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232 Establishment of the first russian injury registry in shenkursk
  1. Alexander V Kudryavtsev1,2,
  2. Vasilii Anfimov3,
  3. Kees Jan Verhage4,
  4. Andrej M Grjibovski1,5,6
  1. 1International School of Public Health, Northern State Medical University, Arkhangelsk, Russia
  2. 2Department of Community Medicine, UT – The Arctic University of Norway, Tromsø, Norway
  3. 3Shenkursk Central District Hospital Named After N.N. Priorov, Shenkursk, Russia
  4. 4Norwegian Safety Promotion Centre, Harstad, Norway
  5. 5Department of Preventive Medicine, International Kazakh-Turkish University, Turkestan, Kazakhstan
  6. 6Department of International Public Health, Norwegian Institute of Public Health, Oslo, Norway

Abstract

Background External causes of death are the second main killers in several parts of Russia. However, no systematic collection and analysis of injury data exists hindering development of effective prevention. Our aim was to establish an injury registry in Shenkursk (Arkhangelsk region) and present the structure of injuries in January June 2015.

Methods All injuries admitted to Shenkursk district hospital during 1.1.2015 30.6.2015 were registered using standard form. It includes items on type, place, time, preceding circumstances, and mechanism of accident, mechanism of injury and socio-demographic data of the injured. Distributions of injuries across these variables were used to identify typical injury cases and risky circumstances.

Results Altogether, 673 non-fatal injury cases were recorded (76%). Injuries to the head (21.6%), injuries to the wrist and hand (18.3%), injuries to the knee and lower leg (10.7%) were the most common. By severity, 64%, 28.7% and 6.2% of injuries were minor, moderate, and serious, respectively, 2 cases were severe, and one was critical. Hospitalisation rate was 9.2%.

Males constituted 60.9% of cases. Children and elderly accounted for 32.5% and 13%. A half of injuries occurred during leisure. Most injuries occurred on homestead lands (20.1%), inside of dwellings (16.3%) and on streets (7.1%) during walking (30.2%). The most common accident mechanisms were “have slipped” (16.0%); error or loss of control when dealing with object, person or animal (15.7%); “have stammered/stumbled” (13.9%). The most common injury mechanisms were punch/kick due to fall after having slipped/stammered/stumbled (23.7%), punch/kick due to contact/collision with an object in motion (9.2%) and punch/kick due to due to impacts of human or animal. Most common external injury-related factor was ice-covered surface (11%).

More injuries occurred on Sundays (17%) than during other days. Use of alcohol 24 hours prior to trauma was reported by 28.1% of cases.

Conclusions Children and men and are most vulnerable groups. Preventive interventions should address leisure, domestic and other routine activities on homestead lands, in dwellings, and on the streets. Removal of slippery surfaces and promotion of anti-slip devices should be considered. Special emphasis should be given to reduction of alcohol use.

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