Change search
ReferencesLink to record
Permanent link

Direct link
Monitoring the "tip of the iceberg": Ambulance records as a source of injury surveillance
Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.ORCID iD: 0000-0002-0293-1795
2008 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, no 36, 250-257 p.Article in journal (Refereed) Published
Abstract [en]

Aims: The aim of this study was to describe the epidemiology of moderate and severe injury morbidity in a defined population based on ambulance records, and to validate ambulance records as a potential source of surveillance.Methods: A geographical target area was defined; the county of Värmland, Sweden. All ambulance attendances and hospitalisations for unintentional and intentional injury in 2002 were selected, analysed and compared.Results: Ambulance data comprised 3964 injury cases (14.5/1000). Most injuries for which ambulance attention was sought occurred in road traffic areas (27 %), followed by residential areas (20 %), school and institutional areas (14 %) and sports areas (8 %). An ecological comparison between ambulance based data and hospitalisations showed that ambulance services captured approximately the same amount of injury cases (3235 ambulance reports compared to 3456 hospital discharges) with a similar profile.Conclusions: This study provides epidemiological support for ambulance services as a potential source of regular surveillance data on moderate and severe injuries. However, at a population level, our results indicate that ambulance data tend to overestimate some injury categories, and underestimate others, compared to hospital data. The significance of these differences for preventive work, as well as other practical aspects of the feasibility for regular injury surveillance will be analysed and discussed on the basis of general criteria for evaluation of surveillance systems in a forthcoming paper.

Place, publisher, year, edition, pages
Sage Publications, 2008. no 36, 250-257 p.
Keyword [en]
Injury, Morbidity, Surveillance, Prevention, Ambulance medical records, Hospital discharge registers
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-21576DOI: 10.1177/1403494807086973OAI: oai:DiVA.org:kau-21576DiVA: diva2:595249
Available from: 2013-01-21 Created: 2013-01-21 Last updated: 2015-01-29Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full texthttp://www.informaworld.com/smpp/title~content=t713684341

Search in DiVA

By author/editor
Backe, StefanAndersson, Ragnar
By organisation
Department of Health and Environmental Sciences
In the same journal
Scandinavian Journal of Public Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 76 hits
ReferencesLink to record
Permanent link

Direct link