APOLLO* W2 Core Project Burden of injuries in Europe

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APOLLO W2 Core Project Burden of injuries in
Europe
APOLLO is a multi-study package partially funded
under the EC DG Sanco 2004 call for proposals
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Agenda

• Overview of WP2
• Objectives and Process for WP2 core tasks
• Relationship with umbrella project
• Deliverables
• Logistics of the project
• What it actually means
• Developments to date
• Web site
• Analyses of HDD
• Statistics Portal
• Time Frame

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WP2 Overview Objectives and Process

• Title The Burden of Injuries in EU Indicators
  and Recommendations for Prevention and Control
• Aim To produce evidence relevant to European
  policy makers on the burden of injuries together
  with information on the efficiency of relevant
  injury prevention interventions.

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WP2 Core Overview Objectives and Process

• Specific Objectives
• To map the urgency for taking action for
  prevention of injuries due to the magnitude of
  the problem by calculating an array of
  indicators, which are in accordance with the work
  proposed by the Working Party on Indicators of
  the EC
• To build capacity among new member states to
  adequately measure their burden of injuries with
  a view of monitoring the impact of their injury
  prevention efforts
• To develop the theoretical framework for
  essential indicators, which are currently missing
  with integration of injury severity measures and
  exposure to risk denominators
• To produce tools for linking injury severity with
  health outputs and costs by member states
• To recommend appropriate future data collection
  efforts

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APOLLO Structure Funding (100)60
They get their directly
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WP2 Core Deliverables

• Report on the Burden of Injuries in Europe
• A web-based query system to produce additional
  tables and figures with injury data per country
  and for Europe at large
• Final report summarizing all the above

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Logistics of WP2 Core activities

• WP2 core involves participation of a total of 24
  countries.
• Managed by Universidad de Navarra (UN) Team
• Deals, primarily with explotation of
• Hospital discharge data
• And some work on either
• Emergency discharge data
• Health Interview Data
• Which is population-based, that is, we know of
  denominators. Whether national, regional, or
  local (e.g., city-wide), we will take what there
  is, in the above listed order (nationalgtregionalgtl
  ocal)

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What it actually means

• Define datasets available --telephone interview
  conducted, summary presented as poster in Vienna
  and being prepared as manuscript
• Good news, all have HDD, most 2004, most ICD-10
  (4 ICD-9-CM)
• Develop a listing of indicators to be calculated
• So far, 300 reviewed, 20 selected with further
  breakdowns by age and gender
• Create/Update/customize software algorithms to
  derive numerators and denominators for indicator
  development.
• For example, maps from ICD into AIS, ICD into
  Barrel matrix

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Contd)

• Develop a website that will become the working
  space for project partners
• Development of sofware to analyze data
• Analyze those data that participating countries
  cannot analyze by themselves
• Development of the web-query system
• Development of Report on Burden

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Developments to date

• Summary on data sources completed poster
  available, manuscript under preparation
• Summary on indicators completed, manuscript under
  preparation for APHA
• Web site as working tool completed

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https//www.unav.es/preventiva/apollo/asistente/

• 3 Levels of Users - Administrators
  Participants Public

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Analysis of HDD undergoing in 14 steps

• Gather Census Data
• Gather (additional) information on Hospital
  Discharge Data
• Gather Hospital Discharge Data and temporarily
  upload it to UN
• Check for quality of injury codes
• Apply ICDMAP algorithm
• Apply Barell Matrix algorithm
• Apply AIS to FCI algorithm
• Apply external causes of injuries
• Apply nature of injury categories algorithm
• Upload augmented hospital discharge data to UN
  temporarily
• Calculate frequency distributions
• Upload log file of frequency distributions
• Upload results from log file onto web-query
  system
• Calculate indicators

partners
UN
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Programming for HDD
In sum 18 programs developed 2
The software is open to the public. You can use
it for other projects. You can give it to other
people. Just cite it appropriately. A suggested
reference is available in each program.
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STATISTICS PORTAL
Using the Statistics Menu you can specify the
parameters for your Query.
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Project Timeline Start date Dec 1, 2005
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S Start, C Completed
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For questions or comments apollowp2core_at_unav.es
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APOLLO WP2 core participanting countries

• Austria
• Belgium
• Bulgaria
• Czech Republic
• Denmark
• Estonia
• Finland
• Germany
• Greece
• Hungary
• Ireland
• Italy

• Latvia
• Malta
• Norway
• Poland
• Portugal
• Slovakia
• Slovenia
• Spain
• Sweden
• The Netherlands
• Turkey
• United Kingdom

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Acknowledgments

• The UN team is comprised of Uwe Ewert, Jan
  Krafka, Rafael Heredero, Montserrat Ruiz, Maria
  del Carmen Lezáun, Cristina Patsouris, and María
  Seguí-Gómez.
• We appreciate the assistance of Lois Fingerhut,
  Maureen Brenan, Cristina Rodriguez and Isabel
  Ricart in the development of some of the
  programms.
• We are thankful to Ellen MacKenzie for providing
  access to the ICDMAP from ICD-9-CM to AIS98