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Time to add a new priority target for child injury prevention? The case for an excess burden associated with sport and exercise injury: population-based study

Finch, Caroline F, Wong Shee, Anna and Clapperton, Angela 2014, Time to add a new priority target for child injury prevention? The case for an excess burden associated with sport and exercise injury: population-based study, BMJ open, vol. 4, no. 7, pp. 1-6, doi: 10.1136/bmjopen-2014-005043.

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Title Time to add a new priority target for child injury prevention? The case for an excess burden associated with sport and exercise injury: population-based study
Author(s) Finch, Caroline F
Wong Shee, AnnaORCID iD for Wong Shee, Anna orcid.org/0000-0001-5095-218X
Clapperton, Angela
Journal name BMJ open
Volume number 4
Issue number 7
Article ID e005043
Start page 1
End page 6
Total pages 6
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2014-07
ISSN 2044-6055
Keyword(s) epidemiology
public health
sports medicine
accidents, traffic
adolescent
athletic injuries
child
cost of illness
exercise
health priorities
retrospective studies
time factors
Victoria
wounds and injuries
Summary OBJECTIVE: To determine the population-level burden of sports injuries compared with that for road traffic injury for children aged <15 years in Victoria, Australia. DESIGN: Retrospective observational study.

SETTING: Analysis of routinely collected data relating to non-fatal hospital-treated sports injury and road traffic injury cases for children aged <15 years in Victoria, Australia, over 2004-2010, inclusive.

PARTICIPANTS: 75 413 non-fatal hospital-treated sports injury and road traffic injury cases in children aged <15 years. Data included: all Victorian public and private hospital hospitalisations, using the International Statistical Classification of Diseases and Health Related Problems, 10th Revision, Australian Modification (ICD-10-AM) activity codes to identify sports-related cases and ICD-10-AM cause and location codes to identify road traffic injuries; and injury presentations to 38 Victorian public hospital emergency departments, using a combination of activity, cause and location codes.

MAIN OUTCOME MEASURES: Trends in injury frequency and rate were analysed by log-linear Poisson regression and the population-level injury burden was assessed in terms of years lived with disability (YLD), hospital bed-days and direct hospital costs.

RESULTS: Over the 7-year period, the annual frequency of non-fatal hospital-treated sports injury increased significantly by 29% (from N=7405 to N=9923; p<0.001) but the frequency of non-fatal hospital-treated road traffic injury decreased by 26% (from N=1841 to N=1334; p<0.001). Sports injury accounted for a larger population health burden than did road traffic injury on all measures: 3-fold the number of YLDs (7324.8 vs 2453.9); 1.9-fold the number of bed-days (26 233 vs 13 886) and 2.6-fold the direct hospital costs ($A5.9 millions vs $A2.2 millions).

CONCLUSIONS: The significant 7-year increase in the frequency of hospital-treated sports injury and the substantially higher injury population-health burden (direct hospital costs, bed-day usage and YLD impacts) for sports injury compared with road traffic injury for children aged <15 years indicates an urgent need to prioritise sports injury prevention in this age group.
Language eng
DOI 10.1136/bmjopen-2014-005043
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30103570

Document type: Journal Article
Collections: School of Medicine
Open Access Collection
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