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Injury Epidemiology

Jacob B Avraham, Spiros G Frangos, Charles J DiMaggio
BACKGROUND: Firearm-related injuries cause significant morbidity and mortality in the United States (US), consuming resources and fueling political and public health discourse. Most analyses of firearm injuries are based on fatality statistics. Here, we describe the epidemiology of firearm injuries presenting to US emergency departments (EDs). METHODS: We performed a retrospective study of the Healthcare Cost and Utilization Program Nationwide Emergency Department Survey (NEDS) from 2009 to 2012...
October 15, 2018: Injury Epidemiology
Mark R Zonfrillo, Rebecca S Spicer, Bruce A Lawrence, Ted R Miller
BACKGROUND: Injuries are a leading cause of death and acquired disability, and result in significant medical spending. Prior estimates of injury-related cost have been limited by older data, for certain population, or specific mechanisms. FINDINGS: This study estimated the incidence of hospital-treated nonfatal injuries in the United States (US) in 2013 and the related comprehensive costs. Injury-related emergency department (ED) visits and hospitalizations were identified using 2013 Healthcare Cost and Utilization Project (HCUP) data...
October 8, 2018: Injury Epidemiology
Svetla Slavova, Julia F Costich, Huong Luu, Judith Fields, Barbara A Gabella, Sergey Tarima, Terry L Bunn
BACKGROUND: Implementation of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) in the U.S. on October 1, 2015 was a significant policy change with the potential to affect established injury morbidity trends. This study used data from a single state to demonstrate 1) the use of a statistical method to estimate the effect of this coding transition on injury hospitalization trends, and 2) interpretation of significant changes in injury trends in the context of the structural and conceptual differences between ICD-9-CM and ICD-10-CM, the new ICD-10-CM-specific coding guidelines, and proposed ICD-10-CM-based framework for reporting of injuries by intent and mechanism...
October 1, 2018: Injury Epidemiology
Navneet Kaur Baidwan, Susan G Gerberich, Hyun Kim, Andrew D Ryan, Timothy R Church, Benjamin Capistrant
BACKGROUND: Age may affect one's susceptibility to the myriad physical hazards that may pose risks for work-related injuries. Aging workers are not only at risk for work-related injuries but, also, at even higher risk for more severe health and work-related consequences. However, limited longitudinal research efforts have focused on such injuries among the aging workforce. This study aimed to investigate the association between physical work-related factors and injuries among United States (U...
September 24, 2018: Injury Epidemiology
Celestin Missikpode, Corinne Peek-Asa, Daniel V McGehee, James Torner, Wayne Wakeland, Robert Wallace
BACKGROUND: Motor vehicle crashes remain the leading cause of teen deaths in spite of preventive efforts. Prevention strategies could be advanced through new analytic approaches that allow us to better conceptualize the complex processes underlying teen crash risk. This may help policymakers design appropriate interventions and evaluate their impacts. METHODS: System Dynamics methodology was used as a new way of representing factors involved in the underlying process of teen crash risk...
September 17, 2018: Injury Epidemiology
Alexandria J Wiersma, Lina Brou, Sarah K Fields, R Dawn Comstock, Zachary Y Kerr
BACKGROUND: Ankle sprains account for a large proportion of injuries presenting to both United States (US) emergency departments (EDs) as well as high school (HS) and collegiate school athletic training settings. The epidemiologic differences across these settings by both sport and diagnosis have not been well differentiated. Ankle injury data from 3 national surveillance datasets. Athletic training setting data from the National High School Sports-Related Injury Surveillance System and the National Collegiate Athletic Association Injury Surveillance Program was from academic years 2009/10 through 2013/14 and the US Consumer Product Safety Commission's National Electronic Injury Surveillance System (ED setting) data was from calendar years 2009 through 2013...
September 3, 2018: Injury Epidemiology
Matthew C Inscore, Katherine R Gonzales, Christopher P Rennix, Bruce H Jones
BACKGROUND: Acute injuries are a burden on the Military Health System and degrade service members' ability to train and deploy. Long-term injuries contribute to early attrition and increase disability costs. To properly quantify acute injuries and evaluate injury prevention programs, injuries must be accurately coded and documented. This analysis describes how the transition from International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to the Tenth Revision (ICD-10-CM) impacted acute injury surveillance among active duty (AD) service members...
August 20, 2018: Injury Epidemiology
Suliman Alghnam, Jawaher Towhari, Mohamed Alkelya, Abdulaziz Binahmad, Teresa Maria Bell
BACKGROUND: Because Saudi Arabia (SA) has struggled with the burden of Road Traffic Injuries (RTIs) for decades, a new automated citations system was implemented in 2018 to improve compliance with seatbelt and mobile phone laws. Therefore, the purpose of this study is to evaluate the impact of the system on the prevalence of seatbelt and mobile phone use among drivers in Riyadh. This is an observational study conducted between 2017 and 2018. A Pre-Post evaluation was employed to determine the impact of a camera detection system on seatbelt and mobile phone use...
August 6, 2018: Injury Epidemiology
Giulia Lorenzoni, Danila Azzolina, Nicola Soriani, Marco Galadini, Flavia Carle, Dario Gregori
BACKGROUND: Choking injuries in children are a significant public health problem. The present study was aimed at examining the epidemiologic patterns of choking injuries in children using Italian official data from hospital discharge records. METHODS: Hospital discharge records (from 2001 to 2013) reporting cases of choking injuries corresponding to the ICD-9 CM codes 933 ("Foreign body in pharynx and larynx"), 934 ("Foreign body in trachea, bronchus, and lung"), and fourth digit specifications (933...
August 1, 2018: Injury Epidemiology
Lauren A Pierpoint, Cynthia R LaBella, Christy L Collins, Sarah K Fields, R Dawn Comstock
BACKGROUND: Sports injuries impose physical and economic burdens on high school athletes, yet only 37% of high schools have access to a fulltime certified athletic trainer (AT). Although intuitively there are multiple benefits of AT coverage, research demonstrating the measurable effect of AT coverage on rates and patterns of injury is limited. Our objective was to investigate the epidemiology of girls' basketball and soccer injuries in high schools with and without an AT. METHODS: We compared data captured by two similar sports injury surveillance systems during the 2006/07-2008/09 academic years...
July 16, 2018: Injury Epidemiology
Zachary Y Kerr, Johna K Register-Mihalik, Juliet Haarbauer-Krupa, Emily Kroshus, Vivian Go, Paula Gildner, K Hunter Byrd, Stephen W Marshall
Behavioral interventions to increase disclosure and proper management of concussion in youth sports have unrealized potential when it comes to preventing concussion. Interventions have focused on changing individual athlete behavior and have fallen short of the potential for sustained systemic behavioral change. One potentially critical reason for this shortfall is that other key determinants of risk behaviors at all levels of the socio-ecological model (e.g. interpersonal, community, policy) are not addressed in extant programming...
July 9, 2018: Injury Epidemiology
W S Witt, T L Bunn, S Slavova
BACKGROUND: Private and Public security and law enforcement (SLE) sectors perform multiple overlapping job duties. METHODS: Workers' compensation (WC) SLE first reports of injury (FROI) data (2005-2015) were analyzed to describe injuries, identify differences in awarded WC benefits, and compare the probability of a FROI resulting in awarded benefits between Public and Private SLE. A Pearson's chi-square test was utilized and reverse selection logistic regression was performed to estimate the odds ratio that a FROI would result in an awarded benefit for Private vs...
July 2, 2018: Injury Epidemiology
Vincent Gouttebarge, Haruhito Aoki, Gino M M J Kerkhoffs
BACKGROUND: As a consequence of severe knee injuries, knee osteoarthritis (OA) seems prevalent in retired professional footballers. However, some epidemiological data remain missing, for instance whether knee OA is also prevalent in current professional footballers, whether knee OA is associated with knee injuries and surgeries, and whether knee OA leads to a lower level of functioning. Therefore, three research questions were answered: (i) what is the prevalence of knee osteoarthritis (OA) among current and retired professional footballers? (ii) is severe knee injury or knee surgery associated with knee OA among current and retired professional footballers? (iii) what are the consequences of knee OA on physical knee function among current and retired professional footballers? METHODS: An observational study based on a cross-sectional design by means of questionnaires was conducted...
June 18, 2018: Injury Epidemiology
Reidar P Lystad, Stephen J Strotmeyer
BACKGROUND: Muay Thai kickboxing is a full-contact combat sport with a high incidence of head trauma, yet little is known about these athletes' concussion knowledge and attitudes. This study aims to describe and quantify concussion knowledge, attitudes, and reporting intention among adult competitive Muay Thai kickboxing athletes. RESULTS: This cross-sectional study comprised 193 competitive Muay Thai kickboxing athletes aged ≥18 years registered with the Thai Boxing Association Sanctioning Authority...
June 11, 2018: Injury Epidemiology
Isaac G Freedman, Ellen Kim, Peter A Muennig
BACKGROUND: Autonomous vehicles (AVs) will radically re-shape the health and well-being of people in the United States in good ways and bad. We set out to estimate a reasonable time-to-adoption using cost-effectivenessmodels to estimate the point at which AVs become reasonably safe and affordable for widespread adoption. METHODS: We used Waymo data (previously, Google Self-Driving Car Project) and a microsimulation model to explore projected costs and safety issues today and five years from today to get a sense of the speed of consumer adoption were AVs brought to the market...
June 4, 2018: Injury Epidemiology
Katherine J Harmon, Scott K Proescholdbell, Johna Register-Mihalik, David B Richardson, Anna E Waller, Stephen W Marshall
BACKGROUND: Sports and recreational activities are an important cause of injury among children and youth, with sports-related traumatic brain injuries (TBIs) being of particular concern given the developing brain. This paper reports the characteristics of sport and recreation-related (SR) emergency department (ED) visits among school-age children and youth in a statewide population. METHODS: This study included all injury-related visits made to all North Carolina 24/7 acute-care civilian hospital-affiliated EDs by school-age youth, 5-18 years of age, during 2010-2014 (N = 918,662)...
May 15, 2018: Injury Epidemiology
Kelly R Evenson, Seth LaJeunesse, Stephen Heiny
BACKGROUND: Vision Zero is a strategy to eliminate all fatalities and serious injuries from road traffic crashes, while increasing safe and equitable mobility for all. In 2015, the United States' Department of Transportation announced the official target of the federal government transportation safety policy was zero deaths. In 2017, we assessed the dissemination of Vision Zero in the United States. METHODS: We conducted a web-based survey in 2017 among road safety professionals...
May 8, 2018: Injury Epidemiology
Masatoshi Amako, Yoshiyuki Yato, Yasuo Yoshihara, Hiroshi Arino, Hiroshi Sasao, Osamu Nemoto, Tomohito Imai, Atsushi Sugihara, Satoshi Tsukazaki, Yutaka Sakurai, Koichi Nemoto
BACKGROUND: The epidemiological patterns of musculoskeletal injuries or disorders in military personnel have not been well documented and a better understanding is required for proper preventative measures and treatment. Here, we investigated musculoskeletal injuries or disorders among members of the Japan Self-Defense Forces. METHODS: All orthopedic patients (n = 22,340) who consulted to Japan Self-Defense Forces Hospitals were investigated for their type of injury or disorder, the injured body part, the mechanism, and the cause of injuries...
May 1, 2018: Injury Epidemiology
Chien-Hsing Wang, Wan-Hua Hsieh, Fu-Wen Liang, Tsung-Hsueh Lu
BACKGROUND: Although many epidemiological studies have presented road traffic injuries (RTIs) according to the victim's mode of transport, very few have mentioned the mode of transport of the victim's counterparts. We sought to use matrix frame to present the pattern of RTIs based on the International Classification of Diseases, Tenth Revision (ICD-10) codes. METHODS: Patients admitted to Hualien Tzu Chi Hospital, Taiwan, for RTIs from January 1, 2013 to December 31, 2016 were included...
April 23, 2018: Injury Epidemiology
Gerald S Poplin, Stephanie Griffin, Keshia Pollack Porter, Joshua Mallett, Chengcheng Hu, Virginia Day-Nash, Jefferey L Burgess
BACKGROUND: This study evaluated the efficacy of a fire department proactive risk management program aimed at reducing firefighter injuries and their associated costs. METHODS: Injury data were collected for the intervention fire department and a contemporary control department. Workers' compensation claim frequency and costs were analyzed for the intervention fire department only. Total, exercise, patient transport, and fireground operations injury rates were calculated for both fire departments...
April 16, 2018: Injury Epidemiology
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