کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
573657 877405 2008 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
International variation in clinical injury incidence: Exploring the performance of indicators based on health care, anatomical and outcome criteria
موضوعات مرتبط
مهندسی و علوم پایه مهندسی شیمی بهداشت و امنیت شیمی
پیش نمایش صفحه اول مقاله
International variation in clinical injury incidence: Exploring the performance of indicators based on health care, anatomical and outcome criteria
چکیده انگلیسی

ObjectiveTo analyse international variation in clinical injury incidence, and explore the performance of different injury indicators in cross-country comparisons.MethodsHospital discharge data of seven European countries (Austria, Denmark, Ireland, Netherlands, Norway, England and Wales) were analysed. We tested existing and newly developed indicators based on (a) health care use, (b) anatomical criteria, or (c) expected health outcome: admissions excluding day-cases (a), hospital stay 4+ (a) and 7+ days (a), (serious) long-bone fractures (b), selected radiological verifiable fractures ‘SRVFs’ (b), and indicators based on international (Global Burden of Disease) and Dutch disability weights). Assessment criteria were reduction in incidence variation and length of stay in hospital, and the association between incidence and mortality rates.ResultsIndicators based on health care use led to increased variation in incidence rates. Long bone fractures and SRVFs, and both indicators based on injuries with moderate to high disability showed similar variation in clinical incidence compared to the crude rates, smaller variation in median length of stay in hospital and a good association with mortality rates.ConclusionNo perfect or near perfect indicators of clinical injury incidence exist. For international comparisons, indicators based on disability weights, SRVFs and long bone fractures may be sensible indicators to use, in the absence of a direct measure of anatomical severity.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Accident Analysis & Prevention - Volume 40, Issue 1, January 2008, Pages 182–191
نویسندگان
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