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Table 9 Epidemiological studies from Europe – injuries in the general population

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
van der Sluis et al., 1996 [85] descriptive study/University Hospital Groningen data youth (20–29 y) and elderly (>60 y)
Groningen, The Netherlands
hospitalization proportions by severity (ISS), age, gender, cause, body region, process of care (e.g. length of stay), outcome (disability, died, vegetative state) 1985–1990 (injuries ISS ≥ 16) RTC leading cause 76.6 vs. 79.3% young vs. elderly; 19.6 vs. 38.8% mortality in young vs. elderly patients
100% mortality in elderly with ISS ≥ 50
No population based rates; only injuries ISS ≥ 16
van Beeck
et al., 1998 [84]
descriptive study/Road Traffic Accident Registry; Occupational Registry; National Medical Registry; Dutch Central Bureau of Statistics general population
The Netherlands
deaths, hospitalization and A&E proportions and rates by cause, location, trends of crude/standardized mortality, incidence and case-fatality rates, exposure/injury risk 1950–1995 (several data sources)
Mortality upward trend (1950–1970), downward trend until mid 80s then diminishes; all changes reflecting trends in incidence and case-fatality rates.
Role of trauma care, preventive measures, economic & autonomous factors (cultural, demographical and technological trends)
Injury severity defined by case fatality within broad classes, e.g. intracranial injuries; internal injuries organs in the chest
Kannus et al., 2001 [88] descriptive study/National Hospital Discharge Register adults (>15 y)/5 million
Finland
hospitalization proportions and rates crude/standardized by gender, cause, mechanism, trends of incidence rates Changes in the profile of injury (1971–1995) with falls as the leading cause for both men and women
1995 falls age adjusted incidence rate male/female 635/689 per 100,000
No information on severity; serious injuries defined by those requiring hospitalisation
Kannus et al., 2005 [87] descriptive study/Finnish Official Cause of Death Statistics adults (>15 y)/3.5 million (1971)
4.3 million (2003)
Finland
deaths rates crude/standardized by age, gender, cause, trends of mortality rates Changes in the unintentional injury deaths (1971–2003) with falls replacing RTC as the leading cause
1971–2003 falls age adjusted death rate male/female 18–24/30-18 per 100,000
Data on deaths only; unintentional injuries
Sahlin et al., 1990 [81] descriptive study/Trondheim hospital records and questionnaire data; general practice data general population
Trondheim, Norway
hospitalization general practitioners visits proportions by severity (AIS code, 1976), body region, location; rates by age, gender, type 1985/1986 incidence rate 11400 per 100,000 persons; 0.4% of all injury – fatal; 9% of all injury – hospitalised
Home accidents leading cause for injuries (39%) followed by RTC (15%)
RTC leading cause for fatal accidents (42%)
1 year study and one geographical region only