28.09.2015
GROSSE SCHÜTZEN KLEINE Safe Kids Austria
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
GROSSE SCHÜTZEN KLEINE
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 Graz, Dept of Ped&Youth Surgery
GROSSE SCHÜTZEN KLEINE
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
GROSSE SCHÜTZEN KLEINE
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
GROSSE SCHÜTZEN KLEINE
StISS – Structure: Basic Data Set
• Date of Treatment • Date of Birth – Age • Mode of Treatment • Sex • Postal Code • Hospital Code
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GROSSE SCHÜTZEN KLEINE
StISS – Structure: Minimal Data Set
Accident: Yes / No
Must Coding: External cause Styrian wide
All Age Age Groups All of accident
GROSSE SCHÜTZEN KLEINE
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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GROSSE SCHÜTZEN KLEINE
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 Styria
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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GROSSE SCHÜTZEN KLEINE
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,
GROSSE SCHÜTZEN KLEINE
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
GROSSE SCHÜTZEN KLEINE
StISS – Structure: Analysis
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GROSSE SCHÜTZEN KLEINE
StISS – Structure: Analysis
GROSSE SCHÜTZEN KLEINE
StISS – Structure: Analysis
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GROSSE SCHÜTZEN KLEINE
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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GROSSE SCHÜTZEN KLEINE
Safe Children Community
• Local Data • Evaluation – compare 2007 with 2011 – compare with a control district – consider the Austrian wide trend – analyze the cost factor
GROSSE SCHÜTZEN KLEINE
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
12
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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GROSSE SCHÜTZEN KLEINE
Safe Children Community - Evaluation
saved injuries
cases 210 relatively 640 severe injuries
..or in other words..
70 inpatient 570 ambulant E&R
GROSSE SCHÜTZEN KLEINE
Safe Children Community - Evaluation
saved saved injuries money
cases € 546.000.— relatively 640 (medical costs)
€ 2.000.000.— (macroeconomic costs)
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GROSSE SCHÜTZEN KLEINE
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
GROSSE SCHÜTZEN KLEINE
Thank you for your attention!
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