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Abstract
Quantification of injury burden is vital for injury prevention, as it provides a guide for setting policies and priorities. This study generated a set of Hong Kong specific disability weights (DWs) derived from patient experiences and hospital records. Patients were recruited from the Accident and Emergency Department (AED) of three major trauma centers in Hong Kong between September 2014 and December 2015 and subsequently interviewed with a focus on health-related quality of life at most three times over a 12-month period. These patient-reported data were then used for estimation of DWs. The burden of injury was determined using the mortality and inpatient data from 2001 to 2012 and then compared with those reported in the UK Burden of Injury (UKBOI) and global burden of diseases (GBD) studies. There were 22,856 mortality cases and 817,953 morbidity cases caused by injuries, in total contributing to 1,027,641 disability-adjusted life years (DALYs) in the 12-year study timeframe. Estimates for DALYs per 100,000 in Hong Kong amounted to 1192, compared with 2924 in UKBOI and 3459 in GBD. Our findings support the use of multiple data sources including patient-reported data and hospital records for estimation of injury burden.
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Details
1 University of Hong Kong, Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Hong Kong, China (GRID:grid.194645.b) (ISNI:0000000121742757)
2 University of Hong Kong, Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Hong Kong, China (GRID:grid.194645.b) (ISNI:0000000121742757); University of Glasgow, Institute of Health and Wellbeing, Glasgow, UK (GRID:grid.8756.c) (ISNI:0000 0001 2193 314X)
3 Queen Mary Hospital, Department of Accident and Emergency, Hong Kong, China (GRID:grid.415550.0) (ISNI:0000 0004 1764 4144)
4 Queen Elizabeth Hospital, Department of Accident and Emergency, Hong Kong, China (GRID:grid.415499.4) (ISNI:0000 0004 1771 451X)
5 Tuen Mun Hospital, Department of Accident and Emergency, Hong Kong, China (GRID:grid.417336.4) (ISNI:0000 0004 1771 3971)
6 University of Hong Kong, Centre for Safe Medication Practice and Research, Hong Kong, China (GRID:grid.194645.b) (ISNI:0000000121742757)
7 University of Hong Kong, Department of Surgery, Hong Kong, China (GRID:grid.194645.b) (ISNI:0000000121742757)
8 Hong Kong Polytechnic University, Department of Applied Social Sciences, Hong Kong, China (GRID:grid.16890.36) (ISNI:0000 0004 1764 6123)