Estimating the population burden of injuries - A comparison of household surveys and emergency department surveillance
Estimating the population burden of injuries - A comparison of household surveys and emergency department surveillance
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DOI：
10.1097/01.ede.0000129519.76945.0d
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发表时间：
2004-07-01
期刊：
影响因子：
5.4
通讯作者：
Trichopoulos, D
中科院分区：
文献类型：
--
作者：
Petridou, E;Dessypris, N;Trichopoulos, D
背景：伤害是一个重要的公共卫生问题，但其发生率难以估计。方法：我们在希腊进行了一项以人口为基础的家庭调查，覆盖了4079名受访者。受访者报告了他们自己和同居的成年人（15岁及以上；n = 7157）在前一年发生的伤害。重大伤害被定义为需要与医疗机构接触的伤害。我们将这些调查数据与通过国家急诊科伤害监测系统（EDISS）获得的数据进行比较。结果：在最接近调查访谈的一个月，应答者报告的发病率为每100人年5.9例，而同居成年人的发病率为每100人年3.7例。这些发病率在距离访谈更遥远的几个月里下降。比较调查和EDISS数据表明，调查报告对非交通相关伤害的准确性较低。考虑到可能的回忆和可伸缩偏差，对全国年度重大伤害数量的最佳调查估计为525,000（每100人年5.9），而EDISS数据估计为1,150,000（每100人年12.9）。调查与edis数据系统的比较就报告日期前的受伤时间、受伤的严重程度，以及受伤对象是受访者还是同居者，对调查数据的准确性进行定量评估。这两个系统可以互补使用，尽管EDISS产生的信息在医学上更准确，并且是一种更具成本效益的数据收集系统。
Background: Injuries represent an important public health problem but their incidence is difficult to estimate.Methods: We conducted a population-based household survey in Greece covering 4079 interviewed individuals. The interviewees reported, for themselves and for cohabitating adults (age 15 years and older; n = 7157), injuries that occurred during the preceding year. Major injuries were defined as those requiring contact with a health institution. We compared these survey data with data obtained through a national Emergency Department Injury Surveillance System (EDISS).Results: For the month closest to the survey interview, the incidence reported for the responders was 5.9 per 100 person-year, whereas the incidence for cohabitating adults was 3.7 per 100 person-years. These incidence rates declined for months more remote to the interview. Comparison of survey and EDISS data suggested that survey reporting was less accurate for nontraffic-related injuries. Taking into account possible recall and telescoping biases, the best survey estimate of the national annual number of major injuries is 525,000 (5.9 per 100 person-year), whereas the EDISS data yielded an estimate of 1,150,000 major injuries (12.9 per 100 person-years)Conclusions: Comparison of survey and EDISS data systems Provides quantitative assessment of accuracy of the survey data in relation to time of injury before report date, to severity of injury, and to whether the injury is to the interviewee or to a cohabitant. The 2 systems could be used in a complementary way, although EDISS generates information that is medically more accurate and is a more cost-effective data collection system.