The Pyramid of Injury: Estimation of the Scale of Adolescent Injuries According to Severity

한혜진; 박보미; 박보현; 박남수; 박주옥; 안기옥; 탁양주; 이혜아; 박혜숙

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자료유형: 학술저널

저자정보: 한혜진 박보미 박보현 박남수 박주옥 안기옥 탁양주 이혜아 박혜숙

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제51권 제3호

발행연도: 2018.1

수록면: 163 - 168 (6page)

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Objectives: Due to their developmental characteristics, adolescents have a higher probability than other age groups of experiencing injuries caused by accidents, violence, and intentional self-harm. The severity and characteristics of injuries vary by the intentionality and mechanism of injury; therefore, there is a need for a national-level estimate of the scale and the severity of injuries in adolescents that takes these factors into account. Methods: By using data from the Emergency Department-based Injury In-depth Surveillance Data, National Emergency Department Information System, the Korean National Hospital Discharge In-depth Injury Survey, and cause of death statistics, we calculated the emergency department (ED) visit rate, hospitalization rate, and death rate of injuries per 100 000 adolescents for each injury mechanism. The calculated rates were used to generate the injury pyramid ratio (ratio of death rate to hospitalization rate to ED visit rate) to visualize the scale and the severity of the injury. Results: The mortality rate in adolescents due to injury was 10/100 000; the corresponding rates for hospitalization and ED visits were 1623 and 4923, respectively, resulting in an injury pyramid ratio with the general pyramid form, with a 1:162:492 ratio of deaths to hospitalizations to ED visits. The mortality rate due to suicide/intentional self-harm was 5/100 000, while 35 were hospitalized for this reason and 74 made ED visits. The pyramid ratio of 1:7:15 for intentional self-harm/suicide showed a steep pyramidal form, indicating considerable lethality. The mortality rate due to motor vehicle collisions (MVCs) was 3/100 000; 586 were hospitalized for this reason, while 1023 made ED visits. The pyramid ratio of 1:195:341 for MVCs showed a gradual pyramid form, indicating that the lethality was low and the scale of injury was high. Conclusions: The main categories of injuries in adolescents were visualized in pyramid form, contributing to an understanding of the scale of each injury by mechanism in terms of levels of death, hospitalization, and ED visits. These findings will be helpful for understanding how to prioritize injuries in adolescents.

참고문헌 (19)

참고문헌 신청

Lim D / 2016 / Disability-adjusted life years (DALYS) for mental and substance use disorders in the Korean Burden of Disease Study 2012 / J Korean Med Sci 31(Suppl 2):S191~S199

Centers for Disease Control and Prevention / $WISQARS^{TM}$-your source for U.S. injury statistics

Statistics Korea / 2016 / Cause-of-death statistics

Freid VM / 1998 / Ambulatory health care visits by children: principal diagnosis and place of visit / Vital Health Stat 13 (137):1~23

Yoon J / 2016 / Disability-adjusted life years for 313 diseases and injuries: the 2012 Korean Burden of Disease Study / J Korean Med Sci 31(Suppl 2):S146~S157

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