Injuries Associated with Bleachers and Grandstands: Data From the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP)

2004 ◽  
Author(s):  
Steven McFaull
Keyword(s):  
Prevention Program ◽  
Injury Reporting

scholarly journals Soccer-related head injuries—analysis of sentinel surveillance data collected by the electronic Canadian Hospitals Injury Reporting and Prevention Program

2019 ◽  
Vol 25 (6) ◽  
pp. 378-384
Author(s):  
Sarah Zutrauen ◽  
Steven McFaull ◽  
Minh T Do
Keyword(s):  
Prevention Program ◽  
Brain Injuries ◽  
Head Injuries ◽  
Surveillance Data ◽  
Soccer Players ◽  
Closed Head Injuries ◽  
Risk Of Injury ◽  
Ed Visits ◽  
Injury Reporting ◽  
Using Data

Abstract Background Participating in sports is a great way to gain physical, psychological, and social benefits. However, it also carries the risk of injury. Soccer is one of the most popular sports worldwide, and in recent years, there have been concerns about potential vulnerabilities to head injuries. Objectives To investigate soccer-related head injuries (SRHIs), using data from the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP) surveillance system. Specifically, we aim to compare characteristics of SRHI cases to all head injury cases within the eCHIRPP database. Methods Descriptive analyses of emergency department (ED) injury surveillance data (2011 to 2017) for individuals aged 5 to 29 years from all participating eCHIRPP sites. Computation of proportionate injury ratios (PIR) comparing SRHIs to all head injuries reported to eCHIRPP, and 95% confidence intervals (CI). Results A total of 3,970 SRHIs were reported to eCHIRPP. Injuries were from contact with another player, the ball, ground, goal-post, and other causes. Of the injuries caused by contact with the ball, 9% were from purposely directing the ball with the head (heading). A higher proportion of concussions (PIR=1.32, 95% confidence interval [CI]: 1.27 to 1.37) and minor closed head injuries (PIR=1.20, 95% CI: 1.15 to 1.26) were observed in soccer players. Higher proportions of head injuries occurred in organized soccer and soccer played outdoors. However, admission to the ED for a SRHI was rare (PIR=0.40, 95% CI: 0.30 to 0.55). Conclusions Overall, elevated proportions of brain injuries were observed among soccer players, however, these injuries were unlikely to result in a hospital admission. Moreover, purposely heading the ball contributed to few ED visits.

scholarly journals Occupational injuries in Canadian youth: an analysis of 22 years of surveillance data collected from the Canadian Hospitals Injury Reporting and Prevention Program

2016 ◽  
Vol 36 (5) ◽  
pp. 89-98 ◽  
Author(s):  
B. Pratt ◽  
J. Cheesman ◽  
C. Breslin ◽  
M. T. Do
Keyword(s):  
Prevention Program ◽  
Hospital Admissions ◽  
Occupational Injuries ◽  
Specific Information ◽  
Eye Injuries ◽  
Work Related ◽  
Occupation Group ◽  
Ed Visits ◽  
Injury Reporting ◽  
Job Group

Introduction Inexperience, inadequate training and differential hazard exposure may contribute to a higher risk of injury in young workers. This study describes features of work-related injuries in young Canadians to identify areas for potential occupational injury prevention strategies. Methods We analyzed records for youth aged 10–17 presenting to Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) emergency departments (EDs) from 1991–2012. We classified work-related injuries into job groups corresponding to National Occupational Classification for Statistics 2006 codes and conducted descriptive analyses to assess injury profiles by job group. Age- and sex-adjusted proportionate injury ratios (PIRs) and 95% confidence intervals (CIs) were calculated to compare the nature of injuries between occupational and non-occupational events overall and by job group. Results Of the 6046 injuries (0.72% of events in this age group) that occurred during work, 63.9% were among males. Youth in food and beverage occupations (54.6% males) made up 35.4% of work-related ED visits and 10.2% of work-related hospital admissions, while primary industry workers (76.4% males) made up 4.8% of workrelated ED visits and 24.6% of work-related hospital admissions. PIRs were significantly elevated for burns (9.77, 95% CI: 8.94–10.67), crushing/amputations (6.72, 95% CI: 5.79–7.80), electrical injuries (6.04, 95% CI: 3.64–10.00), bites (5.09, 95% CI: 4.47– 5.79), open wounds (2.68, 95% CI: 2.59–2.78) and eye injuries (2.50, 95% CI: 2.20–2.83) in occupational versus non-occupational events. These were largely driven by high proportional incidence of injury types unique to job groups. Conclusion Our findings provide occupation group-specific information on common injury types that can be used to support targeted approaches to reduce incidence of youth injury in the workplace.

scholarly journals Sentinel surveillance of suspected opioid-related poisonings and injuries: trends and context derived from the electronic Canadian Hospitals Injury Reporting and Prevention Program, March 2011 to June 2017

2018 ◽  
Vol 38 (9) ◽  
pp. 317-327 ◽  
Author(s):  
Minh T. Do ◽  
Vicky C. Chang ◽  
Semra Tibebu ◽  
Wendy Thompson ◽  
Anne-Marie Ugnat
Keyword(s):  
Risk Factors ◽  
Prevention Program ◽  
Negative Binomial ◽  
Public Health Problem ◽  
Negative Binomial Regression ◽  
Major Public Health Problem ◽  
Opioid Use ◽  
Annual Percent Change ◽  
Injury Reporting ◽  
Hospital Emergency Departments

Introduction The opioid epidemic is currently a major public health problem in Canada. As such, knowledge of upstream risk factors associated with opioid use is needed to inform injury prevention, health promotion and harm reduction efforts. Methods We analyzed data extracted from 11 pediatric and 6 general hospital emergency departments (EDs) as part of the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP) from March 2011 to June 2017. We identified suspected opioid-related injuries using search strings and manually verified them. We computed age-adjusted and sex-stratified proportionate injury ratios (PIRs) and 95% confidence intervals (CIs) to compare opioid-related injuries to all injuries in eCHIRPP. Negative binomial regression was used to determine trends over time. We conducted qualitative analyses of narratives to identify common themes across life stages. Results Between March 2011 and June 2017, 583 suspected opioid-related poisoning/ injury cases were identified from eCHIRPP. Most of the cases were females (55%). Many of the injuries occurred in patients’ own homes (51%). Forty-five percent of the injuries were intentional self-harm. Among children (aged 1–9 years), most injuries were caused by inadvertent consumption of opioids left unattended. Among youth (aged 10–19 years) and adults (aged 20–49 years), opioid use was associated with underlying mental illness. Overall, the average annual percent change (AAPC) in the rate of injuries (per 100 000 eCHIRPP cases) has been increasing since 2012 (AAPC = 11.9%, p $lt; .05). The increase is particularly evident for males (AAPC = 16.3%, p $lt; .05). Compared to other injuries, people with suspected opioid-related injuries were more likely to be admitted to hospital (PIR = 5.3, 95% CI: 4.6–6.2). Conclusion The upstream determinants of opioid-related injuries are complex and likely vary by subpopulations. Therefore, continued monitoring of risk factors is important in providing the evidence necessary to prevent future overdoses and deaths.

Emergency department surveillance of injuries associated with bunk beds: the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), 1990–2009

2012 ◽  
Vol 33 (1) ◽  
pp. 38-46 ◽  
Author(s):  
SR McFaull ◽  
M Frechette ◽  
R Skinner
Keyword(s):  
Emergency Department ◽  
Prevention Program ◽  
Emergency Departments ◽  
Surveillance System ◽  
Surveillance Period ◽  
Annual Percent Change ◽  
Percent Change ◽  
Bunk Bed ◽  
Injury Reporting ◽  
System Operating

Introduction Due to space constraints, bunk beds are a common sleeping arrangement in many homes. The height and design of the structure can present a fall and strangulation hazard, especially for young children. The primary purpose of this study was to describe bunk bed-related injuries reported to the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), 1990–2009. Methods CHIRPP is an injury and poisoning surveillance system operating in 11 pediatric and 4 general emergency departments across Canada. Records were extracted using CHIRPP product codes and narratives. Results Over the 20-year surveillance period, 6002 individuals presented to Canadian emergency departments for an injury associated with a bunk bed. Overall, the frequency of bunk bed-related injuries in CHIRPP has remained relatively stable with an average annual percent change of 21.2% (21.8% to 20.5%). Over 90% of upper bunk-related injuries were due to falls and children 3–5 years of age were most frequently injured (471.2/100 000 CHIRPP cases). Conclusion Children with bunk bed-related injuries continue to present to Canadian emergency departments, many with significant injuries. Injury prevention efforts should focus on children under 6 years of age.

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