EEDI Descriptive Data:

Results for Hutt DHB

Hutt DHB

Te Awakairangi

Population/socio-demographic characteristics (all ED events data).

  • Year
    • ED events per year have increased over time for both Māori (12.6% to 15.8%) and non-Māori (12.6% to 15.9%, 2006-2012).

  • Gender
    • The gender profile associated with all ED events was similar for Māori (51.1% males and 48.9% females) and non-Māori (51.2% males and 48.8% females).
  • Age
    • A higher proportion of Māori ED events were seen in the younger age groups, compared to non-Māori, particularly those aged 0-4 years (16.3% versus 9.0%) and 15-24 years (23.3% versus 15.7%). In comparison, a higher proportion of non-Māori ED events were seen in the older age groups, particularly those aged ≥75 (12.4% versus 1.6%).

  • NZDep06
    • 56.7% of all Māori ED events were from the 3 most deprived deciles compared to 34.9% of non-Māori ED events.
    • The highest proportion of Māori ED events were from decile 10 (24.8%) and the highest proportion of non-Māori ED events were from decile 7 (20.5%).
    • The lowest proportion of ED events for both Māori and non-Māori were from decile 4 (1.7% versus 3.1%).

Characteristics of presentation (all ED events data).

  • Arrival mode
    • Non-Māori had a higher proportion of arrival into ED via ambulance, police and helicopter compared to Māori (24.5% versus 18.0%).
  • Referral type
    • 8.9% of Māori ED events were via general practitioner compared to 12.8% of non-Māori ED events.
    • 1.3% of both Māori and non-Māori ED events were via hospital transfer.
    • Māori ED events had a higher proportion of self-referral compared to non-Māori (70.9% versus 61.0%).
  • Triage category
    • 0.4% of both Māori and non-Māori ED events were triaged to be seen immediately.
    • A slightly higher proportion of non-Māori ED events were triaged to be seen within 10 minutes compared to Māori (9.7% versus 8.1%).
    • A similar proportion of Māori and non-Māori ED events were triaged to be seen within 30 minutes (30.7% versus 31.8%).
    • A slightly higher proportion of Māori ED events were triaged to be seen within a longer timeframe compared to non-Māori. i.e. 60 minutes (44.2% versus 42.8%) and 120 minutes (16.6% versus 15.4%).

Predictors/markers of care (First ED events data, average/mean).

  • The average ED arrival to assessment time for Māori patients was 78 mins compared to 75 mins for non-Māori.
  • The ED LOS (Length of Stay) for Māori patients was 163 mins compared to 170 mins for non-Māori.
  • The ward LOS for Māori patients was 63 hours compared to 89 hours for non-Māori.
  • 6% of Māori patients encountered access block compared to 8% of non-Māori patients.
  • 0.2% of Māori patients died in ED or within 10 days of ED discharge compared to 0.5% of non-Māori patients.
  • 5% of both Māori and non-Māori patients re-presented at ED within 72 hours of ED/ward discharge.
  • 3% of both Māori and non-Māori patients had a hospital readmission within 72 hours of ED/ward discharge.

Regression models (First ED events data).

After controlling for year, gender, age at presentation, triage category, NZDep decile, and M3 Index score:

  • The odds of access block for Māori patients is 1.1 times the odds of access block for non-Māori patients.
  • The odds of ED re-presentation within 72 hours of ED/ward discharge for Māori patients is 1.0 times the odds of re-presentation for non-Māori patients.
  • The odds of hospital readmission within 72 hours of ED/ward discharge for Māori patients is 1.0 times the odds of readmission for non-Māori patients.
  • The odds of death for Māori patients in ED or within 10 days of ED discharge is 1.7 times the odds of death for non-Māori patients.