Implementation challenges facing hospital-based surveillance systems in Africa: lessons learned from IPPNWs Multinational Injury Surveillance System (MISSPP) and South Africa's National Non-fatal Injury Surveillance System (NANFISS) pilot projects

Abstract Background Unintentional injuries account for 10% of deaths worldwide; the majority due to road traffic injuries, falls, drowning, poisoning and burns. Effective surveillance systems provide evidence for informed injury prevention and treatment and improve recovery outcomes. Our objectives were to review existing sources of unintentional injury data, and quality of the data on the burden, distribution, risk factors and trends of unintentional injuries in India and to describe strengths and limitations of health facility-based data for potential use in injury surveillance systems. Methods We searched national and international organisations’ websites to identify unintentional injury-related mortality and morbidity data sources in India. We reviewed and evaluated data collection methods for surveillance attributes recommended by World Health Organization (WHO). We visited health facilities at all levels from public and private sectors, emergency transport centres, insurance offices and police stations in settings reporting significant number of injuries. In these sites, we interviewed key stakeholders using an explorative approach on current data collection processes and challenges to establishing an injury surveillance system based on WHO guidelines. Results Major gaps were highlighted in injury mortality and morbidity data in India, including ill-defined causes of injury deaths and lack of standardisation in classification and coding. Site visits revealed that reporting standards of injuries varied, with issues around clarity of definitions, accountability, time points and lack of reporter/coder training. Major challenges were lack of dedicated staff and training. Conclusions There is an important need to build human resource capacity, integrate data sources, standardise and streamline data collected, ensure accountability and capitalise on digital health information systems including insurance databases.

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A standardised mortuary-based injury surveillance system: lessons learned from the Ibadan Nigerian trial

International Journal of Injury Control and Safety Promotion ◽

10.1080/17457300.2014.884142 ◽

2014 ◽

Vol 22 (3) ◽

pp. 193-202

Author(s):

Chebiwot Kipsaina ◽

Uwom O. Eze ◽

Joan Ozanne-Smith

Keyword(s):

Surveillance System ◽

Lessons Learned ◽

Injury Surveillance ◽

Injury Surveillance System

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Comparing Two Sports Injury Surveillance Systems: A Novel Systematic Approach

Physical Treatments - Specific Physical Therapy ◽

10.32598/ptj.10.3.421.1 ◽

2020 ◽

Vol 10 (3) ◽

pp. 135-144

Author(s):

Mojtaba Ebrahimi Varkiani ◽

◽

Mohammad Hossien Alizadeh ◽

Reza Rajabi ◽

Hooman Minoonejad ◽

...

Keyword(s):

Incidence Rate ◽

Surveillance System ◽

Sports Injuries ◽

Sports Injury ◽

Recording System ◽

Injury Surveillance ◽

Easy Access ◽

Surveillance Systems ◽

Injury Surveillance System ◽

Significant Difference

Purpose: The present study aimed to compare two sports injury surveillance systems per the sports injury recording system of the sports medicine federation. Methods: A sports injury surveillance system was implemented to collect injury data. Athletic trainers recorded athletes’ sports injuries in soccer, volleyball, handball, taekwondo, and wrestling for 6 months in their user account via a smartphone-based application. The sports recording system routinely collected data alongside the sports injury surveillance system. Finally, the collected results were compared with the federation’s sports injury recording system. Results: Overall, 81 sports injuries were reported to the surveillance system. The incidence rate of 1.39 injuries per 1000 registered athletes was calculated in a sports injury surveillance system. This incidence rate was equal to 0.32 injuries per 1000 athletes registered in the sports injury recording system. Contusion and bruising were the most frequent injuries. However, there was no data on injury type in the sports injury recording system. Fingers and knees were the most commonly reported body parts in the sports injury surveillance system; however, knee and thigh were the most commonly recorded parts in the sports injury recording system. There was also a significant difference between the results of the two systems (P<0.05). Conclusion: Different implementation and reporting methods as well as having injury definition may affect the results. Employing easy access and user-friendly tools may facilitate injury recording.

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Using the fatal injury surveillance system and surveys to monitor motorcyclist deaths and helmet use in Cali (Colombia), 1996-2009

Injury Prevention ◽

10.1136/ip.2010.029215.628 ◽

2010 ◽

Vol 16 (Supplement 1) ◽

pp. A176-A176

Author(s):

V. Espitia-Hardeman ◽

J. F. Rios ◽

J. Lopez ◽

M. I. Gutierrez-Martinez

Keyword(s):

Surveillance System ◽

Injury Surveillance ◽

Injury Surveillance System ◽

Fatal Injury ◽

Helmet Use

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Implementing a hospital based injury surveillance system in Africa: lessons learned

Medicine Conflict & Survival ◽

10.1080/13623690802373884 ◽

2008 ◽

Vol 24 (4) ◽

pp. 260-272 ◽

Cited By ~ 13

Author(s):

Diego E. Zavala ◽

Simon Bokongo ◽

I. A. John ◽

Ismail Mpanga Senoga ◽

Robert E. Mtonga ◽

...

Keyword(s):

Surveillance System ◽

Lessons Learned ◽

Injury Surveillance ◽

Injury Surveillance System

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Piloting a multidisciplinary and integrated road traffic injury surveillance system in Kaduna Metropolis, Kaduna Nigeria.

10.21203/rs.3.rs-30715/v1 ◽

2020 ◽

Author(s):

Obafemi Joseph Babalola

Keyword(s):

Surveillance System ◽

Road Traffic ◽

Road Traffic Injury ◽

Injury Surveillance ◽

Surveillance Systems ◽

Single Source ◽

Traffic Crashes ◽

Fatal Injury ◽

Road Traffic Crashes ◽

Traffic Injury

Abstract Background African has the highest road fatality rate per 100,000 population, but Nigeria accounts for a quarter of the World Health Organization Afro region road traffic injury (RTI) related deaths. The Nigeria Federal Road Safety Corps (FRSC) is the sole agency for RTI surveillance. RTI data generated from a single source is inadequate, under-reported, and defective for effective planning to achieve SDG 3.6 target. This pilot study aimed to describe under-reporting of single RTI surveillance data source by FRSC, and feasibility of multidisciplinary and integrated RTI surveillance systems in Kaduna metropolis, Nigeria. Methods The WHO Injury Surveillance Guideline, and Centres for Disease Control and Prevention Surveillance Training Manual were adapted for this study. Selected RTI reporting sites for this study were FRSC, police, and three major health facilities. Trained data collectors used a pretested RTI data tool adapted from the existing tools to collect information on road traffic crashes and the injured from February – July 2016. Data linked by the deterministic method were merged, duplicates removed, and analysed for frequencies, proportions, and Chi-square odds ratio for associations between exposure variables and moderate to fatal injury. Statistical significance for all calculations was set at p-Value < 0.05. Results Of the 667 road traffic crashes (RTC), FRSC reported 103 (15.4%). Of the 1,062 people injured, FRSC and Police reported 183 (17.2%), and 381 (35.9%) respectively, pedestrians were 180 (17%), and 374 (35.2%) were in 25–34 years age group. Overall, 110 (10.4%) were fatally injured and died including 62.7% (69/110) who were initially rescued alive from the crash site. Among the 252 motorcycle riders, protective helmet was used by 26 (10.3%). Also, 136 (26.4%) vehicle users from 516, used a seat belt during the crash. Moderate to fatal injury was associated with being a vehicle operator during the crash (OR 1.7, C.I. 1.3–2.2, p = 0.000). Conclusion Road traffic crashes and injuries were under-reported with single source RTI surveillance systems common to low and middle – income countries like Nigeria. However, a multidisciplinary and integrated RTI surveillance system is feasible and recommended to generate quality data for action.

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Battery-Related Injuries in Children and Adults

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1071181320641405 ◽

2020 ◽

Vol 64 (1) ◽

pp. 1665-1670

Author(s):

Jacqueline Zimmermann ◽

Danielle King ◽

Caroline Crump

Keyword(s):

Emergency Room ◽

Surveillance System ◽

Rechargeable Batteries ◽

Injury Surveillance ◽

Consumer Product ◽

Age Group ◽

Injury Surveillance System ◽

Probability Sample ◽

Injury Data ◽

Button Cell

The aim of the current study was to analyze the circumstances behind battery injuries, including the mode of injuries experienced (e.g., a shock or consumption), as well as the battery types and products most frequently involved in battery injuries. The National Electronic Injury Surveillance System (NEISS), a probability sample of US hospitals that collects information from emergency room (ER) visits related to a consumer product, was utilized. Injury data from the NEISS database was coded to identify a) the accident mode that led to the injury, b) the battery type involved, and c) the product that was powered by the battery or charger, if available. The data revealed that battery-related injuries were most often associated with (1) children consuming button cell batteries associated with toys and other household objects, and (2) adults becoming burned when handling vehicle batteries. Surprisingly, injuries associated with rechargeable batteries were the least frequent; however, when burns occurred, they were predominantly related to e- cigarettes, as well as vehicles. Results are discussed in terms of general exposure to specific battery types and products analyzing these battery types within each age group.

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The National Interscholastic Cycling Association (NICA) Mountain Biking Injury Surveillance System (ISS): Analysis of 66,588 Student Athlete-Years of Injury Data

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115856 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5856

Author(s):

Meredith Ehn ◽

Masaru Teramoto ◽

Daniel M. Cushman ◽

Kristen Saad ◽

Stuart Willick

Keyword(s):

Surveillance System ◽

Student Athletes ◽

The United States ◽

Injury Surveillance ◽

Mountain Biking ◽

Student Athlete ◽

Mountain Bike ◽

Injury Surveillance System ◽

Injury Characteristics ◽

Mountain Bike Racing

Interscholastic youth cross-country mountain bike racing in the United States has grown significantly over the past decade, yet little is known about the risk profile in this age group. Aiming to protect participants, we implemented a prospective, longitudinal injury surveillance system for the purpose of better understanding youth mountain biking injuries and implementing safety measures. Data were collected during competition years 2018–2020, totaling 66,588 student athlete-years. Designated reporters from each team received weekly emails with exposure and incident report forms. Variables analyzed included demographic, rider-related, trail-related, and other data. Injury characteristics during the COVID-19 pandemic in 2020 were compared to the years 2018 and 2019. More student athletes participated in the 2020 season (25,261) than in prior seasons (18,575 in 2018 and 22,752 in 2019). During competition year 2020, overall injury proportion was lower (1.7% versus 3.0% in 2018 and 2.7% in 2019). Variables associated with injury, body part injured, type of injury, time-loss, and disposition following injury were similar between all years. Despite the pandemic and resultant changes to competition, student athletes continued to ride their bikes and become injured, but the proportion of injuries differed. This report details injury characteristics in youth mountain bike racing, including a comparison of before and during the pandemic.

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Phone-Related Distracted Walking Injuries as a Function of Age and Walking Environment

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1071181321651104 ◽

2021 ◽

Vol 65 (1) ◽

pp. 611-615

Author(s):

Zheng Haolan ◽

Isabella M. Campbell ◽

Wayne C.W. Giang*

Keyword(s):

Emergency Department ◽

Surveillance System ◽

Age Groups ◽

Injury Surveillance ◽

Future Research ◽

Home Environments ◽

Injury Surveillance System ◽

Different Types ◽

Ed Visits ◽

Walking Environment

Using phones while walking has been a factor that has led to accidents and injuries. However, few studies have analyzed the propensity of injuries due to distracted walking for different age groups and in different types of walking environments. This study aims to examine the number of emergency department (ED) visits due to distracted walking across different age groups and walking environments using a publicly available dataset, the National Electronic Injury Surveillance System (NEISS) database. The results suggest that there were an estimated 29140 distracted walking injuries between the years 2011-2019. Individuals between 11 and 20 years old had the most injuries, followed by 21 to 30, and 31 to 40. Furthermore, the proportion of estimated injuries that occurred in different walking environments differed across age groups. Safety-orient interventions for future research for stairs and home environments were also recommended in the present study.

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Validity of Soccer Injury Data from the National Collegiate Athletic Association's Injury Surveillance System

Journal of Athletic Training ◽

10.4085/1062-6050-46.5.489 ◽

2011 ◽

Vol 46 (5) ◽

pp. 489-499 ◽

Cited By ~ 71

Author(s):

Kristen L. Kucera ◽

Stephen W. Marshall ◽

David R. Bell ◽

Michael J. DiStefano ◽

Candice P. Goerger ◽

...

Keyword(s):

Surveillance System ◽

Sport Participation ◽

Athletic Trainers ◽

Capture Rate ◽

Injury Surveillance ◽

Medical Attention ◽

Collegiate Sports ◽

Injury Surveillance System ◽

Clinical Records ◽

Women's Soccer

Context: Few validation studies of sport injury-surveillance systems are available. Objective: To determine the validity of a Web-based system for surveillance of collegiate sport injuries, the Injury Surveillance System (ISS) of the National Collegiate Athletic Association's (NCAA). Design: Validation study comparing NCAA ISS data from 2 fall collegiate sports (men's and women's soccer) with other types of clinical records maintained by certified athletic trainers. Setting: A purposive sample of 15 NCAA colleges and universities that provided NCAA ISS data on both men's and women's soccer for at least 2 years during 2005–2007, stratified by playing division. Patients or Other Participants: A total of 737 men's and women's soccer athletes and 37 athletic trainers at these 15 institutions. Main Outcome Measure(s): The proportion of injuries captured by the NCAA ISS (capture rate) was estimated by comparing NCAA ISS data with the other clinical records on the same athletes maintained by the athletic trainers. We reviewed all athletic injury events resulting from participation in NCAA collegiate sports that resulted in 1 day or more of restricted activity in games or practices and necessitated medical care. A capture-recapture analysis estimated the proportion of injury events captured by the NCAA ISS. Agreement for key data fields was also measured. Results: We analyzed 664 injury events. The NCAA ISS captured 88.3% (95% confidence interval = 85.9%, 90.8%) of all time-lost medical-attention injury events. The proportion of injury events captured by the NCAA ISS was higher in Division I (93.8%) and Division II (89.6%) than in Division III (82.3%) schools. Agreement between the NCAA ISS data and the non–NCAA ISS data was good for the majority of data fields but low for date of full return and days lost from sport participation. Conclusions: The overall capture rate of the NCAA ISS was very good (88%) in men's and women's soccer for this period.

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