesRiskSocial ClassVulnerable PopulationsWestern Australia

Identifiers

PMID27120331
PMCPMC4847930
OpenAlexW2344846774

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.