Injury-International Journal of the Care of the Injured最新文献

{"title":"Does injury type influence patient preference, response rates, and data completeness for online or telephone follow-up following injury?","authors":"Lincoln M. Tracy ,&nbsp;Heather J. Cleland ,&nbsp;Richard N. de Steiger ,&nbsp;Warwick J. Teague ,&nbsp;Peter A. Cameron ,&nbsp;Belinda J. Gabbe","doi":"10.1016/j.injury.2024.112060","DOIUrl":"10.1016/j.injury.2024.112060","url":null,"abstract":"<div><h3>Introduction</h3><div>Collecting patient-reported outcomes in a systematic fashion is important to understand recovery trajectories and compare performance between different services and fields of care. These outcomes can be collected through a variety of means, but studies comparing different follow-up methods in patients with a variety of injury types are scarce. This study aimed to compare follow-up data from three injury registries to quantify patient preference for telephone versus online follow-up, determine factors associated with choosing online follow-up, and compare response rates based on the patient's preferred follow-up method.</div></div><div><h3>Methods</h3><div>A registry-based cohort study of adult (≥16 years) patients registered one of three registries from January 2021 to December 2021 was undertaken. Patients who survived to discharge were contacted by telephone and offered the option of telephone or online self-completion at six- and 12-months post-injury using the EQ-5D-5L. The three injury cohorts and telephone/online groups were compared for differences in characteristics, follow-up rates, and data completeness. Multivariable logistic regression models were used to identify predictors of choosing online completion in the three cohorts.</div></div><div><h3>Results</h3><div>Data were retrieved for 8,049 patients. A greater proportion of orthopaedic trauma patients initially opted for online follow-up (41.0 %) compared to major trauma (31.0 %) and burns (24.1 %) patients. Orthopaedic and major trauma patients had increased odds of choosing online follow-up compared to burns patients (adjusted odds ratio [95 % confidence interval] 2.9 [2.2–3.7] and 2.1 [1.6–2.7], respectively). A greater proportion of major trauma patients (69.3 %) and burns patients (64.3 %) completed both follow-ups compared to orthopaedic trauma patients (52.4 %). The overall completion rates for the EQ-5D-5L were high.</div></div><div><h3>Conclusions</h3><div>While follow-up preference and completion were higher for telephone-based follow-ups, the findings suggest a patient's preference for completing post-injury follow-ups differs according to the type of injury they sustained, and that allowing patients a choice of their preferred follow-up method is important. The variety of follow-up methods offered should therefore reflect the needs of different patient groups, which may allow for the development of algorithms or workflow processes. Directing certain patients towards a particular follow-up method could deliver higher and more efficient follow-up rates.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112060"},"PeriodicalIF":2.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-operative periprosthetic femoral fractures in England: patient profiles and short-term outcomes","authors":"Mohammad Aryaie ,&nbsp;Jonathan Thomas Evans ,&nbsp;Mike Reed ,&nbsp;Cliff L Shelton ,&nbsp;Antony Johansen ,&nbsp;Toby O Smith ,&nbsp;Jonathan Benn ,&nbsp;Mark Baxter ,&nbsp;Paul Aylin ,&nbsp;Michael R Whitehouse ,&nbsp;Alex Bottle ,&nbsp;PROFOUND study team","doi":"10.1016/j.injury.2024.112026","DOIUrl":"10.1016/j.injury.2024.112026","url":null,"abstract":"<div><h3>Background and objective</h3><div>Post-operative periprosthetic femoral fractures (POPFF) present a growing challenge for healthcare services, but there are limited national data on patient profiles, short-term outcomes, and post-discharge follow-up. We aimed to fill these gaps.</div></div><div><h3>Methods</h3><div>Using Hospital Episode Statistics (HES), we identified POPFF discharges from hospitals in England for patients aged 18 and above between April 2016 and December 2022. We flagged prior admissions for hip fracture and elective hip or knee replacement surgery (primary, revision or re-revision) between April 2000 and the day of the POPFF admission date. We extracted information on patient factors, treatment modes for POPFF (nonoperative, fixation, revision), and outcomes (in-hospital mortality, length of stay, unplanned readmission). We used outpatient data to summarise post-hospitalisation follow-up.</div></div><div><h3>Results</h3><div>Of 39,035 cases, 65.9% were female; the median age was 82 years. HES data identified that 34.0% had previously undergone elective hip replacement, 26.2% elective knee replacement, and 22.8% surgery for hip fracture. Those with a prior hip fracture were more likely to have delirium during the index POPFF admission, and, compared with those with a prior elective hip or knee replacement, they faced higher in-hospital mortality (5.1% vs 3.2% and 3.6%, respectively), rates of readmission (15.4% vs 13.1% and 12.8%, respectively), and hip re-fracture after POPFF (2.9% vs 1.2% and 1.6%, respectively). Their median length of stay was longer (16 vs 14 days, p&lt;0.001). The most common reason for hospital readmission following POPFF was another fracture (11.3% of all readmissions). Overall, 74% of patients were discharged from outpatient follow-up within 12 months.</div></div><div><h3>Conclusion</h3><div>This is the first national description of the burden of adverse outcomes for people with POPFF in England, of whom a large proportion require ongoing specialist support. Fewer POPFF cases follow prior hip fracture surgery than elective joint replacement, but these patients face higher risks of worse outcomes. With an expected increasing incidence of POPFF, this may have considerable health service implications.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112026"},"PeriodicalIF":2.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pancreaticoduodenectomy in high-grade pancreatic and duodenal trauma","authors":"Jake E Krige ,&nbsp;Eduard G Jonas ,&nbsp;Andrew J Nicol ,&nbsp;Pradeep H Navsaria","doi":"10.1016/j.injury.2024.112048","DOIUrl":"10.1016/j.injury.2024.112048","url":null,"abstract":"","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112048"},"PeriodicalIF":2.2,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived barriers and facilitators to implementation of injury prevention programs in the military: feedback from inside the trenches","authors":"Daniel I. Rhon ,&nbsp;Sarah J. de la Motte ,&nbsp;John J. Fraser ,&nbsp;Tina A. Greenlee ,&nbsp;Benjamin R. Hando ,&nbsp;Joseph M. Molloy ,&nbsp;Deydre S. Teyhen ,&nbsp;Jeffrey M. Tiede ,&nbsp;Joshua J. Van Wyngaarden ,&nbsp;Richard B. Westrick ,&nbsp;Garrett S. Bullock","doi":"10.1016/j.injury.2024.112029","DOIUrl":"10.1016/j.injury.2024.112029","url":null,"abstract":"<div><h3>Background</h3><div>Musculoskeletal injuries enact a substantial burden in military settings, incurring high costs, long-term disability, and impacting military readiness. This has led to a prioritization of injury prevention programs. Understanding the challenges faced by those trying to implement these programs could help standardize and better inform future improvement efforts. The purpose was to capture perceptions of barriers and facilitators to implementation of injury prevention programs in the US Armed Forces.</div></div><div><h3>Methods</h3><div>A cross-sectional survey with open-ended questions was circulated to relevant stakeholders; key themes were derived using conceptual content analysis. Four questions were asked concerning injury prevention programs: 1) barriers, 2) facilitators, 3) how can leadership best support, and 4) how can subject matter experts best collaborate to make these programs successful?</div></div><div><h3>Results</h3><div>The survey reached at least 300 individuals working with the armed services worldwide; 91 completed the survey. The mean (SD) time working with military service members was 11.5 (8.2) years; 93% worked with active-duty service members, 71.4% were licensed healthcare providers, and 55% worked in settings with established injury prevention programs. Only 45.2% of participants believed an appropriate, clear way to measure program success currently exists. Nearly 85% believed that lacking standardization of definitions and metrics hinders program assessment. Wide variability existed in opinions regarding who should be primarily responsible for promoting/supporting injury prevention efforts. Key themes included resources as both a facilitator (when present) and barrier (when absent), organizational culture, and leadership support. Leadership can best help by prioritizing the programs and valuing the programming through modeling the desired behavior. Program staff can collaborate by focusing on enabling change, integrating into organizational/unit culture and collaborating with leaders to change policy.</div></div><div><h3>Conclusions</h3><div>Factors leading to incidence and recovery of musculoskeletal injuries are multifactorial, requiring collaborative multidisciplinary approaches for optimal injury prevention program development and implementation. Leadership support/prioritization, unit-level cultural acceptance and sufficient resources are essential facilitators to implementing prevention programs. Developing standardized, relevant metrics for assessing program effectiveness and establishing organizational best practices are necessary for long term program viability and lasting change.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112029"},"PeriodicalIF":2.2,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Nerve Surgical Techniques at Time of Amputation on the Prevalence of Heterotopic Ossification in Transtibial Amputees","authors":"Floris V. Raasveld ,&nbsp;Carla H. Lehle ,&nbsp;Charles D. Hwang ,&nbsp;Rachel E. Cross ,&nbsp;Jad S. Husseini ,&nbsp;F. Joseph Simeone ,&nbsp;Erik T. Newman ,&nbsp;Krystle Tuaño ,&nbsp;Santiago A. Lozano-Calderón ,&nbsp;Ian L. Valerio ,&nbsp;Kyle R. Eberlin","doi":"10.1016/j.injury.2024.112047","DOIUrl":"10.1016/j.injury.2024.112047","url":null,"abstract":"<div><h3>Background</h3><div>Heterotopic ossification (HO) can form after amputation and may cause pain and functional impairment. We aimed to describe the prevalence of HO in a civilian population of transtibial amputees. We hypothesized that the decreased rate of symptomatic neuroma following active nerve surgery (Targeted Muscle Reinnervation (TMR) or Regenerative Peripheral Nerve Interface (RPNI)) may subsequently lead to a lower prevalence of HO compared to passive nerve surgery (i.e. traction neurectomy) performed at the time of amputation.</div></div><div><h3>Methods</h3><div>Adult patients undergoing transtibial amputation at a tertiary care center between 2000 and 2023 were included. Patient data were collected through chart review. The most recent post-amputation X-ray of the residual limb was assessed for HO presence, according to the Walter Reed classification. A random subset of X-rays (10%) was independently assessed by five clinicians and two radiologists, and inter-rater reliability (IRR) was calculated using Cohen's kappa (κ). Multivariable logistic regression was conducted to identify factors associated with HO presence.</div></div><div><h3>Results</h3><div>In total, 665 limbs of 632 patients were included. The median time between amputation and X-ray was 1.7 years (IQR: 0.3-6.2). HO was identified in 326 X-rays (49.0%) and was commonly present on the distal residual tibia (68.1%) and fibula (69.0%). Traditional amputations (i.e. those without TMR or RPNI (OR=2.0, p=0.014)), and the presence of a symptomatic neuroma (OR=2.3, p&lt;0.001), were independently associated with a higher prevalence of HO. The IRR of the two radiologists was κ=0.99, the overall IRR of all evaluators was κ=0.92.</div></div><div><h3>Conclusions</h3><div>HO is a common finding in transtibial amputees. The use of peripheral nerve surgery that actively treat amputated nerve endings to reduce symptomatic neuroma formation may decrease the prevalence of HO.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112047"},"PeriodicalIF":2.2,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The predictive effect of ASD on PTSD and the factors influencing ASD and PTSD","authors":"Miao Qi ,&nbsp;Weihang Chen ,&nbsp;Guojia Qi ,&nbsp;Ping Yuan ,&nbsp;Xiuli Hu ,&nbsp;Jialin Xiang ,&nbsp;Daimin Xiao ,&nbsp;Xiangyuan Chu ,&nbsp;Xiuquan Shi","doi":"10.1016/j.injury.2024.112033","DOIUrl":"10.1016/j.injury.2024.112033","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the prevalence and influencing factors of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) in trauma patients, and to explore the predictive effect of ASD on PTSD.</div></div><div><h3>Methods</h3><div>A prospective study was conducted on patients hospitalized due to injuries. The first survey used the ASD scale to assess the occurrence of ASD. In one month and three months of follow-up after injury, patients were assessed for the occurrence of PTSD by using the PTSD checklist-civilian version.</div></div><div><h3>Results</h3><div>The prevalence rates of ASD, one-month PTSD, and three-month PTSD in trauma inpatients were 20.7%, 19.5%, and 17.6%, respectively. ASD is a strong predictor of PTSD, and combining it with severe injury and critical illness can improve the sensitivity and positive predictive ability of predicting the occurrence of PTSD (AUC_Max: 0.827). The important predictive factor for the diagnosis of PTSD is the high alert symptom group of ASD. Moreover, the analysis results showed that the season of trauma happened, comatose state, fear state, psychological burden, and pain intensity were the influencing factors for ASD (<em>P</em>&lt;0.05), while critical illness during hospitalization, psychological burden, and pain intensity were the influencing factors for PTSD (<em>P</em>&lt;0.05).</div></div><div><h3>Limitations</h3><div>Some patients with minor and extremely serious injuries were overlooked or missed, resulting in selection bias and information bias that could not be completely avoided.</div></div><div><h3>Conclusion</h3><div>Both trauma conditions and clinical features may affect the occurrence of ASD and PTSD in trauma patients. If ASD in trauma patients is identified early and targeted interventions, it may reduce the occurrence and development of PTSD.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112033"},"PeriodicalIF":2.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical presentations, management, and outcomes of trauma in pregnancy: A retrospective observational study","authors":"Ammar Almadani ,&nbsp;Naushad Ahmad Khan ,&nbsp;Ayman El-Menyar ,&nbsp;Khalid Ahmed ,&nbsp;Hisham Al Jogol ,&nbsp;Mohammad Asim ,&nbsp;Husham Abdelrahman ,&nbsp;Hassan Al-Thani ,&nbsp;Sandro Rizoli","doi":"10.1016/j.injury.2024.112028","DOIUrl":"10.1016/j.injury.2024.112028","url":null,"abstract":"<div><h3>Background</h3><div>Trauma poses significant risks during pregnancy, leading to adverse outcomes. We aimed to evaluate the impact of trauma during pregnancy on maternal and fetal outcomes.</div></div><div><h3>Material and methods</h3><div>A retrospective observational study was performed involving all pregnant women presented to a national trauma center (2015- 2021). Univariate and multivariate analyses were done to assess the trauma-related variables and to identify predictors of adverse outcomes (birthweight &lt;2.5 kg, premature delivery, and neonatal death).</div></div><div><h3>Results</h3><div>A total of 566 pregnant women with trauma were included in the analysis. The patients mean age was 29.6 (SD 5.4) years, and motor vehicle collisions (MVCs) were the most frequent mechanism of injury (60.1 %). Approximately 41 % of the MVC victims (139/342) were wearing protective devices. Extremity injuries were the most common type of injury (25.7 %). The mean gestational age at the time of injury was 23.3 (9.4) weeks. Fetal distress, fetal death, and neonatal death occurred infrequently, ranging from 0.2 % to 4.6 %. Overall, 12.9 % of pregnancies resulted in adverse outcomes. In the multivariable model, hypertension (OR= 9.1, <em>p</em> = 0.001), diabetes mellitus (OR= 5.7, <em>p</em> = 0.006), placental abruption (OR = 23.4, <em>p</em> = 0.001), a history of previous C-section (OR = 3.4, <em>p</em> = 0.008) and gestational age at the time of injury (OR = 2.6, <em>p</em> = 0.001) were associated with an increased likelihood of adverse pregnancy outcomes.</div></div><div><h3>Conclusion</h3><div>This study revealed that trauma during pregnancy is associated with adverse pregnancy outcomes, therefore, these patients should be monitored carefully. Further research is needed to explore how trauma impacts pregnancy progression and fetal well-being, and public health interventions/awareness campaigns highlighting the importance of preventive measures should target pregnant women.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112028"},"PeriodicalIF":2.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on Resuscitative Endovascular Balloon Occlusion of the Aorta provides better survival outcomes for noncompressible blunt Torso bleeding below the Diaphragm compared to Resuscitative Thoracotomy: A Retrospective Study","authors":"Sana Rasheed ,&nbsp;Malik Olatunde Oduoye","doi":"10.1016/j.injury.2024.112044","DOIUrl":"10.1016/j.injury.2024.112044","url":null,"abstract":"","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112044"},"PeriodicalIF":2.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with failure of locking plate fixation in proximal humerus fractures","authors":"Filip Cosic ,&nbsp;Nathan Kirzner ,&nbsp;Elton Edwards ,&nbsp;Richard Page ,&nbsp;Lara Kimmel ,&nbsp;Belinda Gabbe","doi":"10.1016/j.injury.2024.112024","DOIUrl":"10.1016/j.injury.2024.112024","url":null,"abstract":"<div><h3>Background</h3><div>Locking plate fixation remains the mainstay of surgical fixation of unstable proximal humerus fractures, however rates of failure remain high. The aim of this study was to identify risk factors that could be used to predict the likelihood of fixation failure.</div></div><div><h3>Method</h3><div>Patients with proximal humerus fractures managed with locking plate fixation between 2010 and 2019 at a Level 1 trauma centre were included. Radiographs were evaluated for parameters that could be used to predict failure of fixation. Pre-operative factors included were the Neer classification, cephalomedullary angle, medial calcar length, disruption of the medial hinge, and anatomical neck fracture. Post-operative factors included the cephalomedullary angle, medial calcar reduction gap, presence of anatomical tuberosity reduction, presence of medial calcar screws, screw distance to articular surface, and number of screws present in the humeral head.</div></div><div><h3>Results</h3><div>There were 189 patients included; 54% male, mean age 49.9 (intact fixation) group and 56.1 (failure). The rate of fixation failure was 22%. Factors associated with increased risk of failure following multivariable analysis included increasing age (OR 1.04 per year, CI 1.01-1.07), varus pre-operative cephalomedullary angle (OR 2.84, CI 1.03-7.83), and non-anatomical calcar reduction (OR 2.31, CI 1.05-5.08). The presence of calcar screws was associated with decreased risk of fixation failure (OR 0.30, CI 0.10-0.90). This analysis was used to create a predictive model including the Neer classification, age, pre-operative cephalomedullary angle, post-operative cephalomedullary angle, anatomic reduction of the medial calcar, and presence of medial calcar screws.</div></div><div><h3>Conclusion</h3><div>Rates of locking plate fixation failure in proximal humerus fractures remain high. This study has identified key pre-operative and intra/post-operative factors that can be used to predict the risk of failure. Further work is required to validate this model.</div></div><div><h3>Level of Evidence</h3><div>Level II</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112024"},"PeriodicalIF":2.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends of fatal unintentional injuries among working-age adults in Finland between 1998 and 2022","authors":"Hanna Kettunen ,&nbsp;Tuija Ylitörmänen ,&nbsp;Ulla Korpilahti ,&nbsp;Pirkko Kriikku ,&nbsp;Antti Impinen ,&nbsp;Riitta Koivula ,&nbsp;Kari Haikonen","doi":"10.1016/j.injury.2024.112030","DOIUrl":"10.1016/j.injury.2024.112030","url":null,"abstract":"<div><h3>Background</h3><div>Unintentional injuries pose significant challenges to public health, impacting individuals and communities. They also create significant economic costs for society as a whole. Common preventable fatal unintentional injuries among adults of working age include, among others, falls, poisonings, traffic accidents and drowning.</div></div><div><h3>Aim</h3><div>To examine the incidence trends of the changes in fatal unintentional injuries among working-age (25–64) adults in Finland, with alcohol and/or drug intoxication as a contributing cause of death.</div></div><div><h3>Methods</h3><div>We used open data from the Causes of Death register hosted by Statistics Finland. Injury deaths between 1998 and 2022 were included in the analysis. The Mann-Kendall non-parametric trend test was used for incidence rates, assessing whether a monotonic trend was present.</div></div><div><h3>Results</h3><div>The most common fatal unintentional injuries in working-age adults in Finland were due to poisonings, falls and traffic accidents. The results showed a significant downward trend in the number of all fatal unintentional injuries, with the exception of poisonings among the youngest age group, 25–34 years, in both males and females. The incidence of fatal unintentional injuries among men decreased by 53 % during the study period, and by 46 % among women. Men were more frequently involved in fatal unintentional injuries than women.</div></div><div><h3>Conclusion</h3><div>Fatal unintentional injuries among the working-age population have decreased in Finland due to national collaborative efforts in recent decades. However, preventive measures are still needed, especially to prevent unintentional injuries caused by substance abuse.</div></div>","PeriodicalId":54978,"journal":{"name":"Injury-International Journal of the Care of the Injured","volume":"56 2","pages":"Article 112030"},"PeriodicalIF":2.2,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}