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  • 1.
    Bergström, Monica Frick
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Anestesiologi och intensivvård.
    Byberg, Liisa
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Uppsala kliniska forskningscentrum (UCR).
    Melhus, Håkan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper.
    Michaëlsson, Karl
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Uppsala kliniska forskningscentrum (UCR).
    Gedeborg, Rolf
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Anestesiologi och intensivvård. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Uppsala kliniska forskningscentrum (UCR).
    Extent and consequences of misclassified injury diagnoses in a national hospital discharge registry2011Ingår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 17, nr 2, s. 108-113Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Classification of injuries and estimation of injury severity on the basis of ICD-10 injury coding are powerful epidemiological tools. Little is known about the characteristics and consequences of primary coding errors and their consequences for such applications. Materials and methods From the Swedish national hospital discharge register, 15 899 incident injury cases primarily admitted to the two hospitals in Uppsala County between 2000 and 2004 were identified. Of these, 967 randomly selected patient records were reviewed. Errors in injury diagnosis were corrected, and the consequences of these changes were analysed. Results Out of 1370 injury codes, 10% were corrected, but 95% of the injury codes were correct to the third position. In 21% (95% CI 19% to 24%) of 967 hospital admissions, at least one ICD-10 code for injury was changed or added, but only 13% (127) had some change made to their injury mortality diagnosis matrix classification. Among the cases with coding errors, the mean ICD-based injury severity score changed slightly (difference 0.016; 95% CI 0.007 to 0.032). The area under the receiver operating characteristics curve was 0.892 for predicting hospital mortality and remained essentially unchanged after the correction of codes (95% CI for difference -0.022 to 0.013). Conclusion Errors in ICD-10-coded injuries in hospital discharge data were common, but the consequences for injury categorisation were moderate and the consequences for injury severity estimates were in most cases minor. The error rate for detailed levels of cause-of-injury codes was high and may be detrimental for identifying specific targets for prevention.

  • 2.
    Gedeborg, Rolf
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Anestesiologi och intensivvård. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Uppsala kliniska forskningscentrum (UCR).
    Thiblin, Ingemar
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Rättsmedicin.
    Byberg, Liisa
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi.
    Melhus, Håkan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper.
    Lindbäck, Johan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Uppsala kliniska forskningscentrum (UCR).
    Michaëlsson, Karl
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi.
    Population density and mortality among individuals in motor vehicle crashes2010Ingår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 16, nr 5, s. 302-308Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective

    To assess whether higher mortality rates among individuals in motor vehicle crashes in areas with low population density depend on injury type and severity or are related to the performance of emergency medical services (EMS).

    Methods

    Prehospital and hospital deaths were studied in a population-based cohort of 41 243 motor vehicle crashes that occurred in Sweden between 1998 and 2004. The final multivariable analysis was restricted to 6884 individuals in motor vehicle crashes, to minimise the effects of confounding factors.

    Results

    Crude mortality rates following motor vehicle crashes were inversely related to regional population density. In regions with low population density, the unadjusted rate ratio for prehospital death was 2.2 (95% CI 1.9 to 2.5) and for hospital death 1.5 (95% CI 1.1 to 1.9), compared with a high-density population. However, after controlling for regional differences in age, gender and the type/severity of injuries among 6884 individuals in motor vehicle crashes, low population density was no longer associated with increased mortality. At 25 years of age, predicted prehospital mortality was 9% lower (95% CI 5% to 12%) in regions with low population density compared with high population density. This difference decreased with increasing age, but was still 3% lower (95% CI 0.5% to 5%) at 65 years of age.

    Conclusions

    The inverse relationship between population density and mortality among individuals in motor vehicle crashes is related to pre-crash factors that influence the type and severity of injuries and not to differences in EMS.

  • 3.
    Haque, M. Atiqul
    et al.
    Karlstad Univ, Karlstad, Sweden;Bangabandhu Sheikh Mujib Med Univ, Dhaka, Bangladesh.
    Janson, Staffan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Pediatrisk inflammationsforskning.
    Monirruzzaman, Syed
    Karlstad Univ, Karlstad, Sweden.
    Mashreky, Saidur Rahman
    Ctr Injury Prevent & Res, Dhaka, Bangladesh;Bangladesh Univ Hlth Sci, Dhaka, Bangladesh.
    Rahman, A. K. M. Fazlur
    Ctr Injury Prevent & Res, Dhaka, Bangladesh;Bangladesh Univ Hlth Sci, Dhaka, Bangladesh.
    Islam, Syed Shariful
    Bangabandhu Sheikh Mujib Med Univ, Dhaka, Bangladesh.
    Eriksson, Ulla-Britt
    Karlstad Univ, Karlstad, Sweden.
    Children’s exposure to physical abuse from a child perspective: a population based study in rural Bangladesh2018Ingår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 24, s. A107-A107Artikel i tidskrift (Övrigt vetenskapligt)
  • 4.
    Hasselberg, Marie
    et al.
    Karolinska Institutet.
    Kirsebom, Marie
    Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Bäckström, Josefin
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap.
    Berg, Hans-Yngve
    Department of Public Health, Karolinska Institutet, Stockholm, Sweden.
    Rissanen, Ritva
    Department of Public Health, Karolinska Institutet, Stockholm, Sweden.
    I did NOT feel like this at all before the accident: do men and women report different health and life consequences of a road traffic injury?2018Ingår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Worldwide, injuries represent one of the leading causes of mortality, and nearly one-quarter of all injuries are road traffic related. In many high-income countries, the burden of road traffic injuries (RTIs) has shifted from premature death to injury and disability with long-term consequences; therefore, it is important to assess the full burden of an RTI on individual lives.

    OBJECTIVE: To describe how men and women with minor and moderate injuries reported the consequences of an RTI on their health and lives.

    METHODS: The study was designed as an explorative qualitative study, in which the answers to an open-ended question concerning the life and health consequences following injury were analysed using systematic text condensation.

    PARTICIPANTS: A total of 692 respondents with a minor or a moderate injury were included.

    RESULTS: The respondents reported the consequences of the crash on their health and lives according to four categories: physical consequences, psychological consequences, everyday life consequences and financial consequences. The results show that medically classified minor and moderate injuries have detrimental long-term health and life consequences. Although men and women report some similar consequences, there are substantial differences in their reported psychological and everyday life consequences following an injury. Women report travel anxiety and PTSD-like symptoms, being life altering for them compared with men, for whom these types of reports were missing.

    CONCLUSION: These differences emphasise the importance of considering gender-specific physical and psychological consequences following an RTI.

  • 5.
    Jonsson, Anders
    et al.
    Karlstad Univ, Karlstad, Sweden.
    Nilson, Finn
    Karlstad Univ, Karlstad, Sweden.
    Bonander, Carl
    Karlstad Univ, Karlstad, Sweden.
    Huss, Fredrik
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Plastikkirurgi.
    Seriously injured due to residential fires in Sweden2018Ingår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 24, s. A16-A16Artikel i tidskrift (Övrigt vetenskapligt)
  • 6.
    Skalkidou, A
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa.
    Petridou, E
    Papadopoulos, F C
    Dessypris, N
    Trichopoulos, D
    Factors affecting motorcycle helmet use in the population of Greater Athens, Greece.1999Ingår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 5, nr 4, s. 264-7Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: Helmet use is the best preventive measure available against two wheel motorized vehicle (TWMV) related head injuries. In some countries, however, helmets are used only by a minority of TWMV riders. In collaboration with the Road Traffic Police Department, an inspection survey was undertaken to assess the prevalence and to determine predictors of helmet use.

    SETTING: The Greater Athens area, Greece, during July and August 1998.

    METHODS: A total of 982 TWMVs were stopped, 349 of which had two riders (36%). All riders were interviewed by staff members of the Centre for Research and Prevention of Injuries among the Young.

    RESULTS: The average prevalence of helmet use was 20.2%. It ranged from 9.7% on small suburban roads to 50.8% on highways. Prevalence of use was significantly lower during the weekend days and at night. Women were significantly more likely to wear a helmet and, controlling for gender, drivers were significantly more likely to be helmet users. Riders of more powerful TWMVs and passengers, who themselves had a TWMV driving license, were helmet users more frequently. Among non-users, the majority (46%) indicated that "the helmet made them feel uncomfortable", particularly in warm weather, whereas 18% claimed that there was little need for a helmet in low speed riding.

    CONCLUSIONS: A multipronged campaign is urgently needed in Greece to increase the prevalence of helmet use by TWMV riders. The campaign should include not only police enforcement but also initiatives to make helmets more convenient to wear and less expensive.

  • 7.
    Skalkidou, Alkistis
    et al.
    Department of Hygiene and Epidemiology, Athens University Medical School, Greece.
    Petridou, E
    Dessypris, N
    Karanikas, E
    Pistevos, G
    Trichopoulos, D
    Risk of upper limb injury in left handed children: a study in Greece1999Ingår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 5, nr 1, s. 68-71Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES:

    To investigate whether left handed children are at increased risk for injuries, particularly upper limb injuries.

    SETTING:

    Athens, Greece, during a six month period in 1995-96.

    METHODS:

    Cases were 129 children 4-14 years old with unintentional upper limb injuries from a population based injury database. Two control children matched for gender and age were selected from among those seen at the same medical institution for minor, non-injury ailments. On the basis of information provided by the children and their guardians, sociodemographic variables were recorded, hand preference was assessed, and each child's activity score was calculated through an abbreviated version of Achenbach's scale.

    RESULTS:

    Left handed children have a moderately increased upper limb injury risk with a tendency of recurrence of this injury. The risk of upper limb injury is also raised among children of young fathers, whereas it appears to be inversely related to crowding index and activity score--three variables that were controlled for as potential confounders.

    CONCLUSIONS:

    This study provides limited support for the hypothesis that left handed children are at increased risk for injury. The excess risk, if genuine, is likely to be limited to cultural settings in which right handedness is perceived as the norm.

  • 8. Stone, D. H.
    et al.
    Jeffrey, S.
    Dessypris, N.
    Kyllekidis, S.
    Chishti, P.
    Papadopoulos, Fotis C.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för neurovetenskap, Psykiatri, Akademiska sjukhuset.
    Petridou, E. T.
    Intentional injury mortality in the European Union: how many more lives could be saved?2006Ingår i: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 12, nr 5, s. 327-332Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To explore the scope for reducing the number of intentional injury deaths, hypothesizing that all European Union (EU) countries are able to match the experience of the country with the lowest mortality rate for intentional injuries. DESIGN: Intentional injury mortality data for the three last available years and denominator population estimates were obtained from the World Health Organisation mortality database for the 22 EU countries with more than one million population. To estimate the potential saving of lives, the yearly average age adjusted injury mortality rates were calculated. This issue done for children (0-14), adults (15-64), and elderly people (65 and over), both including and excluding deaths from undetermined cause. MAIN OUTCOME MEASURES: Number of lives that might potentially be saved if all EU member states matched the lowest intentional injury rate reported by an EU member state. RESULTS: Over 73% of all intentional injury deaths could have been avoided if all EU countries matched the country with the lowest intentional injury mortality rate. EU member states would have suffered about 600 fewer intentional injury deaths in children, about 40 000 fewer adult deaths, and over 14 000 fewer intentional injury deaths in the elderly. This amounts to over 55 000 lives in a single year. CONCLUSIONS: Many lives lost through injury might be saved if all countries were to achieve the lowest intentional injury mortality rates reported in the EU. How this theoretical observation might be translated into practice needs to be further explored as the international variation in intentional injury mortality rates in the EU results from a range of factors.

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