Scottish Cities

Emergency hospital admission rates for unintentional injuries, ages 0-14, Scottish citiesInjuries Scottish cities 2015

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There has been a consistent fall in emergency admission rates for unintentional injuries across Scotland (most notably in Aberdeen, where rates have more than halved), resulting in an overall 29% relative decrease from 12.4 (2000/01-2002/03) to 8.8 (2012/2013-2014/15).

Glasgow’s rate of 10.4 per 1,000 population still exceeds the Scottish average of 8.8, and despite a 22% relative reduction in the time period, Glasgow's rate has increased relative to Scotland, moving from 6% above Scotland’s rate during 2000/01-2002/03 to 19% above Scotland’s rate during 2012/13-2014/15.


Scottish Morbidity Records for acute inpatient stays (SMR01) have been used here to calculate the rate of emergency admission of children of 14 years or less to hospital following an unintentional injury in the home (identified as Admission type code 33 = ‘Patient Injury – Home Incident’). The data were based on discharges from completed hospital stays and have been aggregated into rolling groups of three fiscal years to produce annual averages.  Both Glasgow specific analyses and the analysis by local authority were undertaken locally.

Figures for Scotland, selected Scottish Cities, and Clyde Valley Councils are provided by Information Services Division (ISD), NHS Scotland. These are a subset of data from the annual ISD report Unintentional Injuries, Year Ending 31st March 2015 (published 08/03/2016). The report can be found on the ISD website as follows:
Full details on data sources, methods and definitions can be found in the report
Figures for Glasgow by deprivation and by neighbourhood are provided by Information Services, NHSGG&C and are produced using the same methodology as the ISD report (there may be small differences due to using data from live systems at different times)
Figures are provided on a three year average basis as numbers are small or liable to fluctuation

Further explanation:
When someone is discharged from hospital, the reason for their stay is recorded, and this is coded. If the reason for their admission was the result of an unintentional injury which happened at home, such as a broken leg from falling downstairs or a scald from a hot drink, then this would be included in the figures presented here. Intentional injuries such as assault and child abuse are not included.

When comparing these admission rates, it must be remembered that different hospitals may have different policies for admission, and policies may change over time, so the differences might not all be explained by how many children are injured, but also what thresholds the local hospital departments have for admission. For instance, one hospital might admit every child for observation if they have had a significant bump to their head even if they appear to be well, and another might instead give advice to the parent/carer about things to look out for, and ask them to bring the child back if any of those features develop. 

Hospital admissions for injury represent a high level on the “injury pyramid”, with a larger number of injuries treated in A&E departments, minor injuries units or in primary care, and an even larger number never reaching medical attention.

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