Abstract
BACKGROUND—The design of childhood injury prevention programmes is hindered by a dearth of valid and reliable information on injury frequency, cause, and outcome. A number of local injury surveillance systems have been developed to address this issue. One example is CHIRPP (Canadian Hospitals Injury Reporting and Prevention Program), which has been imported into the accident and emergency department at the Royal Hospital for Sick Children, Glasgow. This paper examines a year of CHIRPP data. METHODS—A CHIRPP questionnaire was completed for 7940 children presenting in 1996 to the accident and emergency department with an injury or poisoning. The first part of the questionnaire was completed by the parent or accompanying adult, the second part by the clinician. These data were computerised and analysed using SPSSPC for Windows. RESULTS—Injuries commonly occurred in the child's own home, particularly in children aged 0-4 years. These children commonly presented with bruising, ingestions, and foreign bodies. With increasing age, higher proportions of children presented with injuries occurring outside the home. These were most commonly fractures, sprains, strains, and inflammation/oedema. Seasonal variations were evident, with presentations peaking in the summer. CONCLUSIONS—There are several limitations to the current CHIRPP system in Glasgow: it is not population based, only injuries presented to the accident and emergency department are included, and injury severity is not recorded. Nevertheless, CHIRPP is a valuable source of information on patterns of childhood injury. It offers local professionals a comprehensive dataset that may be used to develop, implement, and evaluate child injury prevention activities.
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Selected References
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- Barker M., Power C. Disability in young adults: the role of injuries. J Epidemiol Community Health. 1993 Oct;47(5):349–354. doi: 10.1136/jech.47.5.349. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hu X., Wesson D., Kenney B. Home injuries to children. Can J Public Health. 1993 May-Jun;84(3):155–158. [PubMed] [Google Scholar]
- Mott A., Rolfe K., James R., Evans R., Kemp A., Dunstan F., Kemp K., Sibert J. Safety of surfaces and equipment for children in playgrounds. Lancet. 1997 Jun 28;349(9069):1874–1876. doi: 10.1016/S0140-6736(96)10343-3. [DOI] [PubMed] [Google Scholar]
- Pitt W. R., Balanda K. P., Nixon J. Child injury in Brisbane South 1985-91: implications for future injury surveillance. J Paediatr Child Health. 1994 Apr;30(2):114–122. doi: 10.1111/j.1440-1754.1994.tb00593.x. [DOI] [PubMed] [Google Scholar]
- Stone D. H., Doraiswamy N. V. The Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) in the UK: a pilot study. Inj Prev. 1996 Mar;2(1):47–51. doi: 10.1136/ip.2.1.47. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stone D. H., Morrison A., Ohn T. T. Developing injury surveillance in accident and emergency departments. Arch Dis Child. 1998 Feb;78(2):108–110. doi: 10.1136/adc.78.2.108. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vimpani G. Injury surveillance: a key to effective control of childhood injuries. Aust Paediatr J. 1989 Feb;25(1):10–13. doi: 10.1111/j.1440-1754.1989.tb01405.x. [DOI] [PubMed] [Google Scholar]