Report on the Burden of Injuries in Europe:
Injury-related hospitalizations in Europe - 2004
This report represents the findings from the passive web-based query system which is based on patient-level hospital discharge data from 18 participating countries. The report shows what types of injuries can be derived from these data and shows variability between countries.
Exceptions and information about the data are availalable in the annexes.
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Web-based query system
The passive web-based query system is based on patient-level hospital discharge data from 18 participating countries, It uses computerized algorithms to accommodate for ICD-9-CM or ICD-10 coding and SPSS or Stata use (freely available at www.unav.es/ecip/english/pagina4.html). With the help of the web-based query system additional tables and figures with injury data per country and for Europe at large can be produced.
The system is available at https://www.unav.es/preventiva/apollo/asistente/.
You will need a user name: public. Password: public
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The burden of injuries in the EU. Indicators and recommendations for prevention and control
Efficient strategies to reduce the burden of Injuries in Europe and specific suggestions of policy measures to increase return on the investments.
The report aims to support EU countries in calculating the economic consequences of injury for purposes of priority setting in prevention.
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Final Report on Injury Severity Assessment
An analysis on the best strategies to measure the severity of injuries. The report seeks to review state of the art in injury severity assessment methods and contribute to the improvement of the ICD9-AIS automatic conversion method (toward AIS/ISS based severity scores) consisting in an extension of its applicability towards important body parts not yet fully considered in existing methods.
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New web tools to calculate the direct medical costs of injury
The web tools are SPSS scripts/syntaxes and have been developed to analyse, harmonize, aggregate and merge hospital-based data for the calculation of direct medical costs. A manual with guidelines is available which explains the methods for data analysis of hospital-based surveillance data and gives a description of the collection, harmonisation and analysis of data on injury incidence and related healthcare consumption and costs.
The tools are available here
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Questionnaire to collect data for exposure indicators: Indicators and Recommendations for Prevention and Control
The report based on the questionnaire to collect data for exposure indicators aims to provide EU countries with an opportunity to make the best use of existing mortality and morbidity data to produce indicators. Further, the report aims to communicate information to all parties concerned interested in exposure indicators on RTIs. The report provides recommendations to assist decision-making.
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WP3 Best Practices results
European Code Against Injuries
The European Code Against Injuries (ECAI) is an awareness raising tool for injury prevention and safety promotion in the European Union. It consists of simple, appealing and straight-forward messages that, if adopted, could save thousands of lives. The ECAI is currently available in: Danish, Dutch, French, English, Italian, Norwegian, Romanian, Russian, Slovenian, Spanish, Turkish [Success factors and barriers to implementation of prevention related to all types of injuries. The executive summary is also available. |
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Systematic literature review of good practices for four injury priorities: Alcohol-related injuries, road traffic injuries, occupational injuries and drowning
The methodology that was used to select those injury prevention priorities to be further targeted by the APOLLO project is described in this report, as well as the results of the systematic review concerned with good practices and policies for injury prevention.
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Results of a systematic literature review of effective policies for four injury priorities: Alcohol-related injuries, road traffic injuries, occupational injuries and drowning
It seeks to identify good policies for injury prevention strategies through a systematic literature review of the existing policies suggested in the literature for the prevention of fatal injuries.
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Success Factors and Barriers for the Implementation of Prevention Interventions
The reports aim to serve a useful guide for those injury prevention experts and safety practicioners who wish to implement effective interventions for the preventions of road traffic injuries, alcohol related injuries, drowning and occupational injuries.
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pdf file report 2
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How to overcome the barriers to implement recommendations for youth injury prevention: The Case of Road Traffic Injuries
This report aims to serve as a useful guide for policy makers, injury prevention researchers and safety practitioners wishing to effectively design and implement road traffic safety interventions targeting adolescents and young adults.
The first part of the report aims to assess the impact of risk-taking behaviour on road crash involvement among University students. The second part of the report applies qualitative methodology to explore youth’s perceived barriers to the adoption of safety measures.
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Implementation of effective injury prevention policies and strategies: A feasability & customization study. A report based on experts' opinions
The goal of this report is to provide meaningful messages regarding ways to improve implementability of effective policies and to customize successful practices in injury prevention to various EU settings.
Countries with relatively small population, together with new and non-EU Member States received high total feasibility even though in practice they may face more
difficulties in implementing effective policies.
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WP4 Falls among elderly
Feasibility of large scale interventions for preventing falls among older people in the European Union
This is a technical report on the methods and results of the studies conducted by Workpackage 4 of the Apollo project “Development and assessment of strategic materials for implementation of recommendations for preventing falls among elderly people in the EU”. It also presents a case study of two implementations of the same intervention in two EU countries.
The main aim of this work was to fill gaps in knowledge on specific aspects that hinder the possibility of evaluating the feasibility of large scale interventions for the prevention of falls in older people.
pdf files (Report, Appendix 1, Appendix 2)
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Report summarizing the research on the feasibility study addressing implementation of large scale interventions for preventing falls in the elderly. - A guide for implementers of interventions to prevent falls in community–dwelling older people
The aim of the present guide is to serve as a companion guide to the EUNESE guide, “Learn From The Eunese Pilot Projects Experience: A 7-Step Guide to
implement successful interventions for injury prevention among elderly people (65+)”, providing implementers with information specific for falls prevention among older people, in order to carry out the 7 steps to implement successful interventions.
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Prevention of falls in older people: Time to act
This document, ‘Prevention of falls in older people: Time to act’ provides recommendations for promoting the prevention of falls in community-dwelling older people. It covers areas such as what works in preventing falls, facilitating and monitoring the success of the proposed intervention fall prevention and the promotion of health and mental well-being in older people.
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WP5 Vulnerable Road Users
Good and promising interventions for the prevention of injuries to pedestrians and two-wheelers - Inventory and guidebook for the health sector
The aim of this report is to build common knowledge on what is known to work in injury prevention when targeting vulnerable road users and falls in pedestrians (“inventory”), and to guide politicians, administrators and other stakeholders in the public health sector in the implementation of policies and practices (“policy guide”).
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Injuries to vulnerable road users and falls in pedestrians in the EU
The first main aim of this study was to give a comprehensive view on injuries to VRU including FiP in the EU and to identify data gaps through the combination of different databases of data of the health and traffic sector.
Secondly, on behalf of tailor made injury prevention measures injuries to twowheelers and pedestrians should be analysed in regards to sex, age, injury mechanism and type of injury. Finally a feasible method should be developed to improve the routine reporting on injuries to VRU in the EU in the future.
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Safe school ways by implementing school travel plans in primary schools in Vienna’ is an evaluation of an intervention on the prevention of child pedestrian injuries in Austria.
The present report „Safe school ways by implementing school travel plans in primary schools in Vienna” aims to evaluate an intervention on the prevention of child pedestrian injuries in AT in order to show the effect of the initiative of school travel plans in primary schools in Vienna.
A fundamental element in school travel safety planning is a school travel plan. This is a map for pupils of primary schools showing dangerous spots and recommended school travel routes in school surroundings.
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Traffic and the Risk of Vehicle-Related Pedestrian Injury: A Decision Analytic Support Tool
A decision analytic support tool was developed to estimate the effect of alternative transport scenarios on the risk of vehicle pedestrian injury. The tool includes four sub- models: traffic dynamics, pedestrian dynamics, collision incidence and injury severity.
The tool was used to estimate the pedestrian injury rate for a baseline scenario, corresponding to current traffic conditions in London, and three alternative scenarios.
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Development, implementation and evaluation of a school based helmet promotion program
This report aims to present in a distinct and comprehensive way the multi-faceted process of educational program planning. It is specifically guided by results deriving from qualitative research with young two-wheel motorized vehicle users in Greece and applies the key concepts of the Health Belief Model in the development and implementation of a school-based helmet promotion program, “Stick it well on your head!”, targeting eligible adolescent drivers.
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WP6 NGO network, policy briefings & dissemination
Inventory of European NGOs
The inventory is broken down into the following injury domains:
Consumer Safety,
Suicide prevention
Transport
Violence prevention
Work safety
Other relevant organisations
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NGO declaration
A declaration on behalf of the network on priorities in injury prevention in Europe for all types of injuries in all age groups, by taking into account the relevant documents of the Working Party on Accidents and Injuries.
The declaration was issued at the 2nd European Conference in Paris, October 2008, and has now been signed by fourteen European NGO’s.
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The role of public health in injury prevention: Policy briefing #1
The aim of this policy briefing is to define the role of public health in the prevention of injuries. After mapping out the scale and burden of the injury issue the question is raised ‘Why should such a serious cause of death and disability have been so neglected by society at large?
Policies prioritising the prevention of injuries and violence are then detailed and the effectiveness of prevention measures is explored.
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Developing national policy for injury prevention: Policy briefing #2
The aim of this policy briefing is to highlight the key steps needed to formulate national policies and to act as a guide for the health sector on how to proceed in developing injury prevention policy.
Developing a national plan or policy on injury and/or violence prevention is an important process and sufficient development time and resources should be devoted to it, to maximize its likelihood of endorsement by the state, followed by implementation by all the partners in a coordinated way.
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Inequality in injury risks: Policy briefing #3
This policy briefing highlights the inequalities in injuries and injury risks in the European Region to maximize the potential for a policy response.
Understanding the determinants is part of the public health response to prevention.
Socioeconomic class and poverty influence the occurrence and outcomes of injuries through physical, social, psychological, educational and occupational variables, as well as other societal factors, such as the existence of social capital and social networks.
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Road traffic injuries among vulnerable road users: Policy briefing #4
The purpose of this policy briefing is to highlight the burden of road traffic injuries in vulnerable road users and to make policy proposals. RTIs are a preventable public health problem and protecting vulnerable road users, many of whom are children, is an important area of social justice.
The evidence on preventing road traffic injuries has been summarized in the World report on road traffic injury prevention and policy priority has been given to the area at both the international and European level.
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Alcohol and injuries: Policy briefing #5
The purpose of this policy briefing is to highlight the role of alcohol as a risk factor for injuries and violence and suggest public health initiatives to prevent alcohol related injuries and violence. It provides a measure of the enormity of the injury burden attributable to alcohol and highlights that many evidence based measures exist.
The overall economic loss to society resulting from harmful alcohol consumption, including costs to the health, social welfare and criminal justice systems, lost productivity, and reduced economic development are enormous.
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Youth violence prevention: Policy briefing #6
The purpose of this policy briefing is to highlight how youth violence can be prevented, in particular from a public health perspective. Youth violence is a preventable public health problem but it requires resources and commitment. Risk factors are witnessing violence in the family, poor parenting, poor education, inequalities of wealth, dense concentration of poverty, the availability of firearms, and alcohol and substance abuse.
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Injury surveillance: a health policy priority: Policy briefing #7
The purpose of this policy briefing is to provide basic insight in the spectrum of injury data sources and available statistics. It also aims to assist respective stakeholders in area of injury prevention and safety promotion to develop good injury surveillance systems by referring to existing standards and good practice in the EU and abroad.
Such good injury surveillance systems are intended to record information on individual cases of injury and produce statistical overviews of an injury problem, with all the relevant data being classified and coded according to agreed international standards.
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Using advocacy for injury prevention: Policy briefing #8
This policy briefing sets out to define advocacy, discuss why advocacy is needed in violence and injury prevention, provides international and national examples of advocating across the sectors and with the public, and then concludes with some generalisable lessons for action. Advocating for the prevention of injuries and violence is a sound public health objective because they are preventable.
Advocacy is one of the three major strategies for health promotion and can take many forms including the use of the mass media and multi-media, direct political lobbying, and community mobilization through, for example, coalitions of interest around defined issues.
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