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Table 4 Epidemiological studies from the UK – injuries in young people

From: A review of injury epidemiology in the UK and Europe: some methodological considerations in constructing rates

Author and date Type of study/data source Population
Level of severity Epidemiological observation Major findings Epidemiological shortcomings
Roberts et al., 1998 [42] analytical study/Office for National Statistics children and teenagers
England and Wales
deaths proportions by age, gender, type, cause, trends; rates by socio-economic classes, RR (manual/non-manual), correlation homicide and deaths of undetermined intent 1980–1995 declining trends for unintentional injury (16 to 7/100,000) and no declining trends for intentional injury (2/100,000); socioeconomic gradients (e.g. homicide rate social class V is 17 times higher than for children social class I) Data on deaths only
Roberts et al., 1998 [48] descriptive study/Office for National Statistics; NHS data children and teenagers
England and Wales
deaths, hospitalization proportions, rates by age and cause, trends of mortality rates and costs 1992 8.6 deaths/100,000 (unintentional injuries); 1.2 deaths/100,000 (intentional)
Socioeconomic gradients, declining trends for unintentional injury 1980–1995
Few data on morbidity – no population based rates
DiGuiseppi et al., 1998 [44] descriptive study/Office for National Statistics teenagers
England and Wales
deaths proportions and trends of rates per mile travelled by gender, type road user Travel patterns responsible for (32%) decline in teenage rates 1985–1995; declines in motorcycling (12.1 to 2.5 boys; 1.4 to 0.0 girls), walking (3.2 to 2.1 boys; 1.8 to 0.6 girls) and cycling activities (1.7 to 1.1 boys; 0.4 to 0.1 girls) rates per 100,000 Data on deaths only, focused on road traffic injuries; no population based rates for all injuries
Roberts et al., 1996 [45] analytic study
Major Trauma Outcome Study
patients (0–24y)/3320 England, Wales, Northern Ireland deaths, hospitalization proportions by cause, type, severity (ISS ≥ 16), case fatality, trends in odds of death 1989–1995 16% decline per year of odds of deaths; case fatality (ISS ≥ 16) 50 to 8.8% 0–4y; 29.5 to 16.2% 5–14y; 29.7 to 20.4% 15–24y.; role of hospital care in the reduction of trauma mortality in young people Data on blunt trauma only; no population based rates; analysis focused on mortality (ISS ≥ 16); pre-hospital deaths not available