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Injury and Poisoning Redesign

Injury and Poisoning Redesign. Margaret Warner, Ph.D Lois A. Fingerhut, MA OAEHP Pat Barnes, M.A. DHIS November 1999. Benefits of the Redesign. Detailed information on …. Circumstances of injury Cause Place of occurrence Activity Outcome. Probe question 1997.

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Injury and Poisoning Redesign

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  1. Injury and Poisoning Redesign Margaret Warner, Ph.D Lois A. Fingerhut, MA OAEHP Pat Barnes, M.A. DHIS November 1999

  2. Benefits of the Redesign Detailed information on …. • Circumstances of injury • Cause • Place of occurrence • Activity • Outcome

  3. Probe question 1997 “During the past three months, were you or anyone in your family injured seriously enough that you got medical advice or treatment?”

  4. Probe question 1995 “During the two week reference period, has anyone in the family had an injury from an accident or other cause that you have not yet told me about?”

  5. Injury definition Prior to 1997 Based on reported conditions coded to ICD 800-999 Redesign Based on response to probe question “was anyone injured …”

  6. Inclusion Criteria Recall period ... Prior to 1997 2 weeks Redesign 3 months

  7. Inclusion Criteria Severity threshold ... Prior to 1997 “Cut down day”; at least 1/2 day of restricted activity; and/or medical advice or treatment Redesign Medical advice or treatment

  8. Results

  9. Results

  10. Results

  11. Who was injured/poisoned? Episodes per 100 pop. 30 Male Female 25 20 15 10 5 0 All 0-9 10-19 20-29 30-44 45-64 65-79 80+ Age

  12. How were they injured? Fall Struck by Transport Overexert Cut/pierce Male Poisoning Female Fire/burn Animal/Insect Bite Machinery Other 0.0 1.0 2.0 3.0 4.0 5.0 6.0 Episodes per 100 population

  13. Age Who falls? Episodes per 100 pop 25.0 20.0 0-19 20-44 45+ 15.0 10.0 5.0 0.0 Male Female

  14. What were they doing? Leisure (not sports) Working (paid job) Sports Working (house/yard) Driving Attending school Other-specified Other 0 5 10 15 20 25 Percent

  15. Cause of injury: . Type of injury: Part of body: “While <in-line skating>, fell on thumb.” “Broken” “Right thumb” Verbatim text

  16. Where did it happen? Home (inside) Home (outside) Street/highway Sport related Industry/construction School Trade and service Park/recreation Other 0 5 10 15 20 25 30 Percent

  17. What was the outcome? Episodes per 100 pop 0.9 0.8 0.7 Don't Know 0.6 6 + months 0.5 LT 6 months 0.4 0.3 0.2 0.1 0.0 Daily routine Personal care needs Limitations

  18. Where to from here? • Publication of Advance Data • Updates to HIS 2000 • Comparisons to previous years • Analysis of verbatim text (e.g. other) • Your analyses !

  19. Explanations? • Changes in probe question • Change in injury definition • Change in recall period • Change in severity threshold • Placement in interview

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