Developing Risk Factor-Related Injury Indicators Based on Injury Surveillance Data in Korea

초록

Objective : In Korea, the Emergency Department-based In-depth Injury Surveillance System was designed to provide information necessary to establish injury prevention and management policies. To optimize the effectiveness and strategic utility of the injury surveillance system requires risk factor-related injury indicators. Thus, this study aimed to suggest indicators with description of a process to develop indicators that adhere to the goals of a surveillance system using data from hospital-based injury surveillance systems. Methods : Stepwise methodology using a Haddon matrix-based approach was used to develop risk factor- related injury indicators. Expert evaluation of the appropriateness, importance, clarity, sensitivity and applicability of candidate indicators was conducted in two rounds by referencing results for descriptive analysis using injury surveillance data. Results : Through the expert evaluation, 33 indicators were selected including those that measured the scale of injury. When classified according to the injury categories, indicators involving transport accidents were the most common with nine indicators, followed by those related to fall injuries with six indicators. Indicators also included poisoning, drowning, self-injury/suicide and violence. As a risk factor-related indicator, distribution of poisonous substances among injury patients admitted to an emergency department for intentional poisoning was selected. Conclusions : Appropriate indicators are needed that allow the effective operation of an injury surveillance system and policy-based use of such a system. It is also necessary to improve indicators that are cyclic in nature and can reflect changes in social interests and policies.

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