Injury severity and 3-month outcomes among Maori: results from a New Zealand prospective cohort study

N Z Med J. 2013 Aug 2;126(1379):39-49.

Abstract

Aims: To examine the prevalence of health and social outcomes pre- and 3 months post-injury, and the association between New Injury Severity Scores (NISS) and 3-month outcomes, for the Maori cohort of the Prospective Outcomes of Injury Study.

Methods: New Zealand residents were recruited from the Accident Compensation Corporation's entitlement claims register and participants interviewed at 3 months post-injury. Those who reported Maori ethnicity (n=566) were included in the Maori cohort.

Results: States indicative of favourable health were less prevalent among the cohort post-injury than pre-injury for all measures examined. Approximately half the cohort were experiencing difficulties walking 3 months after their injury, over two-thirds a level of pain or discomfort, and more than half a level of psychological distress. The prevalence of disability was 49%. The prevalence of some adverse outcomes increased with increasing NISS but a high level of problems were still experienced by those classified as having a 'minor' injury. Nonetheless, a majority of the cohort were satisfied with life and they considered themselves to be of good to excellent overall health.

Conclusions: Findings emphasise the importance of injury prevention and appropriate post-injury care to reduce the burden experienced by Maori due to injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents / statistics & numerical data*
  • Adolescent
  • Adult
  • Cohort Studies
  • Disability Evaluation*
  • Disabled Persons / statistics & numerical data*
  • Female
  • Humans
  • Injury Severity Score*
  • Male
  • Middle Aged
  • New Zealand / epidemiology
  • Outcome Assessment, Health Care / methods*
  • Prevalence
  • Prospective Studies
  • Risk Factors
  • Wounds and Injuries / complications
  • Wounds and Injuries / epidemiology*
  • Young Adult