Abstract
Purpose
Previous studies have found that the Injury Prevention Priority Score (IPPS) provides
a reliable and valid method to gauge the relative importance of different injury causal
mechanisms at individual trauma centers. This study examines its applicability to
prioritizing injury mechanisms on a national level and within defined pediatric age
groups.
Methods
A total of 47,158 patients (age <17) in the National Pediatric Trauma Registry were
grouped into common injury mechanisms based on ICD-9 E-Codes. Patients also were stratified
by age group. IPPS was calculated for each mechanism and within each age group.
Results
Falls of all types account for the greatest number of injuries (n = 15,042; 32%),
whereas child abuse results in the most severe injuries (mean Injury Severity Score,
13.3) However, the most significant mechanisms of injury, according to IPPS, were
motor vehicle crashes followed by pedestrian struck by motor vehicles. Certain age
groups had specific injury problems including child abuse in infants and assault and
gun injuries in adolescents.
Conclusions
IPPS provides an objective, quantitative method for determining injury prevention
priorities based on both frequency and severity at the national level. It also is
sensitive to age-related changes in different mechanisms of injury.
Keywords
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References
- Injury prevention priority score.J Am Coll Surgeons. 2004; 198 (in press)
- Validation of an Injury Prevention Priority Score.Presented at the sixty second annual meeting of the American Association for the Surgery of Trauma. 2002 (Orlando, Florida. September 12–14)
- National Pediatric Trauma Registry.J Pediatr Surg. 1989; 24: 156-158
- CDC Recommended framework for presenting injury mortality data.MMWR Recomm Rep. 1997; 46 (RR-14 29): 1-30
- The injury severity score.J Trauma. 1974; 14: 187-196
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- Improving the Glasgow Coma Scale score.J Trauma. 2003; 54 (discussion 678–80): 671-678
- Research Agenda. Centers for Disease Control and Prevention, Atlanta (GA)2002
Article info
Identification
Copyright
© 2004 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
