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

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Maclennan, B., Wyeth, E., Hokowhitu, B., Wilson, S. & Derrett, S. 2013. Injury severity and 3-month outcomes among Māori: Results from a New Zealand prospective cohort study. The New Zealand Medical Journal, 126 (1379), 39-49.

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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 Māori 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 Māori ethnicity (n=566) were included in the Māori 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 Māori due to injury.

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http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/version/c_970fb48d4fbd8a85

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© 2013 New Zealand Medical Association. This version of this article is open access and can be downloaded and shared. The original author(s) and source must be cited.

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en

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