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14<br />
3. COMPREHENSIVE VIEW OF INJURIES<br />
Figure 11: Injury Pyramid – overall <strong>in</strong>juries, EU27<br />
Fatal Injuries<br />
252 000<br />
Hospital Admissions<br />
7 000 000<br />
Hospital Outpatients<br />
34 200 000<br />
O<strong>the</strong>r medical Treatment<br />
18 300 000<br />
» Injuries consume more than 50 million hospital days a year (9% of all hospital days)<br />
» Injuries to date have left more than 3 million persons permanently disabled<br />
Source: WHO Mortality Database, WHO Health for all Database, Eurostat, EU Injury Database (IDB, Home and leisure accidents) and “Comprehensive View of <strong>European</strong> Injury Data” CVI –<br />
F<strong>in</strong>al Report; 3 year average of latest available years (mostly 2003-2005). Data presentation: Kuratorium für Verkehrssicherheit (KfV), 2007<br />
Injuries by numbers – only a weak reflection of <strong>the</strong> human costs of <strong>in</strong>juries<br />
The EU <strong>in</strong>jury pyramid <strong>in</strong>dicates that statistically each <strong>in</strong>jury fatality (out of <strong>the</strong> total of 250 000) corresponds to 28 hospital admissions<br />
(7 million <strong>in</strong> total) and 140 hospital outpatient treatments (34 million <strong>in</strong> total). Also, 75 <strong>in</strong>jury patients per one <strong>in</strong>jury fatality receive o<strong>the</strong>r<br />
medical treatment outside <strong>the</strong> hospital (18 million <strong>in</strong> total; Figure 11).<br />
Annually <strong>in</strong> <strong>the</strong> EU 60 million people – or 12% of <strong>the</strong> EU27 population - seek medical treatment for an <strong>in</strong>jury. This corresponds to 50 million<br />
hospital days annually and a prevalence of more than 3 million disabled people to date, an enormous economic and public health toll<br />
(Table 5). No numbers exist so far for <strong>the</strong> <strong>in</strong>direct and human costs of <strong>in</strong>juries.<br />
Table 5: Comprehensive view of <strong>in</strong>juries by sector, EU27<br />
Injury counts and outcomes Transport Workplace<br />
Home, Leisure,<br />
Sports, School<br />
Total of<br />
un<strong>in</strong>tentional<br />
<strong>in</strong>juries<br />
Homicide,<br />
assault, o<strong>the</strong>r<br />
violence<br />
Suicide<br />
(attempt)<br />
Total of<br />
<strong>in</strong>tentional<br />
<strong>in</strong>juries<br />
Total of all<br />
<strong>in</strong>juries<br />
Fatal Injuries 56 412 6 216 109 512 172 140 6 146 61 368 67 514 252 494*<br />
23% 2% 43% 68% 3% 24% 27% 100%*<br />
Hospital Admissions 860 000 310 000 5 200 000 6 370 000 590 000 100 000 690 000 7 000 000<br />
Hospital Outpatients 1 800 000 3 000 000 27 000 000 31 800 000 2 200 000 200 000 2 400 000 34 200 000<br />
O<strong>the</strong>r medical treatment 1 200 000 1 500 000 14 300 000 17 000 000 1 200 000 100 000 1 300 000 18 300 000<br />
All medically treated cases 3 860 000 4 810 000 46 500 000 55 170 000 3 990 000 400 000 4 390 000 59 560 000<br />
6.5% 8.1% 78.1% 92.6% 6.7% 0.7% 7.4% 100%<br />
Disabled (prevalence 16-64) 750 000 1 300 000 900 000 2 950 000 – – – > 3 000 000<br />
Source:<br />
Hospital bed days 7 200 000 2 400 000 39 000 000 48 600 000 3 000 000 600 000 3 600 000 52 200 000<br />
* <strong>in</strong>cl. <strong>in</strong>juries of undeterm<strong>in</strong>ed <strong>in</strong>tent, not displayed<br />
Source: WHO Mortality Database, WHO Health for all Database, Eurostat, EU Injury Database (IDB, Home and Leisure Accidents) and “Comprehensive View of <strong>European</strong> Injury Data” CVI –<br />
F<strong>in</strong>al Report; 3 year average of latest available years (mostly 2003-2005). Data presentation: Kuratorium für Verkehrssicherheit (KfV), 2007<br />
Table 5 comb<strong>in</strong>es hospital data (e. g. admissions and outpatients by sector) of <strong>the</strong> <strong>European</strong> Injury Database (IDB) with rout<strong>in</strong>e hospital discharge and cause of death data <strong>in</strong>to a<br />
“comprehensive view of <strong>in</strong>juries <strong>in</strong> <strong>the</strong> EU” by different sectors of <strong>in</strong>jury prevention. Projections of national surveys to EU level <strong>in</strong> this overview anticipate also <strong>the</strong> <strong>in</strong>cidence <strong>in</strong>formation that<br />
will be available <strong>in</strong> future through <strong>the</strong> EU Health Interview Surveys for <strong>in</strong>juries treated outside <strong>the</strong> hospital (“All medically treated cases”). Also <strong>in</strong>dicators of health care consumption (hospital<br />
bed days) and long term consequences (prevalence of <strong>in</strong>jury disability) of <strong>in</strong>juries by sector are given.