Spatiotemporal mapping of major trauma in Victoria, Australia.

<h4>Background</h4>Spatiotemporal modelling techniques allow one to predict injury across time and space. However, such methods have been underutilised in injury studies. This study demonstrates the use of statistical spatiotemporal modelling in identifying areas of significantly high in...

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Main Authors: Ben Beck, Andrew Zammit-Mangion, Richard Fry, Karen Smith, Belinda Gabbe
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0266521&type=printable
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author Ben Beck
Andrew Zammit-Mangion
Richard Fry
Karen Smith
Belinda Gabbe
author_facet Ben Beck
Andrew Zammit-Mangion
Richard Fry
Karen Smith
Belinda Gabbe
author_sort Ben Beck
collection DOAJ
description <h4>Background</h4>Spatiotemporal modelling techniques allow one to predict injury across time and space. However, such methods have been underutilised in injury studies. This study demonstrates the use of statistical spatiotemporal modelling in identifying areas of significantly high injury risk, and areas witnessing significantly increasing risk over time.<h4>Methods</h4>We performed a retrospective review of hospitalised major trauma patients from the Victorian State Trauma Registry, Australia, between 2007 and 2019. Geographical locations of injury events were mapped to the 79 local government areas (LGAs) in the state. We employed Bayesian spatiotemporal models to quantify spatial and temporal patterns, and analysed the results across a range of geographical remoteness and socioeconomic levels.<h4>Results</h4>There were 31,317 major trauma patients included. For major trauma overall, we observed substantial spatial variation in injury incidence and a significant 2.1% increase in injury incidence per year. Area-specific risk of injury by motor vehicle collision was higher in regional areas relative to metropolitan areas, while risk of injury by low fall was higher in metropolitan areas. Significant temporal increases were observed in injury by low fall, and the greatest increases were observed in the most disadvantaged LGAs.<h4>Conclusions</h4>These findings can be used to inform injury prevention initiatives, which could be designed to target areas with relatively high injury risk and with significantly increasing injury risk over time. Our finding that the greatest year-on-year increases in injury incidence were observed in the most disadvantaged areas highlights the need for a greater emphasis on reducing inequities in injury.
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spelling doaj-art-9df2eafdd49c45b8b2e6d0dcb7ac82a12025-08-20T03:44:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01177e026652110.1371/journal.pone.0266521Spatiotemporal mapping of major trauma in Victoria, Australia.Ben BeckAndrew Zammit-MangionRichard FryKaren SmithBelinda Gabbe<h4>Background</h4>Spatiotemporal modelling techniques allow one to predict injury across time and space. However, such methods have been underutilised in injury studies. This study demonstrates the use of statistical spatiotemporal modelling in identifying areas of significantly high injury risk, and areas witnessing significantly increasing risk over time.<h4>Methods</h4>We performed a retrospective review of hospitalised major trauma patients from the Victorian State Trauma Registry, Australia, between 2007 and 2019. Geographical locations of injury events were mapped to the 79 local government areas (LGAs) in the state. We employed Bayesian spatiotemporal models to quantify spatial and temporal patterns, and analysed the results across a range of geographical remoteness and socioeconomic levels.<h4>Results</h4>There were 31,317 major trauma patients included. For major trauma overall, we observed substantial spatial variation in injury incidence and a significant 2.1% increase in injury incidence per year. Area-specific risk of injury by motor vehicle collision was higher in regional areas relative to metropolitan areas, while risk of injury by low fall was higher in metropolitan areas. Significant temporal increases were observed in injury by low fall, and the greatest increases were observed in the most disadvantaged LGAs.<h4>Conclusions</h4>These findings can be used to inform injury prevention initiatives, which could be designed to target areas with relatively high injury risk and with significantly increasing injury risk over time. Our finding that the greatest year-on-year increases in injury incidence were observed in the most disadvantaged areas highlights the need for a greater emphasis on reducing inequities in injury.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0266521&type=printable
spellingShingle Ben Beck
Andrew Zammit-Mangion
Richard Fry
Karen Smith
Belinda Gabbe
Spatiotemporal mapping of major trauma in Victoria, Australia.
PLoS ONE
title Spatiotemporal mapping of major trauma in Victoria, Australia.
title_full Spatiotemporal mapping of major trauma in Victoria, Australia.
title_fullStr Spatiotemporal mapping of major trauma in Victoria, Australia.
title_full_unstemmed Spatiotemporal mapping of major trauma in Victoria, Australia.
title_short Spatiotemporal mapping of major trauma in Victoria, Australia.
title_sort spatiotemporal mapping of major trauma in victoria australia
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0266521&type=printable
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