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Routinely collected data for the calendar years 2004–2010, inclusive, were extracted by the Victorian Injury Surveillance Unit (VISU), the repository for de-identified injury surveillance data in Victoria, Australia, relating to: (1) all hospitalisations to public and private hospitals from the Victorian Admitted Episodes Dataset (VAED), coded to the ICD-10-AM, 8 which since 2002 has included 200 ‘activity codes’ for identifying specific types of sport/leisure activity in which the person was participating at the time of injury 9 and (2) emergency department (ED) presentations (non-admissions only) to all Victorian public hospitals with 24 h EDs (n=38) from the Victorian Emergency Minimum Dataset (VEMD). This paper therefore compares the public health burden of sport and road traffic injury, for children aged <15 years over a 7-year period in Victoria, Australia. Extracting data relating to these codes provides current data on the public health burden of sports injuries for the first time. Owing to the lack of good population-wide figures about the incidence and costs, it has not previously been possible to compare the health burden of sports injuries against more recognised high-priority injury issues such as road trauma. This study capitalises on the availability of the International Statistical Classification of Diseases and Health Related Problems, 10th Revision (ICD-10), Australian Modification (ICD-10-AM) codes which allow for sports injuries to be specifically identified. 7 Obtaining accurate burden estimates for sports injury has been problematic to date, due to limitations in the specific identification of sports injuries in most routine hospital data collection and coding. To date, sports injury prevention has not been a priority because of the lack of high-quality evidence about the size of the problem and its public health burden.
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6 Population-level strategies for injury prevention have proven successful in improving road safety, but are yet to be applied to the sports sector. There is increasing recognition of the significant impact of sports injury on public health, and that the problem is increasing as more of the population are encouraged to take up physically active lifestyles. 4, 5 It is also clear that other contexts of injury, including sports and active recreation and leisure (hereafter referred to as sports injury), contribute to injury burden. Road trauma is well recognised as a leading cause of injury burden, 2 however, road safety initiatives, such as speeding controls, the enforcement of restraint use and public education campaigns, have led to significant reductions in severe and fatal road traffic injuries in some countries. 1 Children are particularly vulnerable to certain types of injury and the injuries they sustain can have long-term effects on their health and development with associated economic costs for the entire healthcare system. In the most recent Global Burden of Disease estimates, the contribution of non-fatal disability to the injury burden was highest in those aged 10–14 years. The overall magnitude of the burden associated with injury is explained by the fact that injuries affect many young people, resulting in a large number of years lost because of premature death or a large number of years lived with disability (YLD). 3 When non-fatal disability resulting from injuries is taken into consideration along with the mortality burden, injuries are shown to be an even more important health problem. Non-fatal health outcomes from diseases and injuries are increasingly recognised as being critical in the promotion and monitoring of individual and population health.
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Measurement of the health burden of injuries for understanding the magnitude and impact of the problem is the crucial first step in the planning and development of health policy. 2 As a result of the growing acceptance of injuries as a preventable public health problem, there has been increasing demand for effective injury prevention policy worldwide. More recently a better understanding of the nature of injuries has developed, and unintentional and intentional injuries are now viewed as largely preventable events. 1 In the past, injuries have been regarded as random events and often considered inevitable. Injury, particularly due to road trauma and transport accidents, is a recognised global health problem.