Appropriate indicators for injury control?

McClure, RJ, Peel, N, Kassulke, D and Neale, R (2002) Appropriate indicators for injury control?. Public Health, 116 5: 252-256. doi:10.1038/sj.ph.1900859


Author McClure, RJ
Peel, N
Kassulke, D
Neale, R
Title Appropriate indicators for injury control?
Journal name Public Health   Check publisher's open access policy
ISSN 0033-3506
ISBN 10033-3506
Publication date 2002-01-01
Sub-type Article (original research)
DOI 10.1038/sj.ph.1900859
Volume 116
Issue 5
Start page 252
End page 256
Total pages 5
Editor P. Mackie
F. Sim
Place of publication London
Publisher Nature Publishing Group
Language eng
Subject C1
321299 Public Health and Health Services not elsewhere classified
730220 Injury control
Abstract Indicators are valuable tools used to measure progress towards a desired health outcome. Increased awareness of the public health burden due to injury has lead to a concomitant interest in monitoring the impact of national initiatives that aim to reduce the size of the burden. Several injury indicators have now been proposed. This study examines the ability of each of the suggested indicators to reflect the nature and extent of the burden of non-fatal injury. A criterion validity, population-based, prospective cohort study was conducted in Brisbane, a sub-tropical Metropolitan City on the eastern seaboard of Australia, over a 12-month period between 1 January and 31 December 1998. Neither the presence of a long bone fracture nor the need for hospitalisation for 4 or more days were sensitive or specific indicators for 'serious' or major injury as defined by the 'Gold Standard' Injury Severity Score (ISS). Subsequent analysis, using other public health outcome measures demonstrated that the major component of the illness burden of injury was in fact due to 'minor' not serious injury. However, the suggested indicators demonstrated low sensitivity and specificity for these outcomes as well. The results of the study support the need to include at least all hospitalisations in any population-based measure of injury and not attempt to simplify the indicator to a more convenient measure aimed at identifying just those cases of,serious' injury.
Keyword Public, Environmental & Occupational Health
Wounds-and-injuries
Public Health
Minor Injury
Indicators
Severity Score
Care
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 04:42:21 EST