scholarly journals Equestrian-related brain injuries presenting to emergency departments, Canada, 1990-2014

2015 ◽  
Vol 42 (S1) ◽  
pp. S11-S12
Author(s):  
M Shirazi ◽  
MD Cusimano ◽  
I Berger ◽  
A Lee ◽  
S McFaull
Keyword(s):  
Prevention Program ◽  
Emergency Departments ◽  
Brain Injuries ◽  
Clear Understanding ◽  
Mechanism Of Injury ◽  
Recreational Activities ◽  
Horse Riding ◽  
Study Population ◽  
Serious Injury ◽  
Injury Reporting

Background: Horse riding is a hazardous activity with the potential for serious injury. Equestrian-related injuries account for a higher rate of injury per number of riding hours than motorcyclists and automobile racers. There is a lack of literature pertaining to equestrian-related brain injuries. The objectives of this study were to describe the incidence, characteristics, and mechanisms of equestrian-related brain injuries sustained amongst Canadians between 1990 and 2014. Methods: Data were obtained from the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) database. The study population consisted of individuals who sustained equestrian-related brain injuries between the years 1990 and 2014 and presented to one of 15 participating emergency departments. Results: Brain injuries accounted for 13.3% (N=1060) of all equestrian-related injuries. The greatest proportion of injuries occurred amongst individuals aged 15-19 years, followed by individuals aged 0-4 years. The predominant mechanism of injury was falls. 17.9% of individuals were admitted to hospital. Normalized rates of injury increased from 1990 to 2010. Conclusions: Brain injuries sustained while participating in equestrian are often of a greater severity than injuries sustained while participating in other recreational activities. A clear understanding of the epidemiology and mechanisms of equestrian-related brain injuries must be achieved in order to effectively implement prevention efforts.

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.

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.

scholarly journals Epidemiology of electrical and lightning-related injuries among Canadian children and youth, 1997-2010: A Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) study

CJEM ◽  
2017 ◽  
Vol 20 (4) ◽  
pp. 586-591
Author(s):  
Madeleine Böhrer ◽  
Samuel A. Stewart ◽  
Katrina F. Hurley
Keyword(s):  
Prevention Program ◽  
Electrical Equipment ◽  
Children And Youth ◽  
Simple Linear Regression ◽  
Exact Test ◽  
Study Population ◽  
Lightning Injury ◽  
Injury Reporting ◽  
Electrical Injuries ◽  
At Home

AbstractIntroductionAlthough death due to electrical injury and lightning are rare in children, these injuries are often preventable. Twenty years ago, most injuries occurred at home, precipitated by oral contact with electrical cords, contact with wall sockets and faulty electrical equipment. We sought to assess the epidemiology of electrical injuries in children presenting to Emergency Departments (EDs) that participate in the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP).MethodsThis study is a retrospective review of electrical and lightning injury data from CHIRPP. The study population included children and youth aged 0-19 presenting to participating CHIRPP EDs from 1997-2010. Age, sex, year, setting, circumstance and disposition were extracted. Variables were tested using Fisher’s exact test and simple linear regression.ResultsThe dataset included 1183 electrical injuries, with 84 (7%) resulting in hospitalization. Most events occurred at home in the 2-5 year age group and affected the hands. Since 1997 there has been a gradual decrease in the number of electrical injuries per year (p<0.01) and there is an annual surge in electrical injuries over the summer (p<0.01). Forty-six percent of injuries involved electrical outlets, 65% of injuries involved some sort of electrical equipment. Injuries due to lightning were rare (n=19). No deaths were recorded in the database.ConclusionDespite the decrease in the number of electrical injuries per year, a large portion of injuries still appear to be preventable. Further research should focus on effective injury prevention strategies.

scholarly journals Determining the accuracy of the Canadian Hospitals Injury Reporting and Prevention Program for the representation of the rates of mild traumatic brain injuries in Quebec

2019 ◽  
Vol 39 (11) ◽  
pp. 291-297
Author(s):  
Glenn Keays ◽  
Debbie Friedman ◽  
Isabelle Gagnon ◽  
Marianne Beaudin
Keyword(s):  
Prevention Program ◽  
Brain Injuries ◽  
Pediatric Population ◽  
Age Groups ◽  
The United States ◽  
Traumatic Brain Injuries ◽  
Population Based ◽  
Number Of Children ◽  
Mild Traumatic Brain Injuries ◽  
Injury Reporting

Introduction The recent rise in mild traumatic brain injuries (mTBI) in the pediatric population has been documented by many studies in Canada and the United States. The objective of our study was to compare mTBI rates from the Canadian Hospital Injury Reporting and Prevention Program (CHIRPP) in Montréal with population-based rates (Quebec mTBI rates). Methods We calculated CHIRPP’s mTBI rates via two methods: (1) using all CHIRPP injuries as the denominator; and (2) using the number of children aged 0 to 17 years living within 5 km of either of two CHIRPP centres in Montréal as the denominator. We plotted CHIRPP’s mTBI rates against the provincial rates and compared them according to sex and age. Results Whether using all CHIRPP injuries or the number of children aged 0 to 17 years living within 5 km of either CHIRPP centre in Montreal as the denominator, CHIRPP paralleled the fluctuations seen in Quebec’s rates between 2003 and 2016. When stratifying by sex and age, CHIRPP was better at estimating the population-based rates for the youngest (0 to 4 years) and the oldest (13 to 17 years) age groups. Conclusion CHIRPP in Montréal proved a valid tool for estimating the variations in rates of mTBI in the population. This suggests that CHIRPP could also be used to estimate population-based rates of other types of injuries.

scholarly journals Brain injuries sustained by Canadian youth participating in Rugby Union

2015 ◽  
Vol 42 (S1) ◽  
pp. S39-S40
Author(s):  
M Shirazi ◽  
MD Cusimano ◽  
J Di Michele ◽  
S McFaull
Keyword(s):  
Brain Injury ◽  
Brain Injuries ◽  
Rugby Union ◽  
Body Parts ◽  
Body Contact ◽  
Canadian Youth ◽  
Risk Of Injury ◽  
Increased Risk ◽  
Study Population ◽  
Injury Reporting

Background: Rugby is a high-intensity, full-body contact sport in which there is an increased risk of injury associated with participation. The objectives of this study were to identify the mechanisms and characteristics of rugby-related injury sustained amongst Canadian youth. Methods: Data were obtained from the Canadian Hospitals Injury Reporting and Prevention Program database. The study population consisted of individuals aged 10-19 who sustained an injury while participating in rugby between the years 1990 and 2014. Proportions of body parts injured, mechanisms of brain injury, and nature of injury were calculated with 95% confidence intervals. Results: There were a total of 6200 rugby-related injuries sustained among individuals aged 10-19 between the years 1990 and 2014. 16.0% (N=993) of all injuries were brain injuries, 48.9% (n=486) of which were concussions. 70.7% (n=4838) of all injuries were sustained by males. The predominant mechanism of brain injury was tackling which accounted for 48.3% of all brain injuries n=480. Conclusion: Participation in rugby is rapidly increasing, and brain injury as a result of participation is a common occurrence. Possible changes to reduce injury include stricter penalties for high tackles to the head and neck area, and rules against blindside tackles.

scholarly journals Injuries and poisonings associated with e-cigarettes and vaping substances, electronic Canadian Hospitals Injury Reporting and Prevention Program, 2011–2019

2020 ◽  
Vol 40 (7/8) ◽  
pp. 250-254
Author(s):  
Steven R. McFaull ◽  
Minh T. Do ◽  
André Champagne ◽  
Felix Bang
Keyword(s):  
Prevention Program ◽  
Emergency Departments ◽  
Electronic Cigarettes ◽  
Injury Reporting

Electronic cigarettes are devices that deliver nicotine to the user by heating an e-liquid. In Canada, the Tobacco and Vaping Products Act became law on May 23, 2018. The purpose of this study was to describe the cases of injuries and poisonings associated with e-cigarette and vaping substances that presented to Canadian emergency departments within the electronic Canadian Hospitals Injury Reporting and Prevention Program network between 2011 and 2019. A total of 68 cases were retrieved (54.4% males). Of the 68 cases, 8 occurred between 2011 and 2014, while 35 (51.5%) occurred in 2018 or 2019. Ingestions, inhalations and burns were observed.

scholarly journals Risk Factors for Fall-Related Serious Injury among Korean Adults: A Cross-Sectional Retrospective Analysis

2021 ◽  
Vol 18 (3) ◽  
pp. 1239
Author(s):  
Moon-Sook Kim ◽  
Hyun-Myung Jung ◽  
Hyo-Yeon Lee ◽  
Jinhyun Kim
Keyword(s):  
Risk Factors ◽  
Fall Prevention ◽  
Medical Records ◽  
Brain Injuries ◽  
Tertiary Hospital ◽  
Antiplatelet Drugs ◽  
Cross Sectional ◽  
Complete Survey ◽  
Serious Injury ◽  
Serious Injuries

The purpose of this study was to identify the risk factors of serious fall-related injuries by analyzing the differences between two fall groups: one with serious fall-related injuries and one without such injuries. Applying a retrospective, descriptive investigation study design, we analyzed the degree of fall-related injury and the risk factors related to serious falls by conducting a complete survey of the medical records of fall patients reported throughout one full year, 2017, at a tertiary hospital in Seoul, Korea. Among the patients with reported falls, 188 sustained no injury (63.1%), 72 sustained minor injury (24.2%), and 38 patients sustained serious injury (12.8%). The serious fall-related injuries included eight lacerations requiring suture (2.7%), 23 fractures (7.7%), five brain injuries (1.7%), and two deaths (0.7%). Analysis results indicated that taking anticoagulants/antiplatelet drugs (p = 0.016) and having a fall history (p = 0.038) were statistically significant in the differences between the group with serious injury related to falls and the group without serious injury. Logistic regression revealed that taking anticoagulant/antiplatelet drugs was the factor most significantly correlated with serious injuries related to falls (OR = 2.299, p = 0.022). Results show that it is necessary to develop a patient-tailored fall prevention activity program.

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