Abstract
. MacInnes K. & Stone D. H. ( 2008 ) , 8 , 120 . DOI: 10.1186/1471‐2458‐8‐120 . Background The aim of our study was to use a local (Glasgow, west of Scotland) version of a Canadian injury surveillance programme (CHIRPP) to investigate the relationship between the developmental stage of young (pre‐school) children, using age as a proxy, and the occurrence (incidence, nature, mechanism and location) of injuries presenting to a Scottish hospital emergency department, in an attempt to replicate the findings of a recent study in Kingston, Canada.Methods We used the Glasgow CHIRPP data to perform two types of analyses. First, we calculated injury rates for that part of the hospital catchment area for which reasonably accurate population denominators were available. Second, we examined detailed injury patterns, in terms of the circumstances, mechanisms, location and types of injury. We compared our findings with those of the Kingston researchers.Results A total of 17 793 injury records for children aged up to 7 years were identified over the period 1997–99. For 1997–2001, 6188 were used to calculate rates in the west of the city only. Average annual age‐specific rates per 1000 children were highest in both males and females aged 12–35 months. Apart from the higher rates in Glasgow, the pattern of injuries, in terms of breakdown factors, mechanism, location, context and nature of injury, was similar in Glasgow and Kingston.Conclusion We replicated in Glasgow, UK, the findings of a Canadian study demonstrating a correlation between the pattern of childhood injuries and developmental stage. Future research should take account of the need to enhance statistical power and explore the interaction between age and potential confounding variables such as socio‐economic deprivation. Our findings highlight the importance of designing injury prevention interventions that are appropriate for specific stages of development in children.
Highlights
The aim of our study was to use a local (Glasgow, west of Scotland) version of a Canadian injury surveillance programme (CHIRPP) to investigate the relationship between the developmental stage of young children, using age as a proxy, and the occurrence of injuries presenting to a Scottish hospital emergency department, in an attempt to replicate the findings of a recent study in Kingston, Canada
Apart from the higher rates in Glasgow, the pattern followed a similar trend to that found in the Kingston study (Figure 1)
Pattern of Injury Analysis We identified, through CHIRPP, a total of 17,793 children aged up to seven years, living in all Glasgow postcode sectors, who attended the emergency department of the hos
Summary
The aim of our study was to use a local (Glasgow, west of Scotland) version of a Canadian injury surveillance programme (CHIRPP) to investigate the relationship between the developmental stage of young (pre-school) children, using age as a proxy, and the occurrence (incidence, nature, mechanism and location) of injuries presenting to a Scottish hospital emergency department, in an attempt to replicate the findings of a recent study in Kingston, Canada. By looking at patient demographics and details on the nature of injuries within small age groupings representative of developmental stage, it may be possible to identify population subgroups that could be at greater risk for injury. These insights are important for planning preventive strategies. One study carried out in Canada using the Kingston CHIRPP (Canadian Hospitals Injury Reporting and Prevention Programme) set out to address this gap in the literature [2] They described changing mechanisms of injury according to developmental stage and used these findings to identify preventive priorities
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