APOLLO* W2 Core Project Burden of injuries in Europe

*APOLLO is a multi-study package partially funded under the EC DG Sanco 2004 call for proposals

Agenda• Overview of WP2

– Objectives and Process for WP2 core tasks– Relationship with umbrella project– Deliverables

• Logistics of the project– What it actually means

• Developments to date– Web site– Analyses of HDD– Statistics Portal– Time Frame

WP2 Overview: Objectives and Process

Title: “The Burden of Injuries in EU: Indicators and Recommendations for Prevention and Control”

Aim: To produce evidence relevant to European policy makers on the burden of injuries together with information on the efficiency of relevant injury prevention interventions.

WP2 Core Overview: Objectives and Process

Specific Objectives:1. To map the urgency for taking action for prevention of

injuries due to the magnitude of the problem by calculating an array of indicators, which are in accordance with the work proposed by the Working Party on Indicators of the EC

2. To build capacity among new member states to adequately measure their burden of injuries with a view of monitoring the impact of their injury prevention efforts

3. To develop the theoretical framework for essential indicators, which are currently missing with integration of injury severity measures and exposure to risk denominators

4. To produce tools for linking injury severity with health outputs and costs by member states

5. To recommend appropriate future data collection efforts

APOLLO Structure & Funding (100%)60%

APOLLO

(€2.438.803) €1.463.281

WP1WP2

(core and subprojects) WP3 WP4 WP5

CostsS. Mulder (NL)

ExposureC. Frangakis (GR)

PolicyY. Skalkidis (GR)

EfficiencyD. MacDaid (UK)

SeverityA. Pitidis (IT)

Core

WP2 is 30% of APOLLO

Core is 38% of WP2Or 11% of APOLLO

They get their € directly

WP2 Core Deliverables1. Report on the Burden of Injuries in

Europe2. …6. A web-based query system to

produce additional tables and figures with injury data per country and for Europe at large

7. Final report summarizing all the above

Logistics of WP2 Core activities

WP2 core involves participation of a total of 24 countries.Managed by Universidad de Navarra (UN) Team

Deals, primarily with explotation of • Hospital discharge dataAnd some work on either• Emergency discharge data• Health Interview Data

Which is population-based, that is, we know of denominators. Whether national, regional, or local (e.g., city-wide), we will take what there is, in the above listed order (national>regional>local)

What it actually means• Define datasets available --telephone

interview conducted, summary presented as poster in Vienna and being prepared as manuscript

– Good news, all have HDD, most 2004, most ICD-10 (4 ICD-9-CM)

• Develop a listing of indicators to be calculated

– So far, 300 reviewed, 20 selected with further breakdowns by age and gender

• Create/Update/customize software algorithms to derive numerators and denominators for indicator development.

– For example, maps from ICD into AIS, ICD into Barrel matrix…

Cont´d)

• Develop a website that will become the “working space” for project partners

• Development of sofware to analyze data• Analyze those data that participating

countries cannot analyze by themselves• Development of the web-query system • Development of Report on Burden

Developments to date

• Summary on data sources completed –poster available, manuscript under preparation

• Summary on indicators completed, manuscript under preparation for APHA

• Web site as working tool completed

https://www.unav.es/preventiva/apollo/asistente/

- 3 Levels of Users: - Administrators – Participants – Public

Analysis of HDD undergoing –in 14 steps

1. Gather Census Data2. Gather (additional) information on Hospital Discharge Data3. Gather Hospital Discharge Data and temporarily upload it to

UN4. Check for quality of injury codes5. Apply ICDMAP algorithm6. Apply Barell Matrix algorithm7. Apply AIS to FCI algorithm8. Apply external causes of injuries9. Apply nature of injury categories algorithm10. Upload augmented hospital discharge data to UN temporarily11. Calculate frequency distributions12. Upload log file of frequency distributions 13. Upload results from log file onto web-query system14. Calculate indicators

partners

UN

Programming for HDDStata SPSS

ICD-9-CM Quality of ICD codes checkBarell matrix(ICDMAP ICD9CM-AIS98)Other nature and mechanism categoriesFrequency distributions

Quality of ICD codes checkBarell matrix(ICDMAP ICD9CM-AIS98)Other nature and mechanism categoriesFrequency distributions

ICD-10 Quality of ICD codes checkBarell matrixICDMAP ICD10-AIS98Other nature and mechanism categoriesFrequency distributions

Quality of ICD codes checkBarell matrixICDMAP ICD-10-AIS98Other nature and mechanism categoriesFrequency distributions

In sum: 18 programs developed + 2The software is open to the public. You can use it for other projects. You can give it to other people. Just cite it appropriately. A suggested reference is available in each program.

STATISTICS PORTAL

Using the Statistics Menu you can specify the parameters for your Query.

Project Timeline Start date Dec 1, 20051 2 3 4 5 6 7 8 9 10 11 12 13 14 ... 33 .. 36

APOLLO S … C

WP2 S … C

WP2 “core” S … C

Close country enrollment S … C

Selection of indicators S … C

Develop web as tool for project management

S …

Develop dummy burden report S

Develop analyses routines S …

Data analyses S … C

Web based query system S … C

Burden report review S … C

Meetings X X X

Telephone/e-mail contacts with subcontractors

S … C

Telephone/e-mails with subprojects S … C

Final report S .. C

S= Start, C= Completed

For questions or commentsapollowp2core@unav.es

APOLLO WP2 core participanting countries

1. Austria2. Belgium3. Bulgaria4. Czech Republic5. Denmark6. Estonia7. Finland8. Germany9. Greece10.Hungary11.Ireland12.Italy

13.Latvia14.Malta15.Norway16.Poland17.Portugal18.Slovakia19.Slovenia20.Spain21.Sweden22.The Netherlands23.Turkey24.United Kingdom

Acknowledgments• The UN team is comprised of Uwe Ewert,

Jan Krafka, Rafael Heredero, Montserrat Ruiz, Maria del Carmen Lezáun, Cristina Patsouris, and María Seguí-Gómez.

• We appreciate the assistance of Lois Fingerhut, Maureen Brenan, Cristina Rodriguez and Isabel Ricart in the development of some of the programms.

• We are thankful to Ellen MacKenzie for providing access to the ICDMAP from ICD-9-CM to AIS98