The aims of the study - Fire-related injuries and their burden in Finland 2000

6. THE AIMS OF THE STUDY

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7. MATERIALS AND METHODS

7.1. DEFINITIONS OF FIRE-RELATED INJURIES

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Table 1. International Classiﬁcation of Diseases 10th version (ICD-10) external cause and injury codes for ﬁre-related injuries

ICD-10 code Meaning External cause codes

X00-X09 Exposure to smoke, ﬁre and ﬂames

X76 Intentional self-harm by smoke, ﬁre and ﬂames X97 Assault by smoke, ﬁre and ﬂames

Y26 Exposure to smoke, ﬁre and ﬂames; undetermined intent

X47 Accidental poisoning by and exposure to other gases and vapours Injury codes

T20-T32 Burns and corrosions

T58 The toxic effect of carbon monoxide

T59 The toxic effect of other gases, fumes and vapours

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7.1.1. THE FINNISH HOSPITAL DISCHARGE REGISTER

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7.1.5. THE SAMPLE FROM THE HELSINKI BURN CENTRE

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7.3. USE OF DATA

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Table 2. A summary of the data sources used in the different studies.

Topic Data used Years

Study I The feasibility of using core data

Finnish Hospital Discharge Register

1996–2009 Study II Epidemiology and a

description of ﬁre-related injuries

Finnish Hospital Discharge Register, a sample from the Helsinki Burn Centre

2000–2009

Study III The inpatient care costs of ﬁre-related injuries

Finnish Hospital Discharge Register, cost data from Helsinki University Hospital and Kuopio University Hospital, cost data from the PERFECT project, a sample from the Helsinki Burn Centre

2001–2009

Study IV Indirect costs (productivity losses) due to ﬁre-related deaths

Cause-of-death statistics supplemented by socio-economic data from the population register

2000–2010

Study V Other indirect costs (productivity losses) due to ﬁre-related injuries

Finnish Hospital Discharge Register, Social security data from the Finnish Centre of Pensions and Social Insurance Institution of Finland, work accident compensation days from the Workers’ Compensation Centre

2001–2010

7.4. STATISTICAL METHODS

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8. RESULTS

8.1. THE EPIDEMIOLOGICAL FEATURES OF FIRE-RELATED INJURIES (STUDIES I, II AND IV)

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Cases / 100 000 in population

Year

Burn injury

Combustion gas poisoning

Figure 1. The incidence of ﬁre-related injuries (burns, combustion gas poisonings) during 2000–2009.

8.1.3. FIRE-RELATED INJURIES IN THE CORE DATA

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Burn, e-codes found

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Combustion gas poisonings, unspecific e-codes only

Combustion gas poisonings, e-codes found

Fire-related

Figure 2. Patterns of E-coding in the FHDR for burn injuries and combustion gas poisonings, 1996–2009. Burns; ICD-10:T20-T32, Comb.gas.pois;ICD-10:T58-T59,Fire-related:Table 1.

8.2. THE COST AND BURDEN OF FIRE-RELATED INJURIES (STUDIES III, IV, V)

8.2.1. THE COST OF INJURIES LEADING TO DEATH: INDIRECT COSTS

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Table 3. Productivity losses by age and gender in euros due to ﬁre-related deaths by Human Capital method.

Age Male Female

0–17 581 000 685 000

18–30 626 000 797 000 31–40 510 000 683 000 41–50 366 000 520 000 51–65 212 000 349 000

66+ 91 000 151 000

Overall 294 000 379 000

8.2.2. DIRECT COSTS: INPATIENT CARE

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mean care cost

Figure 3. The average treatment costs for ﬁre-related burns according to the extent of the injury (%TBSA).

8.2.3. INDIRECT COSTS: INJURIES REQUIRING INPATIENT CARE

Disability periods

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8.3. TOTAL BURDEN

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8.4. OUTPATIENT CARE (UNPUBLISHED DATA)

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9. DISCUSSION

9.1. THE EPIDEMIOLOGY AND A DESCRIPTION OF FIRE-RELATED INJURIES

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9.3. DIRECT COSTS OF FIRE-RELATED INJURIES

9.3.1. DIRECT INPATIENT CARE COSTS

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9.3.2. OUTPATIENT (UNPUBLISHED DATA)

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9.4. LIMITATIONS AND STRENGTHS

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In document Fire-related injuries and their burden in Finland 2000–2010 (sivua 45-98)