Unintentional home injuries reported by an emergency-based surveillance system: Incidence, hospitalisation rate and mortality

Sara Farchi, Paolo Giorgi Rossi, Francesco Chini, Laura Camilloni, Maurizio Di Giorgio, Gabriella Guasticchi, Piero Borgia

Research output: Contribution to journalArticlepeer-review


Objective: The aim of this study is to quantify the incidence of home injuries using an integrated surveillance system. It aims to estimate home accident mortality. Material and methods: The sources of data for this epidemiological descriptive study were the emergency information system, the hospital information system and the mortality registry of Lazio Region, 2000-2001. We selected all emergency department (ED) visits for unintentional traumas that occurred at home. We calculated incidence of ED visits, hospitalisation and mortality rates by sex and age. Results: In the year 2000, 145 101 persons visited the ED (2700/100 000), 8.1% of whom were then admitted to the hospital. Incidence was higher among children and older people. We observed 620 fatalities, a rate of 0.43%. The mortality registry reported 1042 deceased, a home accident-related mortality rate of 31.1/100 000. Conclusions: Unintentional injuries in the home are a relevant public health problem. Since none of the databases used in the study give a complete measure of the burden of home injuries, we combined the data from all of them to estimate the mortality and the burden of home injuries. Interventions for prevention must identify the specific accidents/injuries they are trying to reduce in order to focus their intervention on the appropriate population.

Original languageEnglish
Pages (from-to)843-853
Number of pages11
JournalAccident Analysis and Prevention
Issue number5
Publication statusPublished - Sep 2006


  • Emergency department
  • Record linkage
  • Surveillance
  • Unintentional home injury

ASJC Scopus subject areas

  • Chemical Health and Safety
  • Safety, Risk, Reliability and Quality
  • Public Health, Environmental and Occupational Health
  • Human Factors and Ergonomics
  • Law
  • Safety Research
  • Transportation


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