Geospatial mapping of emergency department presentations in New South Wales Australia (2015 and 2021): Trends in rural and metropolitan areas—A data linkage study

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2025-04-14 DOI:10.1111/1742-6723.70042

Yingbin Chui MBBS, Pejman Adily BSc (Mathematics), MEStud, Thomas Stefoulis MD, Radhika Seimon BSc, BSc (Hons), PhD, Michael Dinh MBBS, MPH, PhD

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引用次数: 0

Abstract

Objectives

To examine the relationship between the frequency of presentations to EDs among metropolitan, regional and rural areas in New South Wales (NSW).

Methods

Retrospective geospatial data linkage cohort study; analysis of total ED presentation rates based on statistical area level 2 (SA2), a standardised geographic unit defined by the Australian Bureau of Statistics (ABS) to represent populations that interact socio-economically. The participants were patients presenting to NSW hospital EDs in 2015 and 2021, based on all hospitals included in the NSW ED Data Collection (EDDC). The main outcomes measured were the relationships at the SA2 level between total ED presentation rates (counting all presentations), total number of different patients who presented at least once per calendar year, and the ratio of total presenters to unique individual presenters (as a marker of repeated presentations).

Results

Total presentations to ED per 10 000 population in metropolitan areas decreased by 0.4% (12/2813). In inner regional Australia, there was instead a 10.6% (535/5051) increase. In outer regional Australia, there was a 20.7% (1189/5747) increase. In remote Australia and very remote Australia, ED presentations per 10 000 population increased by 94.6% (5989/6331). Changes were consistent geospatially, demonstrating large increases in presentations in rural and regional areas, but almost no change in metropolitan areas.

Conclusions

There was an increase in total ED presentation rates in regional and remote areas between 2015 and 2021, while metropolitan areas saw a slight decrease in presentation rates. Further analysis should be conducted to determine the cause of this increase.

查看原文本刊更多论文

澳大利亚新南威尔士州急诊科就诊人数的地理空间分布图（2015 年和 2021 年）：农村和大都市地区的趋势--一项数据关联研究

目的研究新南威尔士州（NSW）城市、地区和农村地区急诊就诊频率之间的关系。方法回顾性地理空间数据连锁队列研究；基于统计区域级别2 （SA2）的总体ED呈现率分析，SA2是澳大利亚统计局（ABS）定义的标准化地理单位，代表社会经济相互作用的人口。参与者是2015年和2021年在新南威尔士州医院急诊科就诊的患者，基于新南威尔士州急诊科数据收集（EDDC）中包含的所有医院。测量的主要结果是在SA2水平上ED总陈述率（计算所有陈述），每年至少陈述一次的不同患者总数，以及总陈述者与唯一个体陈述者的比例（作为重复陈述的标志）之间的关系。结果市区每万人口急诊总病例数下降0.4%（12/2813）。在澳大利亚内陆地区，反而增加了10.6%（535/5051）。在澳大利亚外围地区，有20.7%（1189/5747）的增长。在偏远的澳大利亚和非常偏远的澳大利亚，每10000人的ED发病率增加了94.6%（5989/6331）。变化在地理空间上是一致的，表明农村和区域地区的发病率大幅增加，但在大都市地区几乎没有变化。结论2015 - 2021年，区域和偏远地区ED总呈现率呈上升趋势，而大都市地区ED呈现率略有下降。应该进行进一步的分析，以确定这种增加的原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.