Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
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The Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) is an emergency department-based injury surveillance system that was devised in Canada and has been in operation since 1990. CHIRPP was imported to Glasgow's Royal Hospital for Sick Children at Yorkhill in 1996 and ran for 10 years. ⋯ Y-CHIRPP was, at best, a partial success. To maintain the viability of an injury surveillance system and to secure the long-term support of hospital staff, it is important that the system is perceived as an injury prevention service tool and not a research method. Experience with Y-CHIRPP suggests that injury surveillance requires three supporting posts: an emergency department staff member, a data analyst, and someone with responsibility for developing and/or lobbying for the implementation of preventive measures.
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To examine recent trends and geographic variations in road-traffic deaths in China. ⋯ China's government should introduce and support measures to prevent road-traffic injuries. Developed and underdeveloped provinces in China should both be considered when road-traffic policy and interventions are developed.
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Multicenter Study
Unintentional pediatric submersion-injury-related hospitalizations in the United States, 2003.
The objective of this study was to examine the demographic characteristics and hospital resource utilization of submersion-injury-related hospitalizations among persons < or =20 years of age in the USA in 2003. All 1475 pediatric submersion-injury-related hospital discharges in the Kids' Inpatient Database were identified by ICD-9-CM diagnosis code or external cause of injury code. These cases represent an estimated 2490 pediatric submersion-injury-related hospitalizations nationwide. ⋯ Children aged 0-4 years had the highest rate of hospitalization (7.7 per 100,000 persons). Children with permanent submersion-injury-related morbidity accounted for 5.8% of hospital admissions and 37.3% of hospital costs in our study, and children with submersion-injury-related in-hospital death accounted for 11.6% of hospital admissions and 20.0% of hospital costs in our study. Prevention of submersion injury using focused, proven strategies deserves increased attention.
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Identifying work-related injuries from hospitalization data is not straightforward. How a work-related injury, either acute or non-acute, is defined will affect injury enumeration, injury burden estimates, and subsequent priority setting for prevention activity. ⋯ Case-selection criteria adopted to identify work-related hospitalized injuries should be carefully considered. It is recommended that inclusion of certain musculoskeletal conditions that are likely to arise from repetitive minor trauma over time (ie non-acute injuries) should be considered in calculating the estimate of the burden of all work-related hospitalized injuries.