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Injury and poisoning
Leading causes of injury hospitalisations



>Report of the Chief Health Officer >Contents >Injury and poisoning >Leading causes of injury hospitalisations



Note: Hospital separations were classified using ICD-10-AM. Rates were age-adjusted using the Australian population as at 30 June 2001. Numbers for 2004-05 include an estimate of the small number of interstate hospitalisations, data for which were unavailable at the time of production. Records relating to acute hospital transfer and statistical discharge were excluded.
Source: NSW Inpatient Statistics Collection and ABS population estimates (HOIST). Centre for Epidemiology and Research, NSW Department of Health.

During the period 2002-03 to 2004-05, the most common specified causes of injury-related hospitalisations were falls (37% of injury-related hospitalisations), motor vehicle crashes (11%), self-harm (7%), and interpersonal violence (5%). There was also a substantial proportion of injury-related hospitalisations due to exposure to "unspecified factors" (10%). The pattern of injury causes varies somewhat with sex and age.

Within each age group falls were the most common cause of injury-related hospitalisation. The proportion of injury hospitalisations that were due to falls was higher in females than males for people aged 45 years and over, but was very similar within the younger age-groups.

In the 0-14 age group the most common specified causes of hospitalisations for both sexes were falls (41%), being unintentionally struck by or against an object or person (8%), motor vehicle crashes (7%), and cut/pierce (4%). Within this age-group greater numbers of males are injured than females, but the pattern of injury causes is very similar for both sexes.

In the 15-44 year age group there is more variation in the pattern of injury causes between the sexes. For males the most common cause of injury hospitalisation was motor vehicle crash (16%) but for females it was self-harm (23%). Falls were a common cause for both males (15%) and females (16%). Motor vehicle crashes were the next most common cause for females (15%). Interpersonal violence was responsible for a greater proportion of injury-hospitalisations for males (11%) than for females (7%). Overall a higher number of males are injured in this age group than females.

Among 45-64 year olds the most common specified cause of hospitalisation was falls for both sexes, although it was a more common cause in females (38%) than males (26%). Motor vehicle transport was the next most common specified cause of injury hospitalisation in both males (12%) and females (11%). Self-harm was responsible for 10% of females' injury hospitalisations and 5% of males'. Unintentional cutting or piercing injuries caused 7% of males' injury hospitalisations and 3% of females'.

Amongst people aged 65 years and over falls was the most common cause of hospitalisation for both sexes, and accounted for a much greater proportion of the injury-hospitalisations than for other age-groups (72%). The next most common specified cause for both sexes was motor-vehicle crashes (5%). This is the one age-group where there are greater numbers of females than males hospitalised as a result of injury. The age-standardised rate of injury hospitalisation is also greater for females than males in this age-group (Hayen and Mitchell, 2006).


For more information:

Hayen A and Mitchell R. NSW injury profile: a review of injury hospitalisations during 1989-1990 to 2003-2004. Sydney: NSW Injury Risk Management Research Centre, University of NSW, 2006. Available at: www.irmrc.unsw.edu.au/Publications/centrereports.asp

Berry J and Harrison J. Hospital separations due to injury and poisoning, Australia 2001-02. AIHW cat. No INJCAT 78. Canberra, Australian Institute of Health and Welfare, 2006. Available at: www.nisu.flinders.edu.au/pubs/reports/2006/injcat78.php

Pointer S, Harrison J, Bradley C. National Injury Prevention Plan Priorities for 2004 and beyond: Discussion paper. Adelaide: AIHW, 2003.

National Public Health Partnership. The National Falls Prevention for Older People Plan: 2004 Onwards. Canberra: NPHP, 2004. Available at: www.nphp.gov.au/publications/sipp/fallplan.pdf

NSW Department of Health. Management Policy to Reduce Fall Injury Among Older People. Sydney: NSW Department of Health, 2003. Available at www.health.nsw.gov.au/pubs/m/pdf/fallsinjury.pdf

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Copyright notice: This work is copyright NSW Department of Health, 2006. It may be reproduced in whole or in part, subject to the inclusion of an acknowledgement of the source. Commercial usage or sale is prohibited.
Suggested citation: Population Health Division. The health of the people of New South Wales - Report of the Chief Health Officer. Sydney: NSW Department of Health. Available at: http://www.health.nsw.gov.au/public-health/chorep/inj/inj_hos_cat.htm. Accessed (insert date of access).
Produced by: Centre for Epidemiology and Research, Population Health Division, NSW Department of Health.
Last updated on: 8 December 2006

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