Differential ranking of causes of fatal versus non-fatal injuries among US children

Objective: Leading causes of fatal and non-fatal injury among US children aged <15 years were compared. Method: A descriptive study was conducted using nationally representative data on injury related deaths (National Vital Statistics System) and on non-fatal injury related emergency department visits (IEDV; National Electronic Injury Surveillance System-All Injury Program). Data were accessed using a publicly available web based system. Results: Annually, an estimated 7 100 000 pediatric IEDV and 7400 injury deaths occurred. The overall non-fatal to fatal ratio (NF:F) was 966 IEDV:1 death. Among deaths, the leading causes were motor vehicle traffic occupants (n = 1700; NF:F = 150:1), suffocations (n = 1037; NF:F = 14:1), and drownings (n = 971, NF:F = 6:1). Among non-fatal injuries, falls (estimated 2 400 000) and struck by/against (estimated 1 800 000) were the most common causes, but substantially less lethal (NF:F = 19 000:1 and 15 000:1, respectively). Conclusions: The leading causes of pediatric fatal and non-fatal injuries differed substantially. This study indicates the need for consideration of common causes of non-fatal injury, especially falls.

[1]  H M Rosenberg,et al.  Comparability of cause of death between ICD-9 and ICD-10: preliminary estimates. , 2001, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[2]  L. McCaig,et al.  Plan and operation of the National Hospital Ambulatory Medical Survey. Series 1: programs and collection procedures. , 1994, Vital and health statistics. Ser. 1, Programs and collection procedures.

[3]  S. L. Murphy.  Deaths: final data for 1998. , 2000, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[4]  R. Rooks,et al.  Ambulatory health care visits by children: principal diagnosis and place of visit. , 1998, Vital and health statistics. Series 13, Data from the National Health Survey.

[5]  J L Annest,et al.  Expanding the National Electronic Injury Surveillance System to monitor all nonfatal injuries treated in US hospital emergency departments. , 1999, Annals of emergency medicine.

[6]  L. McCaig,et al.  National Hospital Ambulatory Medical Care Survey: 1999 emergency department summary. , 2001, Advance data.

[7]  K. Kochanek,et al.  Recommended framework for presenting injury mortality data. , 1997, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[8]  National estimates of nonfatal injuries treated in hospital emergency departments--United States, 2000. , 2001, MMWR. Morbidity and mortality weekly report.