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3. Healthcare costs and productivity costs of hand and wrist injuries by external cause A population-based study in working-age adults in the period 2008-2012

Author

Putter, Dennis, van Beeck, Ed, Polinder, Suzanne, Panneman, MJM, Burdorf, Lex, Hovius, Steven, Selles, Ruud, Plastic and Reconstructive Surgery and Hand Surgery, Public Health, and Rehabilitation Medicine

Subjects
SDG 16 - Peace, Justice and Strong Institutions, health care economics and organizations
Abstract

Background: Hand and wrist injuries are very common at the Emergency Departments (ED), and among the most costly injury types in the working population. The purpose of this study was to explore the causes of non-trivial hand and wrist injuries (i.e., hand fractures, wrist fractures and complex soft-tissue injuries) in working-age adults in order to identify target areas for prevention. Methods: Data were extracted from the Dutch Injury Surveillance System, from the National Hospital Discharge Registry and from a patient follow-up survey in working-age adults (aged 20-64 years) in the period 2008-2012. An incidence-based cost model was used to estimate healthcare costs, and an absenteeism model for estimating the productivity costs. Total costs were calculated by external cause, subdivided in their main categories (home, sports, work, traffic and violence) and their most important subclasses. Results: Total costs of these injuries in The Netherlands were US $410 million per year, of which 75% (US $307 million) productivity costs. Males represented 66% (US $271 million) of the total costs. Within the male group, the group 35-49 years had the highest contribution to total costs (US $112 million), as well as the highest costs per case (US $10,675). Work-related injuries showed the highest costs per case (US $11,797), however, only 25% of the total costs were work-related. The top five causes in terms of total costs were: accidents at home (falls 23%, contact with an object 17%), traffic (cycling 9%) and work (industrial work 4%, and construction work 4%). Conclusion: Hand and wrist injuries are a major cause of healthcare and productivity costs in working-age adults. To reduce the costs to society, prevention initiatives should be targeted at major contributing causes, that are mainly related to activities at home (falls, contact with an object) and accidents at the road (cycling). (C) 2016 Elsevier Ltd. All rights reserved.

Published
2016

6. Increase in upper extremity fractures in young male soccer players in the Netherlands, 1998-2009

Author

Putter, Dennis, van Beeck, Ed, Burdorf, Lex, Borsboom, Gerard, Toet, H, Hovius, Steven, Selles, Ruud, Plastic and Reconstructive Surgery and Hand Surgery, Public Health, and Rehabilitation Medicine

Subjects
human activities
Abstract

Young male soccer players have been identified as a target group for injury prevention, but studies addressing trends and determinants of injuries within this group are scarce. The goal of this study was to analyze age-specific trends in hospital-treated upper extremity fractures (UEF) among boys playing soccer in the Netherlands and to explore associated soccer-related factors. Data were obtained from a national database for the period 1998-2009. Rates were expressed as the annual number of UEF per 1000 soccer players. Poisson's regression was used to explore the association of UEF with the number of artificial turf fields and the number of injuries by physical contact. UEF rates increased significantly by 19.4% in boys 5-10years, 73.2% in boys 11-14years, and 38.8% in boys 15-18years old. The number of injuries by physical contact showed a significant univariate association with UEF in boys 15-18years old. The number of artificial turf fields showed a significant univariate association with UEF in all age groups, and remained significant for boys aged 15-18years in a multivariate model. This study showed an increase of UEF rates in boys playing soccer, and an independent association between artificial turf fields and UEF in the oldest boys.

Published
2015

18. Dose-response relationship between selective serotonin re-uptake inhibitors and injurious falls: a study in nursing home residents with dementia

Author

Sterke, Shanty, Ziere, Bert, van Beeck, Ed, Looman, Caspar, van der Cammen, T.J.M., Internal Medicine, and Public Health

Subjects
mental disorders
Abstract

AIM The contribution of selective serotonin re-uptake inhibitors (SSRIs) to injurious fall risk in patients with dementia has not been quantified precisely until now. Our objective was to determine whether a doseresponse relationship exists for the use of SSRIs and injurious falls in a population of nursing home residents with dementia. METHODS Daily drug use and daily falls were recorded in 248 nursing home residents with dementia from 1 January 2006 until 1 January 2008. For each resident and for each day of the study period, data on drug use were abstracted from the prescription database, and information on falls and subsequent injuries was retrieved from a standardized incident report system, resulting in a dataset of 85 074 person-days. RESULTS We found a significant dose-response relationship between injurious falls and the use of SSRIs. The risk of an injurious fall increased significantly with 31% at 0.25 of the Defined Daily Dose 9DDD) of a SSRI, 73% at 0.50 DDD, and 198% at 1.00 DDD 9Hazard ratio = 2.98; 95% confidence interval 1.94, 4.57). The risk increased further in combination with a hypnotic or sedative. CONCLUSIONS Even at low doses, SSRIs are associated with increased risk of an injurious fall in nursing home residents with dementia. Higher doses increase the risk further with a three-fold risk at 1.00 DDD. New treatment protocols might be needed that take into account the dose-response relationship between SSRIs and injurious falls.

Published
2012

22. Traumazorg

Author

van Beeck, Ed, Lanting, L., Hoeymans, N., and Public Health

Published
2008

23. Drowning

Author

Taneja, G, van Beeck, Ed, Brenner, R, Preden, M., Oyegbite, K., Ozanne-Smith, J., Hyder, A.A., Branche, C., Fazlur Rahman, A., Rivara, F., Bartolomeos, K., and Public Health

Published
2008

47. Hand and wrist injuries

Author

Putter, Dennis, Hovius, Steven, Burdorf, Lex, Selles, Ruud, van Beeck, Ed, and Plastic and Reconstructive Surgery and Hand Surgery

Published
2016

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