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Evaluation of Playground Injuries based on ICD, E codes, International Classification of External Cause of Injury codes (ICECI), and Abbreviated Injury Scale coding systems

Tan, N.C., and Ang, A., and Heng, J., and Chen, J., and Wong, H.B., (2007) Evaluation of Playground Injuries based on ICD, E codes, International Classification of External Cause of Injury codes (ICECI), and Abbreviated Injury Scale coding systems. Asia Pacific Journal of Public Health, 19 (1). pp. 18-27. ISSN 1-800-818-7243

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Affiliations

SingHealth Polyclinics, Singapore
KK Women’s & Children’s Hospital, Singapore
Ministry of Health, Singapore
Clinical Trials & Epidemiology Research Unit, Singapore
Clinical Trials & Epidemiology Research Unit, Singapore

Abstract

The survey is aimed to describe the epidemiology of playground related injuries in Singapore based on the ICD-9, AIS/ ISS and PTS scoring systems, and mechanisms and causes of such injuries according to E codes and ICECI codes. A crosssectional questionnaire survey examined children (< 16 years old), who sought treatment for or died of unintentional injuries in the ED of three hospitals, two primary care centers and the sole Forensic Medicine Department of Singapore. A data dictionary was compiled using guidelines from CDC/WHO. The ISS, AIS and PTS, ICD-9, ICECI v1 and E codes were used to describe the details of the injuries. 19,094 childhood injuries were recorded in the database, of which 1617 were playground injuries (8.5%). The injured children (mean age=6.8 years, SD 2.9 years) were predo-minantly male (M:F ratio = 1.71:1). Falls were the most frequent in-juries (70.7%) using ICECI.
25.0% of injuries involved radial and ulnar fractures (ICD-9 code). 99.4% of these injuries were minor, with PTS scores of 9-12. Children aged 6-10 years, were prone to upper limb injuries (71.1%) based on AIS. The use of international coding systems in injury surveillance facilitated standardisation of description and comparison of playground injuries.

Item Type:Journal
Additional Information:The investigators would like to thank the following members of the Childhood Unintentional Injuries Surveillance Project workgroup: Drs Anantharaman, A Ngo, SH Goh, MH Chow, C Tan, HC Chin, KP Wee, KC Ng; Ms A Lim and Mr Teh MH from KKH Information Support Department for their IT support, KKH Research Centre for their administrative support, doctors from the Hong Kong for their guidance in setting up the database and Mr Albert Sim from KKWCH Medical Illustration who helped in the design of poster of this study at the 7th World Conference on Injury Prevention and Control in June 2004 in Vienna, Austria. The project was supported by a research grant from the National Medical Research Council of Singapore.
Keywords:Playground injury, surveillance, ICD-9, E codes, ICECI, AIS, PTS, ISS.
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:4682

1. Singapore Productivity and Standards Board Singapore Standards SS 457:1999 (ICS 97.200.40) Specification for Playground Equipment for public use: 40.

2. Mackay M. Playground injuries. Inj Prev 2003; 9: 194-196. 3. Mahadev A, Soon MYH, Lam KS. Monkey bars are for monkeys: A study on playground equipment related extremity fractures in Singapore. Singapore Med J 2004; 45(1): 9-13.

4. Holder Y, Peden M, Krug K et al. Injury Surveillance Guidelines. Published in conjunction with WHO and Centre for Disease Control and Prevention, Atlanta, USA.2001.WHO/NMH/VIP/ 01.02.

5. Ezenkwele UA, Holder Y. Applicability of CDC guidelines

toward the development of an injury surveillance system in the Caribbean. Inj Prev 2001; 7: 245-248.

6. Macarthur C, Dougherty G, Pless IB. Reliability and proxy respondant information about childhood injury: an assessment of a Canadian surveillance system. Am J Epidemiol 1997;145(9): 834-41.

7. Norton C, Nixon J, Silbert JR. Playground injuries to children. Arch Dis Child 2004;89:103-108.

8. World Health Organisation. International Classification of Diseases, Ninth revision, Clinical Modifications, ICD-9-CM). Geneva: WHO, 1977.

9. American Academy of Pediatrics. Committee on injury and poison prevention. The hospital record of the injured child and the need for external cause of injury codes (RE 9824). Pediatrics 1999;103(2): 524-526.

10. WHO- Working Group for Injury Surveillance Methodology Development. ICECI: Guidelines for Counting and Classifying External Causes of Injuries for Prevention and Control. Amsterdam:Consumer Safety Institute, WHO Collaboration Center on Injury Surveillance, May 1998.

11. AIS: Association for the Advancement of Automotive Medicine. The Abbreviated Injury Scale (1990 revision) Update 98. Des Plaines, IL:AAAM, 1998.

12. Durbin DR, Localio AR, MacKenzie EJ. Validation of the ICD/AIS MAP for pediatric use. Inj Prev 2001; 7: 96-99.

13. Baker S, O’Neill B, Haddon W, et al. The injury severity score. J Trauma 1974; 14: 187-96.

14. Wesson D, Spence L. Injury scoring systems in childhood. Can J Surg 1987; 30: 398-400.

15. Ford EG , Jennings LM, Gibson AE, et al. The pediatric trauma score: accuracy of prediction of injury severity in a single large urban pediatric trauma experience. Contemp Orthop 1988; 16: 35-41.

16. Ramenofsky ML, Ramenofsky MB, Jurkovich GJ, et al. The predictive validity of the pediatric truama score. J Trauma 1988:28(7): 1038-1042.

17. Hesletine P, Holborn J. Playgrounds: The Planning, Design and Construction of Play Environments. London: Mitchell. 1987; pg 20-7.

18. Christoffel KK, Schidt PC, Agran PF et al. Standard definitions for childhood injury research: excerpts of a conference report. Pediatrics 1992; 89(6): 1027-34.

19. Macarthur C, Pless IB. Sensitivity and representativeness of a childhood injury surveillance system. Inj Prev 1999; 5: 214-6.

20. Stone DH, Morrison A, Smith GS. Emergency department in-jury surveillance systems: the best use of limited resources? Inj Prev 1999; 5: 166-7.

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