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Table 7 Epidemiological studies from Europe – childhood and teen injuries

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
(denominator)/size
Level of severity Epidemiological observation Major findings Epidemiological shortcomings
Brudvik., 2000 [76] descriptive study/Haukeland University Discharge Register children<16y/227250
Bergen
Norway
hospitalization and A&E proportions by gender, body region, cause, circumstances of injury; rates by age, cause 1998 Annual injury incidence 9% preschool children/13% school children
head injury (51%) in preschool children
upper extremity injury (46%) in school children
63% of injuries occurs outdoors
No information on severity;
1 year study and one geographical region only
Mattila et al., 2005 [69] descriptive study/Finnish Official Cause of Death Statistics adolescents (10–19y)/0.8 million (1971) -
0.6 million (2002)
Finland
deaths proportions and rates by age, gender, year, trends of mortality rates 1971–2002 decline in death rates from 43.0 to 19.9 per 100,000; decline in RTC; no changes in intentional deaths Data on deaths only
Parkkari et al., 2000 [71] descriptive study/Finnish Official Cause of Death Statistics; National Hospital Discharge Register children
(0–14y)/1.1 million (1971) -
0.9 million (1995)
Finland
deaths, hospitalization rates and proportions by age, gender, cause type, year; trends of incidence and mortality rates 1971–1995 decline of incidence fatal injury rates (per 100,000): 20.1 to 4.6 (girls)/36.7 to 9.3 (boys); 1995 causes of deaths: 41% RTC, 24% intentional injuries, 12% drowning; little change non-fatal injuries rates No information on severity; serious injuries defined by those requiring hospitalisation
Stefansdottir & Mogensen, 1997 [70] descriptive (retrospective) study/Reykjavik City Hospital data children
(0–14y)/20756
Reykjavik, Iceland
deaths, hospitalization and A&E proportions by age; rates by age, gender and trends of incidence rates 1974–1991
Total incidence rate 760 per 100,000/year
1987–1991
Mortality rate 6.5 per 100,000/year
No information on severity; one geographical region only
van der Voorde et al., 2008
[72]
descriptive study/PaEdiatric Network around Trauma children
(0–17y)/1.2 million
Flanders, Belgium
deaths,
hospitalization and A&E
proportions by age, gender, cause, severity (ISS), type, body region, location and injury circumstances, process of care (e.g., waiting time); rates by cause 2005
11900/100,000 all A&E injury rate;
1150/100,000 A&E traffic accidents rate
84.3% blunt injuries,
40.6% home injuries, 53.8% sport injuries
37.3% of all injuries have ISS>8
No population based rates of major trauma (ISS>15), 'severe trauma' defined by length of hospital stay>48 hours, including all non-survivors, 1 year study, and one geographical region only; analysis based on 21.9% sample