CHIRPP at the MCH. CHIRPP MCH, MCH Trauma, Public Health Agency of Canada 0
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1 CHIRPP at the MCH CHIRPP MCH, MCH Trauma, Public Health Agency of Canada 0
2 CHIRPP at Montreal Children s Hospital Trauma Centre Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) is a computerized information system that collects and analyzes data on injuries to people (mainly children) who are seen at the emergency rooms of the 10 pediatric hospitals and of 4 general hospitals in Canada.
3 CHIRPP at Montreal Children s Hospital Trauma Centre CHIRPP is a unique, richly detailed database of "preevent" injury information CHIRPP is a Canada-wide Program of the Injury & Maltreatment Section of the Health Surveillance and Epidemiology Division, Centre for Health Promotion, Public Health Agency of the Federal Government Each centre involved in CHIRPP has a designated Director & Coordinator
4 CHIRPP at Montreal Children s Hospital Trauma Centre From CHIRPP functioned as somewhat of a silo program at the MCH Effective 2011, CHIRPP was integrated into the MCH Trauma System Closely linked to the MCH Trauma Centre s Injury Prevention Program for research activities, development of educational materials, and injury prevention awareness campaigns
5 Public Health Agency of Canada Agence de la santé publique du Canada 4
6 Canadian Hospital Injury Reporting & Prevention Program (CHIRPP) Continuous data collection since 1990 now 2 million records Injuries treated in the Emergency Departments (EDs) 11 paediatric EDs & 4 from general hospital EDs (all ages) Data on injuries & circumstances who, what, where, when how, why? Evaluated in 1991, 2001 Advantages Timely Complements population-based ICD coded data National and local databases produced & used Information on product & sport related injuries Limitations Not reliable for intentional injuries Under represents fatalities, rural, remote & Aboriginal populations Public Health Agency of Canada Agence de la santé publique du Canada 5
7 CHIRPP Hospitals * There currently are no past pediatric hospitals Public Health Agency of Canada Agence de la santé publique du Canada 6
8 Why Focus on Injury? Injuries rank 4th among leading causes of death & hospitalization for Canadians Injuries result in premature deaths - leading cause of death for Canadians aged 1-44 Economic costs of injury - $19.8 billion annually The major causes are well understood Injuries and maltreatment are predictable and preventable CHIRPP MCH, MCH Trauma, Public Health Agency of Canada 7
9 How CHIRPP is used Response to queries from Other government departments IP professionals Media & others Large collaborative reports and reviews Brief reports Injury Surveillance On-Line Data for researchers Research 80+ published papers Evidence supporting safety campaigns Safe Kids Week Assessment of risks Product Safety Program, Health Canada; Transport Canada Public Health Agency of Canada Agence de la santé publique du Canada 8
10 Public Health Agency of Canada Agence de la santé publique du Canada 9
11 Injury Surveillance Ratio estimates 1 death: 15 hospital admissions: 400+ emergency department visits Public Health Agency of Canada Agence de la santé publique du Canada 10
12 Successful Application of CHIRPP Baby Walkers banned in Canada Playground/play space new standards Hockey new rules for body checking for children ATV new legislation/regulation Building codes maximum temperatures for hot tap water Retail display hooks - redesign and gradual replacement of hazardous single hooks Public Health Agency of Canada Agence de la santé publique du Canada 11
13 Injury Surveillance Baby Walkers 1989 voluntary ban on the sale of baby walkers CHIRPP shows that injuries continue Ban on sale and distribution 2004 Appealed CHIRPP used in review Ban upheld 2007 Public Health Agency of Canada Agence de la santé publique du Canada 12
14 MCH CHIRPP patients per 100,000 of the Montreal (0-17 yrs) population 0.4 deaths 70 injury admissions aa 1,700 injuries Public Health Agency of Canada Agence de la santé publique du Canada, STATS CAN (1996,2001,2006) 13
15 Rates of CHIRPP visits per 100 MCH ED visits (all patients) Public Health Agency of Canada Agence de la santé publique du Canada 14
16 Rates of CHIRPP patients per 1000 Montreal population (by age) Public Health Agency of Canada Agence de la santé publique du Canada 15
17 Rates of CHIRPP patients per 1000 Montreal 0-17 yrs old population Public Health Agency of Canada Agence de la santé publique du Canada 16
18 CHIRPP in the scientific Literature Over 90 articles using CHIRPP data have been published since Over 1,600 articles cited a CHIRPP article. Public Health Agency of Canada Agence de la santé publique du Canada 17
19 CHIRPP in the scientific Literature Protective equipment Public Health Agency of Canada Agence de la santé publique du Canada 18
20 CHIRPP in the scientific Literature Motor Vehicle Accidents Public Health Agency of Canada Agence de la santé publique du Canada 19
21 CHIRPP in the scientific Literature Evaluation Public Health Agency of Canada Agence de la santé publique du Canada 20
22 CHIRPP in the scientific Literature Socioeconomics Public Health Agency of Canada Agence de la santé publique du Canada 21
23 CHIRPP in the scientific Literature Sports Public Health Agency of Canada Agence de la santé publique du Canada 22
24 CHIRPP in the scientific Literature Patient recruitment Public Health Agency of Canada Agence de la santé publique du Canada 23
25 CHIRPP in the scientific Literature Sudden phenomenon Public Health Agency of Canada Agence de la santé publique du Canada 24
26 CHIRPP in the scientific Literature Epidemiology Work-related injuries among children Public Health Agency of Canada Agence de la santé publique du Canada 25
27 Annex Injury Surveillance Baby Walkers 1989 voluntary ban on the sale of baby walkers CHIRPP shows that injuries continue Ban on sale and distribution 2004 Appealed CHIRPP used in review Ban upheld 2007 Public Health Agency of Canada Agence de la santé publique du Canada 26
28 Things only I can tell you. injuries left and right Public Health Agency of Canada Agence de la santé publique du Canada 27
29 Injuries to the arm (shoulder to finger) Age LEFT Age RIGHT Public Health Agency of Canada Agence de la santé publique du Canada 28
30 SOCCER RIGHT LEG 57% LEFT LEG 43% Public Health Agency of Canada Agence de la santé publique du Canada 29
31 RUGBY RIGHT LEG 54% LEFT LEG 46% Public Health Agency of Canada Agence de la santé publique du Canada 30
32 SKATEBOARDING RIGHT LEG 55% LEFT LEG 45% Public Health Agency of Canada Agence de la santé publique du Canada 31
33 SNOWBOARDING RIGHT LEG 46% LEFT LEG 54% Public Health Agency of Canada Agence de la santé publique du Canada 32
34 ROLLERBLADING RIGHT LEG 44% LEFT LEG 56% Public Health Agency of Canada Agence de la santé publique du Canada 33
35 ROLLERBLADING RIGHT ARM 53% LEFT ARM 47% Public Health Agency of Canada Agence de la santé publique du Canada 34
36 CYCLING RIGHT ARM 45% LEFT ARM 55% Public Health Agency of Canada Agence de la santé publique du Canada 35
37 DOWNHILL SKIING RIGHT ARM 44% LEFT ARM 56% Public Health Agency of Canada Agence de la santé publique du Canada 36
38 GOT MAD. PUNCHED WALL, LOCKER RIGHT HAND 84% LEFT HAND 16% Public Health Agency of Canada Agence de la santé publique du Canada 37
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