Incidence of paediatric fatal and non-fatal low speed vehicle run over events in Queensland, Australia: eleven year analysis

BMC Public Health

Roy M Kimble¹  Linda E Shields⁴  Belinda A Wallis³  Kerrianne Watt²  Bronwyn R Griffin³ 

[1] Queensland University of Technology, Brisbane, Australia;School of Population Health, University of Queensland, St Lucia, Australia;Queensland Children’s Medical Research Institute, Level 4, Royal Children’s Hospital, Herston Road, Herston, Queensland 4029, Australia;Tropical Health Research Unit, James Cook University & Townsville Health Services District, Townsville, Australia

关键词: Queensland;    Epidemiology;    Accident prevention;    control;    Prevention &;    Adolescent;    Child;   

Others  :  1131965
DOI  :  10.1186/1471-2458-14-245

 received in 2013-06-18, accepted in 2014-02-27,  发布年份 2014

【 摘 要 】

Background

The purpose of this study was to estimate the incidence of fatal and non-fatal Low Speed Vehicle Run Over (LSVRO) events among children aged 0–15 years in Queensland, Australia, at a population level.

Methods

Fatal and non-fatal LSVRO events that occurred in children resident in Queensland over eleven calendar years (1999-2009) were identified using ICD codes, text description, word searches and medical notes clarification, obtained from five health related data bases across the continuum of care (pre-hospital to fatality). Data were manually linked. Population data provided by the Australian Bureau of Statistics were used to calculate crude incidence rates for fatal and non-fatal LSVRO events.

Results

There were 1611 LSVROs between 1999–2009 (IR = 16.87/100,000/annum). Incidence of non-fatal events (IR = 16.60/100,000/annum) was 61.5 times higher than fatal events (IR = 0.27/100,000/annum). LSVRO events were more common in boys (IR = 20.97/100,000/annum) than girls (IR = 12.55/100,000/annum), and among younger children aged 0–4 years (IR = 21.45/100000/annum; 39% or all events) than older children (5–9 years: IR = 16.47/100,000/annum; 10–15 years IR = 13.59/100,000/annum). A total of 896 (56.8%) children were admitted to hospital for 24 hours of more following an LSVRO event (IR = 9.38/100,000/annum). Total LSVROs increased from 1999 (IR = 14.79/100,000) to 2009 (IR = 18.56/100,000), but not significantly. Over the 11 year period, there was a slight (non –significant) increase in fatalities (IR = 0.37-0.42/100,000/annum); a significant decrease in admissions (IR = 12.39–5.36/100,000/annum), and significant increase in non-admissions (IR = 2.02-12.77/100,000/annum). Trends over time differed by age, gender and severity.

Conclusion

This is the most comprehensive, population-based epidemiological study on fatal and non-fatal LSVRO events to date. Results from this study indicate that LSVROs incur a substantial burden. Further research is required on the characteristics and risk factors associated with these events, in order to adequately inform injury prevention. Strategies are urgently required in order to prevent these events, especially among young children aged 0–4 years.

【 授权许可】

   
2014 Griffin et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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