International variation in clinical injury incidence: exploring the performance of indicators based on health care, anatomical and outcome criteria

Accident; Analysis and Prevention
S PolinderE Van Beeck

Abstract

To analyse international variation in clinical injury incidence, and explore the performance of different injury indicators in cross-country comparisons. Hospital 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. Indicators 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. No perfect or near perfect indicators of clinical ...Continue Reading

References

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Citations

Nov 25, 2011·Epidemiologic Reviews·Suzanne PolinderEd F van Beeck
Oct 20, 2010·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Terje MelingKjetil Søreide
Jul 30, 2011·PloS One·Klaas A HartholtTischa J M van der Cammen
Jul 23, 2014·PloS One·Karen HoffmanKarim Brohi
Jan 27, 2010·World Journal of Gastroenterology : WJG·Lori A ButtonJohn G Williams
May 8, 2009·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Juanita A HaagsmaG J Bonsel
Feb 26, 2010·International Journal of Injury Control and Safety Promotion·Willem Jan MeerdingSaakje Mulder
Nov 1, 2011·The Journal of Hand Surgery·C E de PutterR W Selles
Jul 6, 2014·Scandinavian Journal of Medicine & Science in Sports·C E de PutterR W Selles
Nov 8, 2014·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M RussellL Day
Jan 15, 2014·Age and Ageing·Geraldine L NanningaKlaas A Hartholt

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