Chapter 1 - For The Safety of Canadian Children And Youth -
Public Health Agency of Canada

Chapter 1
Methodological Considerations and Overall Profile of
Mortality, Hospitalizations and Emergency Room Visits
HIGHLIGHTS
Among children and youth under 20, injuries are the leading
cause of death and account for about 1 hospitalization in 6.
Data from Statistics Canada for 1990-1992 show
that:
- almost 1 in 3 deaths and 1 in 6 hospitalizations were injury
related;
- the proportion of injuries as a cause of death increased with
age: among those aged 10-14 more than 50% of deaths were due to
injuries, and for those 15-19 nearly 75% of deaths were due to
injuries;
- the proportion of injuries as a cause of hospitalization also
increased with age: for age 5-9, 1 in 6 hospitalizations was due to
injury, and for ages 10-14 and 15-19 the proportion was 1 in
4;
- boys had higher death and hospitalization rates than girls in
all age groups but particularly in 15-19-year-olds, among whom the
boys had a mortality rate 3 times higher than the girls;
- the leading cause of injury-related deaths was traffic injuries
(46.8%) followed by suicides (17.7%), drownings (8.2%), homicides
(5.7%) and fires and burns (5.0%);
- the leading cause of injury-related hospitalizations was falls
(25.9%) followed by traffic injuries (17.9%), suicide (6.3%) and
unintentional poisonings (4.8%).
CHIRPP profile, 1993:
- the 15 hospitals participating in CHIRPP reported 88,312
emergency room visits by children and youth under the age of 20 in
1993;
- CHIRPP reported more emergency room visits by boys than girls,
and the gap increased gradually with age;
- more than 1 in 5 injuries among children and youth under 20
occurred in and around homes.
CHAPTER
1
Methodological Considerations and Overall Profile of Mortality,
Hospitalizations and Emergency Room Visits
Mortality and Hospitalizations
Categories of Injuries
Framework for Data Analysis
Sources
Deaths
Hospitalizations
Profile of all Injuries Leading to Death or
Hospitalization
Magnitude of the Problem
Age and Sex
Categories of Injuries
Provinces and Territories
Historical Trends
Visits to Hospital Emergency Rooms
CHIRPP Rationale and Data Collection
Method
Usefulness and Limitations of CHIRPP Data
Usefulness
Limitations
Use of CHIRPP Data
Profile of Injuries Resulting in Visits to Hospital
Emergency Rooms, According to CHIRPP Data
Age and Sex
Location and Activity of the Child or Youth at Time of Injury
Type of Mechanism Causing the Injury
Nature of Injuries and Body Part Affected
Treatment of the Injury
Number of Cases per Chapter
Opportunities for Action
Research Priorities
Mortality and Hospitalization
Data
CHIRPP Data
Injuries as a Health Problem
Bibliography
Appendix I - Aim and Objectives of the Canadian Hospitals
Injury Reporting and Prevention Program (CHIRPP)
Appendix II - Injury/Poisonings Form
Appendix III - CHIRPP Variables Describing the
Event
Supplementary Tables
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