F P Rivara1, D C Grossman. 1. Harborview Injury Prevention and Research Center, Seattle 98104, USA.
Abstract
OBJECTIVE: To describe the changes in injury mortality from 1978 to 1991 and determine the number of preventable deaths with currently available intervention strategies. METHODS: Comparison of injury mortality data for children and adolescents 0 to 19 years in 1978 and 1991. Review of the literature to determine the effectiveness of currently available prevention strategies and application of these to deaths in 1991. RESULTS: The injury death rate declined by 26% over the 14-year period. Death rates of unintentional injuries decreased by 39%, with declines in all categories of unintentional injuries. Homicides increased by 67% and suicides by 17%; nearly all of this increase was in deaths from firearms. If currently available prevention strategies were fully used, 6640 deaths could have been prevented, a further 31% decrease. CONCLUSIONS: Although great studies have been made in preventing deaths from trauma, the application of currently available prevention strategies could save a large number of additional lives. However, the increasing problem of intentional injury will partly counterbalance the success in unintentional injury control.
OBJECTIVE: To describe the changes in injury mortality from 1978 to 1991 and determine the number of preventable deaths with currently available intervention strategies. METHODS: Comparison of injury mortality data for children and adolescents 0 to 19 years in 1978 and 1991. Review of the literature to determine the effectiveness of currently available prevention strategies and application of these to deaths in 1991. RESULTS: The injury death rate declined by 26% over the 14-year period. Death rates of unintentional injuries decreased by 39%, with declines in all categories of unintentional injuries. Homicides increased by 67% and suicides by 17%; nearly all of this increase was in deaths from firearms. If currently available prevention strategies were fully used, 6640 deaths could have been prevented, a further 31% decrease. CONCLUSIONS: Although great studies have been made in preventing deaths from trauma, the application of currently available prevention strategies could save a large number of additional lives. However, the increasing problem of intentional injury will partly counterbalance the success in unintentional injury control.
Authors: I Shavit; S Ittai; G Bar-Joseph; B J Gad; N Shehadeh; S Naim; D Faraggi; F David; V Jan; J Vardit; M Revach; R Moshe Journal: Eur J Epidemiol Date: 2000-01 Impact factor: 8.082
Authors: Richard A Falcone; Anita L Brentley; Crystal D Ricketts; Sheryl E Allen; Victor F Garcia Journal: J Natl Med Assoc Date: 2006-08 Impact factor: 1.798