Combating unintentional injury in the United States: Lessons learned from the ICD-10 classification period

Dessypris, N; Dikalioti, SK; Skalkidis, I; Sergentanis, TN; Terzidis, A; Petridou, ETh

dc.contributor.author	Dessypris, N	en
dc.contributor.author	Dikalioti, SK	en
dc.contributor.author	Skalkidis, I	en
dc.contributor.author	Sergentanis, TN	en
dc.contributor.author	Terzidis, A	en
dc.contributor.author	Petridou, ETh	en
dc.date.accessioned	2014-03-01T01:29:59Z
dc.date.available	2014-03-01T01:29:59Z
dc.date.issued	2009	en
dc.identifier.issn	0022-5282	en
dc.identifier.uri	https://dspace.lib.ntua.gr/xmlui/handle/123456789/19438
dc.subject	Falls	en
dc.subject	Poisoning	en
dc.subject	Prevention	en
dc.subject	Socioeconomic differentials	en
dc.subject	Unintentional injury	en
dc.subject.classification	Critical Care Medicine	en
dc.subject.classification	Surgery	en
dc.subject.other	accidental injury	en
dc.subject.other	adolescent	en
dc.subject.other	adult	en
dc.subject.other	aged	en
dc.subject.other	article	en
dc.subject.other	asphyxia	en
dc.subject.other	burn	en
dc.subject.other	cause of death	en
dc.subject.other	child	en
dc.subject.other	controlled study	en
dc.subject.other	disease control	en
dc.subject.other	falling	en
dc.subject.other	gunshot injury	en
dc.subject.other	human	en
dc.subject.other	infant	en
dc.subject.other	intoxication	en
dc.subject.other	major clinical study	en
dc.subject.other	mortality	en
dc.subject.other	near drowning	en
dc.subject.other	newborn	en
dc.subject.other	preschool child	en
dc.subject.other	priority journal	en
dc.subject.other	school child	en
dc.subject.other	United States	en
dc.title	Combating unintentional injury in the United States: Lessons learned from the ICD-10 classification period	en
heal.type	journalArticle	en
heal.identifier.primary	10.1097/TA.0b013e31817dac79	en
heal.identifier.secondary	http://dx.doi.org/10.1097/TA.0b013e31817dac79	en
heal.language	English	en
heal.publicationDate	2009	en
heal.abstract	BACKGROUND: Unintentional injury remains the leading cause of death among individuals <45-year-old in several developed countries, including the United States, despite the availability of evidence-based preventive policies and practices. This study aims to estimate the preventable fraction of unintentional injury mortality in the United States and critically examine variability components and time trends among four different US regions. METHODS: ICD-10 coded unintentional injury mortality data were electronically obtained for all available years (1999-2004) from the National Center for Injury Prevention and Control database; inter-region variability and time trends were calculated to assess age-specific and injury type-specific components. A theoretical model was applied to estimate the preventable fraction of unintentional injuries, assuming that all US regions could achieve the region-specific lowest mortality rate. RESULTS: Children enjoy the lowest injury mortality rates, whereas adults present 4-fold and elderly 10-fold higher rates. Of all injury deaths ∼25%, nearly 25,000 deaths, could have been averted (∼2,300 among children; ∼17,200 among adults [15-64 years] and ∼5,500 among elderly) provided that preventive strategies of the best performing region were implemented across the United States. During the studied period, a statistically significant annual increase of 1.6% was observed, caused by an alarming rising trend in poisoning (+11.5%) mainly among adults, and falls (+5.5%) among elderly. Contrary, a noticeable (-2.4%) and statistically significant decrease of all types of injuries except suffocation was noted among children. CONCLUSIONS: A substantial number of lives might be saved if established injury preventive programs in low-mortality regions were also implemented in the less-privileged ones. Given the stable trends reported for motor vehicle and occupational injury mortality rates, poisoning and fall injuries occurring at home or during leisure time among the workforce population should be considered as main public health priority areas pending further elucidation of underlying mechanisms, such as the role of alcohol, drugs, and comorbidity in their causation. © 2009 Lippincott Williams & Wilkins, Inc.	en
heal.publisher	LIPPINCOTT WILLIAMS & WILKINS	en
heal.journalName	Journal of Trauma - Injury, Infection and Critical Care	en
dc.identifier.doi	10.1097/TA.0b013e31817dac79	en
dc.identifier.isi	ISI:000263442800036	en
dc.identifier.volume	66	en
dc.identifier.issue	2	en
dc.identifier.spage	519	en
dc.identifier.epage	525	en