Using routine accident and emergency department data to describe local injury epidemiology

Gorman,; Ramsay, L. J.; Wilson, Glenn D.; Freeland, P.

doi:10.1016/s0033-3506(99)00181-x

Cited by 24 publications

(15 citation statements)

References 6 publications

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“…Most studies in which data have been analyzed according to sex have shown that both fatal and nonfatal injuries occurred more frequently among males than females [20,21]. The overall mortality rate in our study was 3.8%, similar to that reported by Murray et al [22] and close to the 4% reported by Bulut et al [16] and the 2% reported by Meller and Shermeta [23].…”

Section: Discussionsupporting

confidence: 89%

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Sogut

2011

J Curr Surg

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Section: Discussionsupporting

confidence: 89%

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Sogut

2011

J Curr Surg

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“…Sports injuries are comparable to traffic, home, and occupational accidents in the attendance to an accident and emergency (A&E) department 9 , and are more commonly sustained by male 12 and adolescent 1 athletes. Ankle injury accounted for more than 10% of all sports injuries 11 , in which 80% or more were ligamentous sprain injuries 10 .…”

Section: Introductionmentioning

confidence: 99%

Sport-related ankle injuries attending an accident and emergency department

Fong

Man

Yung

et al. 2008

Injury

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Introduction: This study investigated the sport-related ankle injuries attending an accident and emergency (A&E) department during a one-year period.Methods: A total of 1,715 sports injuries cases attending an A&E department from 1 January 2005 to 31 December 2005 were prospectively recorded. Details of each classified case were recorded in a computerized record system by the triage nurse. At the end of the study period, all sport-related ankle injury cases were analyzed.Results: A total of 240 sport-related ankle injury cases were reported. Most cases were sustained from basketball (32.9%), soccer (31.7%) and hiking (5.8%) sports. The majority of the cases was ligamentous sprains (81.3%) and fractures (10.4%). The mean age of all patients was 24.6 years (SD = 12.3). Four fifths (80.4%) were male patients. All cases were not life threatening. Most cases (99.2%) were referred to Orthopaedics specialty. Radiography was routinely employed in 99.2% of the cases. Ligamentous sprains were mostly sustained in basketball (37.4%) and soccer (28.7%), and were often treated with bandaging (60.0%) and analgesics (48.7%). Most cases were discharged with or without referral to physiotherapy and specialty clinic (95.4%). Fractures were mostly sustained in soccer (52.0%), basketball (20.0%) and hiking (16.0%), and were very often admitted to hospital wards (84.0%). The estimated A&E attendance rate for all sports injuries, ankle injuries, ligamentous sprains and fractures were 1.68, 0.24, 0.19 and 0.02/1000 person-year.Conclusions: The results of this study together with the previous study on ankle sprain epidemiology suggested the following sports ankle injury pattern in Hong Kong -major and serious ankle ligamentous sprains and fractures were sustained from basketball, soccer and hiking, leading to A&E attendance, while minor sprains were sustained in running and jogging and racquet sports. We suggested that the Sports medicine specialists in Hong Kong should emphasize the ankle injury prevention strategies in these sports. CONFLICT OF INTEREST STATEMENTThe authors declare no conflict of interest, including financial and personal relationships with other people, or organisations, that could inappropriately influence (bias) our work, all within 3 years of the beginning the work submitted. Conflict of Interest Statement Cover LetterDear Editor of Injury, REF: Submission of manuscript titled "Sport-related ankle injuries attending an accident and emergency department".We would like to submit the mentioned manuscript as an Original Article to Injury.Prof Kai-Ming CHAN (email: kaimingchan@cuhk.edu.hk) will be the corresponding author. We declare no conflict of interest, including financial and personal relationships with other people, or organisations, that could inappropriately influence (bias) our work, all within 3 years of the beginning the work submitted. The material within has not been and will not be submitted for publication elsewhere except as an Listed below are some of the comments made by the reviewers/edito...

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“…There is conflicting evidence about socioeconomic gradients in injury morbidity in childhood. Some studies measuring use of health services have found higher rates of injury among children living in disadvantaged areas,3 – 9 but others have failed to find an association 10 – 14. However, factors other than injury occurrence are likely to influence use of health services, such as proximity to hospital, 10 12 admission policies, and deprivation.…”

Section: Introductionmentioning

confidence: 99%

Cross sectional survey of socioeconomic variations in severity and mechanism of childhood injuries in Trent 1992-7

Hippisley‐Cox¹

2002

BMJ

174

103

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Objective To determine the relation between morbidity from injury and deprivation for different levels of injury severity and for different injury mechanisms for children aged 0-14 years. Design Cross sectional survey of routinely collected hospital admission data for injury 1992-7. Setting 862 electoral wards in Trent Region. Subjects 21 587 injury related hospital admissions for children aged 0-4 years and 35 042 admissions for children aged 5-14. Main outcome measures Rate ratios for hospital admission for all injuries, all injuries involving long bone fracture, and all injuries involving long bone fracture requiring an operation; rate ratios for hospital admission for six types of injury mechanism divided by quintiles of the electoral wards' Townsend scores for deprivation. Rate ratios calculated by Poisson regression, with adjustment for distance from nearest hospital admitting patients with injuries, rurality, ethnicity, and percentage of males in each electoral ward. Results Both total number of admissions for injury and admissions for injuries of higher severity increased with increasing socioeconomic deprivation. These gradients were more marked for 0-4 year old children than 5-14 year olds. In terms of injury mechanisms, the steepest socioeconomic gradients (where the rate for the fifth of electoral wards with the highest deprivation scores was >3 times that of the fifth with the lowest scores) were for pedestrian injuries (adjusted rate ratio 3.65 (95% confidence interval 2.94 to 4.54)), burns and scalds (adjusted rate ratio 3.49 (2.81 to 4.34)), and poisoning (adjusted rate ratio 2.98 (2.65 to 3.34)). Conclusion There are steep socioeconomic gradients for injury morbidity including the most common mechanisms of injury. This has implications for targeting injury prevention interventions and resources.

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Using routine accident and emergency department data to describe local injury epidemiology

Cited by 24 publications

References 6 publications

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Sport-related ankle injuries attending an accident and emergency department

Cross sectional survey of socioeconomic variations in severity and mechanism of childhood injuries in Trent 1992-7

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