How adequate are emergency department home and leisure injury surveillance systems for cross-country comparisons in Europe?
| Autor: | Eduard F. van Beeck, Suzanne Polinder, Hidde Toet, Saakje Mulder, Eleni Petridou, Ronan A Lyons, Willem Jan Meerding |
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| Přispěvatelé: | Public Health |
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Adolescent Databases Factual Poison control Suicide prevention Occupational safety and health Young Adult Leisure Activities Environmental health Health care Injury prevention Medicine Humans Child Aged Aged 80 and over business.industry Incidence (epidemiology) Public Health Environmental and Occupational Health Infant Newborn Human factors and ergonomics Infant Emergency department Middle Aged medicine.disease Europe Accidents Home Child Preschool Population Surveillance Wounds and Injuries Female Medical emergency business Emergency Service Hospital Safety Research |
| Zdroj: | International Journal of Injury Control and Safety Promotion, 17(1), 13-22. Taylor & Francis Ltd |
| ISSN: | 1745-7300 |
| Popis: | The objective of this study was to assess whether the emergency department (ED) injury surveillance systems in Europe are suitable for cross-country comparisons. For this, the ED injury surveillance systems in Austria, Denmark, Greece, Ireland, the Netherlands, Norway and the UK (England, Wales) were considered. Standardised injury incidence and healthcare utilisation indices were calculated and the influence of measurement bias due to data collection and sampling differences, as well as trauma policy and health systems characteristics were assessed. The results showed that there was an over 3-fold variation of the grossly estimated incidence for home and leisure injuries (HLIs), with the highest values observed in England and Greece (111 and 104 per 1000 person years), and the lowest in Ireland and the Netherlands (27 and 48 per 1000 person years). The ranking of countries changed, however, when only injuries with an inherent need for ED treatment were considered (selected radiological verifiable fractures) with Austria topping the table followed by Greece and England. Thus, it is concluded that the naive use of ED injury surveillance systems for cross-country comparisons should be discouraged, as this is subject to measurement bias. Nevertheless, the observed variation in the healthcare utilisation and injury incidence, particularly among children and older people, indicates the potential to reduce the burden of HLI in Europe. |
| Databáze: | OpenAIRE |
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