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

For the Safety of Canadian Children and Youth

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