The Australian Institute of Health and Welfare (AIHW) has published findings that show that over a quarter of Australia’s 8.9 million hospitalisations in 2010-11 necessitated surgery.

 

The bulletin, Surgery in Australian Hospitals 2010-11, provides an overview of the 2.4 million annual hospitalisations, with 1 million occurring in public hospitals and 1.4 million in private hospitals.

 

In the five years to 2011, admissions involving surgery have been rising 2.4% a year in public hospitals and 4.1% a year in private hospitals. But in the last year, annual growth in surgery admissions in public hospitals has outstripped annual growth in private hospitals 2.7% to 2.1%.

 

“This probably reflects a renewed emphasis by all levels of government to reduce elective surgery backlogs in public hospitals”, said AIHW spokesperson Alison Verhoeven.

 

Around 12% of surgery admissions were emergency admissions (requiring surgery within 24 hours). About 83% were elective admissions, with two-thirds of these occurring in private hospitals. A further 4% of surgery-related admissions were childbirth-related and 1% were for ‘other planned care’. 

 

Compared with national rates, Indigenous Australians and people living in remote areas had higher rates of emergency surgery admissions and lower rates of elective surgery admissions.

 

The most common reasons for emergency surgery admission were appendicitis, hip fractures and heart attacks, followed closely by leg fractures.

 

For elective surgery admissions, the most common reasons were cataracts, skin cancers, knee disorders and procreative management (including IVF).

 

Just over 50% of surgery hospitalisations were same-day admissions. For overnight surgery admissions, the average length of stay was around 4 days in public hospitals and 3 days in private hospitals.