28.09.2015

GROSSE SCHÜTZEN KLEINE Safe Kids

Generating evidence for action: data collection and analysis Peter Spitzer, Holger Till

European Seminar on Child Injury Prevention: a European challenge Milan, 14th October 2015

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Outline

• Safe Kids Austria

• Data Collection at Local and Hospital Level

• Example of Evaluation

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GROSSE SCHÜTZEN KLEINE

A Safe World for Our Children

• Founded 1983 • Located in , Dept of Ped&Youth Surgery

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Safe Kids Austria • NGO (better: CBO!) – Board: President Holger Till – Core Team: • Gabi Blaschitz • Sabine Distl • Peter Spitzer

Peter, Gabi, Sabine, Holger

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GROSSE SCHÜTZEN KLEINE

Outline

• Safe Kids Austria

• Data Collection at Local Level

• Example of Evaluation

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Data Sources

Register: Causes Traffic Accidents of Death Police

Injury Data Base Accidents at School Austria / IDB Insurance Company

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GROSSE SCHÜTZEN KLEINE Treatment of Injuries

H

GROSSE SCHÜTZEN KLEINE Styrian Injury Surveillance System “StISS”

H Safe Kids Austria

St Styrian I Injury S Surveillance S System Styrian Hospitals

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GROSSE SCHÜTZEN KLEINE StISS – Structure: Basic Data Set

Accident: Yes / No Must Styrian wide All Age Age Groups All

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StISS – Structure: Basic Data Set

• Date of Treatment • Date of Birth – Age • Mode of Treatment • Sex • Postal Code • Hospital Code

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StISS – Structure: Minimal Data Set

Accident: Yes / No

Must Coding: External cause Styrian wide

All Age Age Groups All of accident

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StISS – Structure: Minimal Data Set • Date of Treatment • Date of Birth – Age • Mode of Treatment • Sex • Postal Code • Hospital Code • External Cause of Injury • ICD 10 Coding

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StISS – Structure: Qualitative Data Set

Accident: Yes / No

must Coding: External Cause Styrian wide of Accident All Age Age Groups All

Documentation in Detail

Mode of Accident Graz voluntary

Chidlren -14y Circumstances

GROSSE SCHÜTZEN KLEINE

StISS – Structure: Qualitative Data Set

• Date of Treatment • External Cause of Injury • Date of Birth – Age • ICD 10 Coding • Mode of Treatment • Sex • Postal Code • Hospital Code

• Causes in detail: • where happened • what happened

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StISS – Structure: Qualitative Data Set

Example: dog bite at home

• Indoor (house, flat) – outdoor (garden)

WHERE • Which room: kitchen, bathroom etc..

• Accident with an animal: dog, horse, cow, cat ….

WHAT • Owner of dog: parents, relatives, neighbor, unknown • What happened: bite, scratch, kick,

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StISS – Structure: Indepth Data Set

Accident: Yes / No must Coding: External Cause Styrian wide

All Age Age Groups All of Accident

Documentation in Detail

Mode of Accident Graz

voluntary In-Depth Studies

Chidlren -14y Circumstances Styria

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GROSSE SCHÜTZEN KLEINE

StISS – Structure: Analysis

Accident: Yes / No

must Coding: External Cause Styrian wide

All Age Age Groups All of Accident

Analysis Documentation in Detail

Mode of Accident Graz voluntary

Chidlren -14y Circumstances Styria In-Depth Studies

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StISS – Structure: Analysis

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StISS – Structure: Analysis

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StISS – Structure: Analysis

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StISS – Structure: Analysis

Details

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GROSSE SCHÜTZEN KLEINE

Outline

• Safe Kids Austria

• Data Collection at Local and Hospital Level

• Example of Evaluation

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Safe Children Community

• Local Data • Evaluation – compare 2007 with 2011 – compare with a control – consider the Austrian wide trend – analyze the cost factor

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Safe Children Community Pilot District Deutschlandsberg

H H

H pilot district H

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GROSSE SCHÜTZEN KLEINE StISS – Structure: Zip-Coding

GROSSE SCHÜTZEN KLEINE SCC Deutschlandsberg Age group compared with City of Graz

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10

8

6 City Graz (n=5.344) 4 District (n=1.954)

2

0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Age

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GROSSE SCHÜTZEN KLEINE SCC Deutschlandsberg Injury Risk Areas (n=1.954)

school: 326 school injuries traffic: 13 17% traffic injuries 1%

Every 5th child

home/leisure/sport injuries 82% home, leisure, sport: 1.615

GROSSE SCHÜTZEN KLEINE SCC Deutschlandsberg Accident Mode (n=1.954)

playground swimming foreign bodies hit by object 5% 1% unknown 1% traffic 4% 6% 5% animal bites brawl cuts/stabs 0% 1% 5% play/other sports 10% winter sports 3%

ball sports falls 7% 52%

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GROSSE SCHÜTZEN KLEINE SCC Deutschlandsberg Falls (n=1.016)

Changing table Others Chair/High chair 3% 18% 3% Bed/Bunk bed 11%

Fall from height 11%

Stairs Falls 9% 45%

GROSSE SCHÜTZEN KLEINE SCC Deutschlandsberg Traffic Accidents (n=13)

Car passenger 42% Pedestrians 17%

Moped/Moped passenger Bicyclist 8% 33%

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GROSSE SCHÜTZEN KLEINE SCC Deutschlandsberg School Accidents (n=326) by Schooltype

Applied S High S 4% 17% Primary S 22%

Secondary S 57%

GROSSE SCHÜTZEN KLEINE SCC Deutschlandsberg Winter Sport (5%)

Snowboard 15% Skiing 44% Tobogganing 19%

Iceskating 22%

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GROSSE SCHÜTZEN KLEINE Safe Children Community - Evaluation

220

210 215 -0,1% 11.4% 200 208 205 190 193 180 170 160 150 Pilot District Control Pilot District Control (2007) District (2011) District (2007) (2011)

Injury Rate / 1.000

GROSSE SCHÜTZEN KLEINE Safe Children Community - Evaluation

5 4 3 4,6 2 1 0 -1 -2,2 -2 -3 -4 -5 -6 -7,2 -7 -8 -9 -10 Austria Control District Pilot District

% / Injury Rate / 1.000: 2007-2011

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Safe Children Community - Evaluation

saved injuries

cases 210 relatively 640 severe injuries

..or in other words..

70 inpatient 570 ambulant E&R

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Safe Children Community - Evaluation

saved saved injuries money

cases € 546.000.— relatively 640 (medical costs)

€ 2.000.000.— (macroeconomic costs)

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Safe Children Community - Evaluation

saved saved injuries money

cases € 546.000.— relatively 640 (medical costs)

€ 2.000.000.— (macroeconomic costs)

project Real Value: costs €292.000.— € 254.000.– (med) € 1.708.000.– (macro)

GROSSE SCHÜTZEN KLEINE Are National Data helpful for Local Activities?

• National level – Mortality data – Traffic accident data – School accident data – IDB Injury Data Base

• Local level – Hospital data – School accident data – Police reports

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GROSSE SCHÜTZEN KLEINE Local Data are helpful for Local Activities

Local Data Motivation

Local Politicians

Local Workgroups

Identify Risk Areas

Local Data Evaluation

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Thank you for your attention!

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