Epidemiol Rev 2003;25:3-19
Copyright © 2003 by the Johns Hopkins Bloomberg School of Public Health
Measuring the Public Health Impact of Injuries
1 Department of Epidemiology and Public Health, School of Medicine, University of Navarra, Navarra, Spain.
2 Department of Health Policy and Management, Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Received for publication April 16, 2003; accepted for publication April 24, 2003.
Abbreviations: ADL, activities of daily living; AIS, Abbreviated Injury Scale; DALYs, disability adjusted life years; EuroQoL, European quality of life; FCI, Functional Capacity Index; IADL, instrumental activities of daily living; QWB, quality of well-being; SF-36, Short-Form Health Survey; YPLL, years of potential life lost.
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INTRODUCTION |
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In its groundbreaking 1985 report, Injury in America: A Continuing Public Health Problem, the Institute of Medicine’s Committee on Trauma Research stated that "injury is caused by acute exposure to energy, such as heat, electricity, or the kinetic energy of a crash, fall, or bullet. It may also be caused by the sudden absence of essentials, such as heat or oxygen, as in the case of drowning. Injury may be either unintentional (accidental) or deliberate (assaultive or suicidal)" (1, pp. 3–4). The extent, severity, and impact of injury are largely determined by the amount of this energy concentrated outside the band of human tolerance. Records on the impact of injuries date back to biblical times, when we are told about the massive drowning that occurred when "the waters returned and covered the chariots and the horsemen and all the hosts of the Pharaoh that had followed [the Israelis]
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MEASURING THE BURDEN OF INJURIES—METRICS BASED ON MORTALITY |
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BEYOND FATAL INJURIES: COUNTING SURVIVORS, THEIR INJURIES, AND THEIR OUTCOMES |
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ECONOMIC COSTS OF FATAL AND NONFATAL INJURIES |
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MEASURES OF HEALTHY LIFE EXPECTANCY |
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CONCLUSIONS AND IMPLICATIONS |
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ACKNOWLEDGMENTS |
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Correspondence to Dr. Ellen J. MacKenzie, Center for Injury Research and Policy, 624 North Broadway, Room 547, Baltimore, MD 21205-1996 (e-mail: emackenz@jhsph.edu).
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