Epidemiology of adulthood injuries: a quickly changing injury profile in Finland.

Abstract:

:Although developed societies have undergone many profound changes during recent decades, including urbanization, increased traffic and aging of the populations, epidemiologic information on secular trends in profiles of injuries is limited. We investigated such trends in Finland by selecting from the National Hospital Discharge Register all Finns aged 15 years or more who required hospital treatment because of an unintentional injury during 1971-1995. The injury incidences were expressed as the number of patients per 100,000 individuals per year. In Finnish men, road traffic accidents and falls, the two leading causes of injury, produced equal numbers of injuries in 1971 (4935 and 4957), but thereafter the role of the traffic accidents gradually decreased (3512 injuries with unadjusted and age-adjusted incidences of 177 and 183 in 1995) and that of falls clearly increased (13,218 injuries with unadjusted and age-adjusted incidences of 664 and 635 in 1995). Changes in the other injury categories of men were less drastic. In Finnish women, falling was the most common cause of injury in 1971 (5051 injuries), after which its role increased sharply, to 17,250 injuries in 1995 (unadjusted and age-adjusted incidences of 804 and 698, respectively). In 1971, road traffic produced 2369 injuries in women, after which this number somewhat decreased (2160 injuries with unadjusted and age-adjusted incidences of 101 and 101 in 1995). The role of all the other injury categories was small in Finnish women during 1971-1995. We conclude that a quick change in the overall profile of injuries occurred in Finland in 1971-1995, a change in which falls replaced road traffic accidents as the major cause of a serious injury. This epidemiologic change will give a new challenge for injury prevention in the new millennium.

journal_name

J Clin Epidemiol

authors

Kannus P,Niemi S,Parkkari J,Palvanen M

doi

10.1016/s0895-4356(00)00346-2

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

597-602

issue

6

eissn

0895-4356

issn

1878-5921

pii

S0895-4356(00)00346-2

journal_volume

54

pub_type

杂志文章
  • Factors associated with errors in death certificate completion. A national study in Taiwan.

    abstract::To identify characteristics of certifying physicians and the deceased that are associated with errors in death certificate completion in Taiwan, we retrospectively reviewed 4123 systematically sampled death certificates issued in 1994. Multivariate analyses were used to assess the associations of various characteristi...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(00)00299-7

    authors: Lu TH,Shau WY,Shih TP,Lee MC,Chou MC,Lin CK

    更新日期:2001-03-01 00:00:00

  • Statistically significant papers in psychiatry were cited more often than others.

    abstract:OBJECTIVE:Citations by other researchers are important in the dissemination of research findings. We aimed to investigate whether preferential citation of statistically significant articles exists in the psychiatric literature. STUDY DESIGN AND SETTINGS:We analyzed all original research papers published in 1996 in fou...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2006.11.014

    authors: Nieminen P,Rucker G,Miettunen J,Carpenter J,Schumacher M

    更新日期:2007-09-01 00:00:00

  • Reliability of Bayesian probability analysis for predicting coronary artery disease in a veterans hospital.

    abstract::To assess the accuracy of Bayesian probability analysis for the prediction of coronary artery disease, post-test probabilities were generated by the application of three Bayesian algorithms to the clinical and noninvasive test results of 199 patients undergoing angiography in a veterans' hospital. All assumed conditio...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(88)90065-0

    authors: Detrano R,Guppy KH,Abbassi N,Janosi A,Sandhu S,Froelicher V

    更新日期:1988-01-01 00:00:00

  • Characteristics of stroke victims associated with early cardiovascular mortality in their children.

    abstract::We assessed the relationship between characteristics of stroke victims and the risk of early death from coronary or cerebrovascular disease (CCVD) among their children. For each of 55 stroke patients selected from a registry which enrolled patients between 1969 and 1973, an index of their progeny's survival was calcul...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(90)90055-t

    authors: Howard G,Evans GW,Toole JF,Tell G,Rose LA,Espeland M,Truscott BL

    更新日期:1990-01-01 00:00:00

  • A grounded patient-centered approach generated the personal and societal burden of osteoarthritis model.

    abstract:OBJECTIVE:To develop a conceptual model to describe the burden of osteoarthritis in individuals with this condition and on the broader community. STUDY DESIGN AND SETTING:Six concept mapping workshops were undertaken: three with patients (n = 26) and three with health professionals (n = 27) in Australia and Sweden. Th...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2013.03.012

    authors: Busija L,Buchbinder R,Osborne RH

    更新日期:2013-09-01 00:00:00

  • Simulated computerized adaptive test for patients with shoulder impairments was efficient and produced valid measures of function.

    abstract:BACKGROUND AND OBJECTIVE:To test unidimensionality and local independence of a set of shoulder functional status (SFS) items, develop a computerized adaptive test (CAT) of the items using a rating scale item response theory model (RSM), and compare discriminant validity of measures generated using all items (theta(IRT)...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2005.08.006

    authors: Hart DL,Cook KF,Mioduski JE,Teal CR,Crane PK

    更新日期:2006-03-01 00:00:00

  • The Chinese version of the Tampa Scale for Kinesiophobia was cross-culturally adapted and validated in patients with low back pain.

    abstract:OBJECTIVES:The aim of the present study was to obtain a cross-cultural adaptation and evaluation of a Simplified Chinese (SC) version of the Tampa Scale for Kinesiophobia (TSK) for use in patients with low back pain (LBP). STUDY DESIGN AND SETTING:The TSK was translated and adapted cross-culturally following internati...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2015.07.003

    authors: Wei X,Xu X,Zhao Y,Hu W,Bai Y,Li M

    更新日期:2015-10-01 00:00:00

  • Unpublished data can be of value in systematic reviews of adverse effects: methodological overview.

    abstract:OBJECTIVE:To assess the impact of including unpublished data on adverse effects in systematic reviews. STUDY DESIGN AND SETTING:We carried out a systematic review of methodological evaluations that compared the quantitative reporting of adverse effects data between published and unpublished sources, in particular, the...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jclinepi.2010.02.009

    authors: Golder S,Loke YK,Bland M

    更新日期:2010-10-01 00:00:00

  • Evaluation of diagnostic tests with multiple diagnostic categories.

    abstract::The evaluation of diagnostic tests attempts to obtain one or more statistical parameters which can indicate the intrinsic diagnostic utility of a test. Sensitivity, specificity and predictive value are not appropriate for this use. The likelihood ratio has been proposed as a useful measure when using a test to diagnos...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(88)90051-0

    authors: Birkett NJ

    更新日期:1988-01-01 00:00:00

  • Multilevel modeling was a convenient alternative to common regression designs in longitudinal suicide research.

    abstract:BACKGROUND AND OBJECTIVE:The prospective investigation of repetitive nonfatal suicidal behavior is associated with two methodological problems. Due to the commonly used definitions of nonfatal suicidal behavior, clinical samples usually consist of patients with a considerable between-person variability. Second, repeate...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2005.10.010

    authors: Antretter E,Dunkel D,Osvath P,Voros V,Fekete S,Haring C

    更新日期:2006-06-01 00:00:00

  • Use of goal attainment scaling in measuring clinically important change in cognitive rehabilitation patients.

    abstract::Measuring the effectiveness of cognitive rehabilitation programs poses both conceptual and practical challenges. We compared several standardized outcome measures with goal attainment scaling (GAS) to assess their sensitivity to changes in health status in patients undergoing cognitive rehabilitation. GAS is a measure...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(97)00014-0

    authors: Rockwood K,Joyce B,Stolee P

    更新日期:1997-05-01 00:00:00

  • Searching one or two databases was insufficient for meta-analysis of observational studies.

    abstract:OBJECTIVE:To address methodologic issues in searching for observational studies by presenting database search methods and results. STUDY DESIGN AND SETTING:Results of two literature searches for publications reporting on observational studies of alcohol consumption and the risk of breast cancer and large bowel cancer ...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2005.03.004

    authors: Lemeshow AR,Blum RE,Berlin JA,Stoto MA,Colditz GA

    更新日期:2005-09-01 00:00:00

  • An enhancement of ROC curves made them clinically relevant for diagnostic-test comparison and optimal-threshold determination.

    abstract:OBJECTIVES:The receiver operating characteristic curves (ROC curves) are often used to compare continuous diagnostic tests or determine the optimal threshold of a test; however, they do not consider the costs of misclassifications or the disease prevalence. The ROC graph was extended to allow for these aspects. STUDY ...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2015.01.003

    authors: Subtil F,Rabilloud M

    更新日期:2015-07-01 00:00:00

  • Selecting a patient characteristics index for the prediction of medical outcomes using administrative claims data.

    abstract::Recently, there has been a great deal of discussion regarding the use of administrative databases to study outcomes of medical care. A major issue in this discussion is how to classify patients in terms of characteristics such as disease-severity, comorbidities, resource needs, stability, etc. Different indices have b...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(94)00202-2

    authors: Melfi C,Holleman E,Arthur D,Katz B

    更新日期:1995-07-01 00:00:00

  • Multiple imputation was an efficient method for harmonizing the Mini-Mental State Examination with missing item-level data.

    abstract:OBJECTIVE:The Mini-Mental State Examination (MMSE) is used to estimate current cognitive status and as a screen for possible dementia. Missing item-level data are commonly reported. Attention to missing data is particularly important. However, there are concerns that common procedures for dealing with missing data, for...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2010.10.011

    authors: Burns RA,Butterworth P,Kiely KM,Bielak AA,Luszcz MA,Mitchell P,Christensen H,Von Sanden C,Anstey KJ

    更新日期:2011-07-01 00:00:00

  • Comparison of "Rose Questionnaire Angina" to exercise thallium scintigraphy: different findings in males and females.

    abstract::Validation of the London School of Hygiene (Rose) Questionnaire with objective measures of myocardial ischemia is incomplete. Therefore, we compared the Rose Questionnaire with exercise thallium-201 myocardial scintigraphy in 147 male and 97 female patients with chest pain referred for clinical exercise testing. Of th...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(92)90048-r

    authors: Garber CE,Carleton RA,Heller GV

    更新日期:1992-07-01 00:00:00

  • Online accesses to medical research articles on publication predicted citations up to 15 years later.

    abstract:OBJECTIVES:To examine whether the number of early online accesses to medical research articles predicts citations in the scientific literature over time. STUDY DESIGN AND SETTING:Cohort study of research articles published in the BMJ between January and June 1999. The number of online assesses within 1 week of publica...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2015.01.024

    authors: Perneger TV

    更新日期:2015-12-01 00:00:00

  • Interaction between a single exposure and age in cohort-based hazard rate models impacted the statistical distribution of age at onset.

    abstract:OBJECTIVE:Statistical interaction between a single, instantaneous exposure and attained age (age during follow-up; attained age = age at exposure + time since exposure) is used in risk analyses to assess potential effect modification by unmeasured factors correlated with age. However, the impact of such interaction on ...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2015.10.004

    authors: Izumi S,Sakata R,Yamada M,Cologne J

    更新日期:2016-03-01 00:00:00

  • Standards should be applied in the prevention and handling of missing data for patient-centered outcomes research: a systematic review and expert consensus.

    abstract:OBJECTIVES:To recommend methodological standards in the prevention and handling of missing data for primary patient-centered outcomes research (PCOR). STUDY DESIGN AND SETTING:We searched National Library of Medicine Bookshelf and Catalog as well as regulatory agencies' and organizations' Web sites in January 2012 for...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jclinepi.2013.08.013

    authors: Li T,Hutfless S,Scharfstein DO,Daniels MJ,Hogan JW,Little RJ,Roy JA,Law AH,Dickersin K

    更新日期:2014-01-01 00:00:00

  • The practice of meta-analysis.

    abstract::Meta-analysis seems to have a potentially useful role in carefully selected situations where the primary literature is of good quality, heterogeneity in the response to treatment of the tested population is small and well-understood, interest centers on estimation of a specific, critical parameter of outcome, and the ...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章,评审

    doi:10.1016/0895-4356(94)00149-k

    authors: Bailar JC 3rd

    更新日期:1995-01-01 00:00:00

  • A method for assessing drug therapy appropriateness.

    abstract::This study evaluated the reliability of a new medication appropriateness index. Using the index, independent assessments were made of chronic medications taken by 10 ambulatory, elderly male patients by a clinical pharmacist and an internist-geriatrician. Their overall inter-rater agreement for medication appropriaten...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(92)90144-c

    authors: Hanlon JT,Schmader KE,Samsa GP,Weinberger M,Uttech KM,Lewis IK,Cohen HJ,Feussner JR

    更新日期:1992-10-01 00:00:00

  • Validation of a combined comorbidity index.

    abstract::The basic objective of this paper is to evaluate an age-comorbidity index in a cohort of patients who were originally enrolled in a prospective study to identify risk factors for peri-operative complications. Two-hundred and twenty-six patients were enrolled in the study. The participants were patients with hypertensi...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(94)90129-5

    authors: Charlson M,Szatrowski TP,Peterson J,Gold J

    更新日期:1994-11-01 00:00:00

  • Application of a sequential t-test in a cohort nested case-control study with multiple controls per case.

    abstract::Application of sequential analysis may avoid unnecessary experimentation and achieve economical use of available biomaterial stored in biological banks. When, as often happens in cohort case-controls studies, cases are scarce, it may be possible to use multiple control observations per case to increase the power of a ...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/0895-4356(93)90073-a

    authors: van der Tweel I,van Noord PA,Kaaks R

    更新日期:1993-03-01 00:00:00

  • Most overviews of Cochrane reviews neglected potential biases from dual authorship.

    abstract:OBJECTIVE:Some authors of Cochrane overviews have also (co-)authored one or more of the underlying reviews. We examined the extent of dual (co-)authorship in Cochrane overviews, how it is dealt with, and whether the issue is raised in protocols. STUDY DESIGN:The Cochrane Library was searched for overviews and protocol...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2016.04.008

    authors: Büchter RB,Pieper D

    更新日期:2016-09-01 00:00:00

  • Anxiety predicted premature all-cause and cardiovascular death in a 10-year follow-up of middle-aged women.

    abstract:OBJECTIVE:Research on emotional distress and mortality has largely focused on depression in men and in elderly populations. We examined the relation between anxiety and mortality in women at midlife, adjusting for depression. STUDY DESIGN AND SETTING:At baseline, 5,073 healthy Dutch women aged 46-54 years (mean=50.4+/...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2008.08.006

    authors: Denollet J,Maas K,Knottnerus A,Keyzer JJ,Pop VJ

    更新日期:2009-04-01 00:00:00

  • The use of clinical trials in comparative effectiveness research on mental health.

    abstract:OBJECTIVES:A large body of comparative effectiveness research (CER) focuses on the use of observational and quasi-experimental approaches. We sought to examine the use of clinical trials as a tool for CER, particularly in mental health. STUDY DESIGN AND SETTING:Examination of three ongoing randomized clinical trials i...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2013.02.013

    authors: Blanco C,Rafful C,Olfson M

    更新日期:2013-08-01 00:00:00

  • A self-report home environment screening tool identified older women at risk of falls.

    abstract:OBJECTIVE:To evaluate a self-report version of the Home Falls and Accidents Screening Tool (HOME FAST-SR). STUDY DESIGN AND SETTING:The HOME FAST-SR was designed using expert review, pretesting and piloting. Agreement of self-reported home hazard ratings and ratings by health professionals was evaluated using the kapp...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2010.02.013

    authors: Hassani Mehraban A,Mackenzie LA,Byles JE

    更新日期:2011-02-01 00:00:00

  • Statistical analysis of failure times in total joint replacement.

    abstract::Time to revision is an important criterion describing the quality of implants in total joint surgery. Estimates of failure probabilities are required to inform a patient about the risk of suffering a reoperation. Also, regression models are used for comparing different prosthesis designs. Typically, patients dying bef...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/s0895-4356(01)00371-7

    authors: Schwarzer G,Schumacher M,Maurer TB,Ochsner PE

    更新日期:2001-10-01 00:00:00

  • Relative-risk ratio was a useful measure of differential association in cohort and case-series studies.

    abstract:OBJECTIVE:The framework consists of cohort or case-series studies with intermittent exposure and two types of events. The aim is to define and estimate an association measure between the exposure and the occurrence of one type of event rather than the other. STUDY DESIGN AND SETTING:The model and the estimation method...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2006.07.014

    authors: Hocine MN,Tubert-Bitter P,Moreau T,Chavance M,Varon E,Guillemot D

    更新日期:2007-04-01 00:00:00

  • Reporting of trials presented in conference abstracts needs to be improved.

    abstract:OBJECTIVES:To assess how trial information reported in conference abstracts differs to their subsequent full publication. METHODS:Randomized trials reported at the American Society of Clinical Oncology conference (1992) were identified. CENTRAL and PubMed (December 2002) were searched to identify corresponding full pu...

    journal_title:Journal of clinical epidemiology

    pub_type: 杂志文章

    doi:10.1016/j.jclinepi.2005.09.016

    authors: Hopewell S,Clarke M,Askie L

    更新日期:2006-07-01 00:00:00