Emergency department presentations related to asthma and allergic diseases in Central Queensland, Australia: a comparative analysis between First Nations Australians and Australians of other descents
Objective To examine the overall incidence rate and trends in emergency department (ED) presentations related to asthma and allergic diseases in regional Australia with a particular focus on First Nations Australians.Design A retrospective analysis of data from the Emergency Department Information S...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-03-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/3/e091482.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850071307889147904 |
|---|---|
| author | Peter D Sly Rachel L Peters Jennifer J Koplin Gulam Khandaker Desalegn Markos Shifti Craig F Munns Mahmudul Hassan Al Imam Diane Maresco-Pennisi Renarta Whitcombe |
| author_facet | Peter D Sly Rachel L Peters Jennifer J Koplin Gulam Khandaker Desalegn Markos Shifti Craig F Munns Mahmudul Hassan Al Imam Diane Maresco-Pennisi Renarta Whitcombe |
| author_sort | Peter D Sly |
| collection | DOAJ |
| description | Objective To examine the overall incidence rate and trends in emergency department (ED) presentations related to asthma and allergic diseases in regional Australia with a particular focus on First Nations Australians.Design A retrospective analysis of data from the Emergency Department Information System.Setting This study used data from 12 public hospitals in Central Queensland, Australia, a region encompassing regional, rural and remote outback areas.Participants A total of 813 112 ED presentations between 2018 and 2023.Outcome measure Asthma and allergic diseases were identified using the International Classification of Diseases-Tenth Revision-Australian Modification codes.Results There were 13 273 asthma and allergic disease-related ED presentations, with an overall prevalence of 1.6% (95% CI 1.6, 1.7). There was a significantly higher incidence rate of asthma and allergic disease-related ED presentations among First Nations Australians at 177.5 per 10 000 person-years (95% CI 169.3, 186.0) compared with 98.9 per 10 000 person-years (95% CI 97.2, 100.8) among Australians of other descents. The incidence rates, with corresponding 95% CIs, of the four most common cases among First Nations Australians and Australians of other descents, respectively, were as follows: asthma (87.8 (82.0, 93.8) and 40.2 (39.0, 41.3)), unspecified allergy (55.3 (50.8, 60.2) and 36.0 (34.9, 37.1)), atopic/allergic contact dermatitis (17.1 (14.6, 19.9) and 10.6 (10.0, 11.2)) and anaphylaxis (7.2 (5.6, 9.1) and 6.2 (5.7, 6.6)).Conclusion Our findings highlight a significantly higher rate of asthma and allergic disease-related ED presentations among First Nations Australians compared with Australians of other descents. This underscores the urgent need for targeted healthcare interventions integrating culturally appropriate approaches, alongside additional research to understand causality. |
| format | Article |
| id | doaj-art-236a8939e45f4da783eb4a29e080a587 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-236a8939e45f4da783eb4a29e080a5872025-08-20T02:47:21ZengBMJ Publishing GroupBMJ Open2044-60552025-03-0115310.1136/bmjopen-2024-091482Emergency department presentations related to asthma and allergic diseases in Central Queensland, Australia: a comparative analysis between First Nations Australians and Australians of other descentsPeter D Sly0Rachel L Peters1Jennifer J Koplin2Gulam Khandaker3Desalegn Markos Shifti4Craig F Munns5Mahmudul Hassan Al Imam6Diane Maresco-Pennisi7Renarta Whitcombe8Children’s Health and Environment Program, Child Health Research Centre, The University of Queensland, South Brisbane, Queensland, AustraliaMurdoch Children`s Research Institute, Parkville, Victoria, AustraliaChild Health Research Centre, The University of Queensland, South Brisbane, Queensland, AustraliaChild Health Research Centre, The University of Queensland, South Brisbane, Queensland, AustraliaChild Health Research Centre, The University of Queensland, South Brisbane, Queensland, AustraliaChild Health Research Centre, The University of Queensland, South Brisbane, Queensland, AustraliaCentral Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, AustraliaCentre for Clinical Research, The University of Queensland, Brisbane, Queensland, AustraliaCentral Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, AustraliaObjective To examine the overall incidence rate and trends in emergency department (ED) presentations related to asthma and allergic diseases in regional Australia with a particular focus on First Nations Australians.Design A retrospective analysis of data from the Emergency Department Information System.Setting This study used data from 12 public hospitals in Central Queensland, Australia, a region encompassing regional, rural and remote outback areas.Participants A total of 813 112 ED presentations between 2018 and 2023.Outcome measure Asthma and allergic diseases were identified using the International Classification of Diseases-Tenth Revision-Australian Modification codes.Results There were 13 273 asthma and allergic disease-related ED presentations, with an overall prevalence of 1.6% (95% CI 1.6, 1.7). There was a significantly higher incidence rate of asthma and allergic disease-related ED presentations among First Nations Australians at 177.5 per 10 000 person-years (95% CI 169.3, 186.0) compared with 98.9 per 10 000 person-years (95% CI 97.2, 100.8) among Australians of other descents. The incidence rates, with corresponding 95% CIs, of the four most common cases among First Nations Australians and Australians of other descents, respectively, were as follows: asthma (87.8 (82.0, 93.8) and 40.2 (39.0, 41.3)), unspecified allergy (55.3 (50.8, 60.2) and 36.0 (34.9, 37.1)), atopic/allergic contact dermatitis (17.1 (14.6, 19.9) and 10.6 (10.0, 11.2)) and anaphylaxis (7.2 (5.6, 9.1) and 6.2 (5.7, 6.6)).Conclusion Our findings highlight a significantly higher rate of asthma and allergic disease-related ED presentations among First Nations Australians compared with Australians of other descents. This underscores the urgent need for targeted healthcare interventions integrating culturally appropriate approaches, alongside additional research to understand causality.https://bmjopen.bmj.com/content/15/3/e091482.full |
| spellingShingle | Peter D Sly Rachel L Peters Jennifer J Koplin Gulam Khandaker Desalegn Markos Shifti Craig F Munns Mahmudul Hassan Al Imam Diane Maresco-Pennisi Renarta Whitcombe Emergency department presentations related to asthma and allergic diseases in Central Queensland, Australia: a comparative analysis between First Nations Australians and Australians of other descents BMJ Open |
| title | Emergency department presentations related to asthma and allergic diseases in Central Queensland, Australia: a comparative analysis between First Nations Australians and Australians of other descents |
| title_full | Emergency department presentations related to asthma and allergic diseases in Central Queensland, Australia: a comparative analysis between First Nations Australians and Australians of other descents |
| title_fullStr | Emergency department presentations related to asthma and allergic diseases in Central Queensland, Australia: a comparative analysis between First Nations Australians and Australians of other descents |
| title_full_unstemmed | Emergency department presentations related to asthma and allergic diseases in Central Queensland, Australia: a comparative analysis between First Nations Australians and Australians of other descents |
| title_short | Emergency department presentations related to asthma and allergic diseases in Central Queensland, Australia: a comparative analysis between First Nations Australians and Australians of other descents |
| title_sort | emergency department presentations related to asthma and allergic diseases in central queensland australia a comparative analysis between first nations australians and australians of other descents |
| url | https://bmjopen.bmj.com/content/15/3/e091482.full |
| work_keys_str_mv | AT peterdsly emergencydepartmentpresentationsrelatedtoasthmaandallergicdiseasesincentralqueenslandaustraliaacomparativeanalysisbetweenfirstnationsaustraliansandaustraliansofotherdescents AT rachellpeters emergencydepartmentpresentationsrelatedtoasthmaandallergicdiseasesincentralqueenslandaustraliaacomparativeanalysisbetweenfirstnationsaustraliansandaustraliansofotherdescents AT jenniferjkoplin emergencydepartmentpresentationsrelatedtoasthmaandallergicdiseasesincentralqueenslandaustraliaacomparativeanalysisbetweenfirstnationsaustraliansandaustraliansofotherdescents AT gulamkhandaker emergencydepartmentpresentationsrelatedtoasthmaandallergicdiseasesincentralqueenslandaustraliaacomparativeanalysisbetweenfirstnationsaustraliansandaustraliansofotherdescents AT desalegnmarkosshifti emergencydepartmentpresentationsrelatedtoasthmaandallergicdiseasesincentralqueenslandaustraliaacomparativeanalysisbetweenfirstnationsaustraliansandaustraliansofotherdescents AT craigfmunns emergencydepartmentpresentationsrelatedtoasthmaandallergicdiseasesincentralqueenslandaustraliaacomparativeanalysisbetweenfirstnationsaustraliansandaustraliansofotherdescents AT mahmudulhassanalimam emergencydepartmentpresentationsrelatedtoasthmaandallergicdiseasesincentralqueenslandaustraliaacomparativeanalysisbetweenfirstnationsaustraliansandaustraliansofotherdescents AT dianemarescopennisi emergencydepartmentpresentationsrelatedtoasthmaandallergicdiseasesincentralqueenslandaustraliaacomparativeanalysisbetweenfirstnationsaustraliansandaustraliansofotherdescents AT renartawhitcombe emergencydepartmentpresentationsrelatedtoasthmaandallergicdiseasesincentralqueenslandaustraliaacomparativeanalysisbetweenfirstnationsaustraliansandaustraliansofotherdescents |