Struck By or Struck Against Injuries / 21
6. Struck by or struck against injuries
This section describes hospitalisations due to unintentional struck by or struck against-related injuries.
Struck by/struck against injuries are sustained as a result of contact made between one person and
another person(s) or object(s) (WHO, 1977; WHO, 1992). For example, struck by injuries can refer to the
type of unintentional contact that may occur between players while they are participating in a sporting
activity. There are two main events that cause contact to occur and these are struck by/struck against a
person or object and caught between two objects (WHO, 1977; WHO, 1992).
Struck by/struck against injury-related hospitalisations can also be intentional. A struck by/struck
against injury inflicted on one person by another that results in an admission to hospital is classified
as an interpersonal violence injury (WHO, 1977; WHO, 1992). Hospitalisations due to intentional struck
by/struck against events are described in Section 9 of this report on interpersonal violence.
In NSW, struck by/struck against incidents were the tenth leading cause of death in NSW during 19982002, with 111 deaths, giving a mortality rate of 0.3 per 100,000 population (Schmertmann et al,
2004).
Struck by/struck against hospitalisation data were used to describe the profile of struck by/struck
against injuries to NSW residents. Hospitalisation data during 1999–2000 to 2003–2004 were used
for the majority of the analyses, except for the trend analyses, which used data from 1989–1990 to
2003–2004.
Struck by/struck against injuries were the third leading cause of injury hospitalisation in the period
1999–2000 to 2003–2004, and accounted for 7.1% of all injury-related hospitalisations (Table 3). During
this period, there were 35,642 hospitalisations for struck by/struck against injuries, at a rate of 108.8 per
100,000 population. There were approximately 7,128 hospitalisations per year due to struck by/struck
against injuries during 1999–2000 to 2003–2004.
Males had an age-adjusted hospitalisation rate for struck by/struck against injuries at least three times
the rate for females during 1989–1990 to 2003–2004. For males the rate of hospitalisations for struck by/
struck against injuries remained fairly constant from 1989–1990 to 1996-97 then rose from 1997–1998
to 1999–2000 (Figure 7). Overall, the hospitalisation rate was estimated to have increased significantly
by 4.2% per year during 1989–1990 to 2003–2004 (95% confidence interval for the increase: 3.5% to
5.0%).
25
25
Figure
9. Hospitalisation
rateof for
injury
due to struck
by/struck
against
injuries
22
/ NSW INJURY
PROFILE: A Review
Injury
Hospitalisations
During
1989–1990
to 2003–2004
by sex, NSW
1989–1990 to 2003–2004
Figure 9. Hospitalisation rate for injury due to struck by/struck against injuries by sex, NSW
1989–1990 to 2003–2004
150
100
100
50
50
Rate per 100,000
Rate per 100,000
150
200
200
Figure 7. Hospitalisation rate for injury due to struck by/struck against injuries by
sex, NSW 1989–1990 to 2003–2004
Females
90-91
Males
91-92 Females
92-93
0
Males
93-94
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
97-98
98-99
99-00
00-01
01-02
02-03
03-04
0
89-90
Year
89-90
90-91
91-92
92-93
93-94
94-95
95-96
96-97
Year
For males, the 15–24 year age group had the highest rates of age-specific
hospitalisation for struck by/struck against injuries during the period 1999–2000 to
For males, the 15–24 year age group had the highest rates of age-specific hospitalisation for struck
For males, Inthe
15–24 year
age group
had the rate
highest
rates by/struck
of age-specific
2003–2004.
comparison,
the highest
hospitalisation
for struck
against
by/struck
against
injuries
during
the
period
1999–2000
to
2003–2004.
In
comparison,
the
highest
hospitalisation
for
struck
by/struck
against
injuries
during
the
period
1999–2000
to
injuries for females during the same timeframe was for children aged 0–4 years
2003–2004.
In
the found.).
highest
rateduring
for struck
by/struck
against
(Error!
Reference
source
not
hospitalisation
ratecomparison,
for struck
by/struck
againsthospitalisation
injuries for females
the same
timeframe
was for
injuries for females during the same timeframe was for children aged 0–4 years
children aged 0–4 years (Figure 8).
(Error!
Reference source not found.).
Figure 10. Age-specific hospitalisation rate for struck by/struck against injuries by sex, NSW,
1999–2000 to 2003–2004
Figure
8. Age-specific hospitalisation rate for struck by/struck against injuries by
Figure
10.
rate for struck by/struck against injuries by sex, NSW,
sex, NSW,Age-specific
1999–2000hospitalisation
to 2003–2004
Males
Females
Males
Females
250
200
200
150
150
100
100
50
50
0
0-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85+
55-59
60-64
65-69
70-74
75-79
80-84
85+
0
Rate per 100,000
Rate per 100,000
300
250
350
300
350
1999–2000 to 2003–2004
Age-group (years)
0-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
Age-group (years)
22
Struck By or Struck Against Injuries / 23
Struck by/struck against a person or object accounted for at least three-quarters of the
Struck
against
a person
or object accounted
for at
least three-quarters
the struck
by/struck
struckby/struck
by/struck
against
hospitalisations
for both
males
(80.3%) and offemales
(75.4%).
Overall,
the hospitalisation
struck-by/against
injuries
wasOverall,
234% the
higher
for malesfor
against
hospitalisations
for both for
males
(80.3%) and females
(75.4%).
hospitalisation
than for females (Table 8).
struck-by/against injuries was 234% higher for males than for females (Table 8).
Table
8.Injury
Injuryhospitalisations
hospitalisations
by struck
by/struck
injury
cause,
NSW,
Table 8.
by struck
by/struck
against against
injury cause,
NSW,
number,
rate and
number,
ratetoand
CI, 1999–2000 to 2003–2004
CI, 1999–2000
2003–2004
Cause
N
Struck by/against a
person or object
28,226
Caught between two
objects
All
3
All Persons
Rate1
95%CI2
86.2
(85.2,87.2)
N
Male
Rate1
95%CI2
N
Female
Rate1
22,005
133.7
(132.0,135.5)
6,221
37.4
(36.5,38.3)
95%CI2
7,416
22.6
(22.1,23.1)
5,389
32.7
(31.8,33.6)
2,027
12.4
(11.8,12.9)
35,642
108.8
(107.7,109.9)
27,394
166.4
(164.5,168.4)
8,248
49.8
(48.7,50.9)
1
Rate per 100,000
population.
12 Age-adjusted
rate per
100,000 population.
95% confidence interval.
The number of NSW residents hospitalised interstate during 2003–2004 was imputed and as a result
3 The
NSW residents may
hospitalised
interstate
during 2003–2004 was imputed and as a result the sum of
the number
sum of of
submechanisms
not equal
the total.
23 95% confidence interval.
submechanisms may not equal the total.
Table 9 shows the number of hospitalisations due to struck by/struck against injuries by age group for
Table 9 shows the number of hospitalisations due to struck by/struck against injuries
by age group for the period 1999–2000 to 2003–2004. Struck by/against a person or
of
struckwas
by/struck
againstcommon
hospitalised
injury
all age
groups. The
numberhospitalised
of struck by/struck
object
the most
type
of for
struck
by/struck
against
injuryagainst
for
all
age
groups.
The
number
of
struck
by/struck
against
injuries
was
highest
for
males
injuries was highest for males aged 15–24 years and for females aged 1 to 4 years.
aged 15–24 years and for females aged 1 to 4 years.
the period 1999–2000 to 2003–2004. Struck by/against a person or object was the most common type
Summary
Summary
Struck by/struck against injuries were the third leading cause of injury-related hospitalisation involving
Struck by/struck against injuries were the third leading cause of injury-related
NSW
residents between
1999–2000
2003–2004,
accounting
for 7.1%and
of all2003–2004,
injury-related
hospitalisation
involving
NSW and
residents
between
1999–2000
accounting forThe
7.1%
ofhospitalisation
all injury-related
The yearly
hospitalisations.
yearly
rate forhospitalisations.
struck by/struck against
injurieshospitalisation
was estimated to
rate increased
for struck
by/struckbyagainst
injuries
was 1989–1990
estimated to
to2003–2004.
have increased significantly
have
significantly
4.2% per
year during
by 4.2% per year during 1989–1990 to 2003–2004.
In 2003–2004, there were 7,154 hospitalisations of NSW residents following struck by/struck against
In 2003–2004, there were 7,154 hospitalisations of NSW residents following struck
by/struck against injuries, giving a hospitalisation rate of 107.7 per 100,000
hospitalised
a struck
by/struck
against injury
were aged
10–34 years.
population.following
Around
one-half
(50.9%)
of those
hospitalised
following a struck
by/struck against injury were aged 10–34 years.
injuries, giving a hospitalisation rate of 107.7 per 100,000 population. Around one-half (50.9%) of those
Struck by/struck against a person or object accounted for around 80% of the struck by/struck against
Struck by/struck
against
a person
or object
for around
80% by/struck
of the struck
hospitalisations.
Males
were more
likely than
femalesaccounted
to be hospitalised
for a struck
against
by/struck against hospitalisations. Males were more likely than females to be
hospitalised for a struck by/struck against injury. In particular, males were almost four
struck
a persontoorbe
object
than females.
Thebeing
overallstruck
hospitalisation
rateagainst
was about
234% higher
timesagainst
more likely
hospitalised
after
by/struck
a person
or
object
The overall hospitalisation rate was about 234% higher for males
for
malesthan
thanfemales.
for females.
than for females.
injury. In particular, males were almost four times more likely to be hospitalised after being struck by/
2
1
2
1
Rank
Struck
Struck
by/against
by/against
person or
person or
object
object
2,092
2,092
Caught
Caught
between 2
between 2
objects
objects
1,299
1,299
0-4
Struck
Struck
by/against
by/against
person or
person
object or
object
2,199
2,199
Caught
Caught
between 2
between 2
objects
objects
753
753
5–9
Struck
Struck
by/against
by/against
person or
person
objector
object
3,260
3,260
Caught
Caught
between 2
between 2
objects
objects
428
428
10–14
Struck
Struck
by/against
by/against
person or
person
objector
object
7,122
7,122
Caught
Caught
between 2
between 2
objects
objects
909
909
15–24
Struck
Struck
by/against
by/against
person or
person
or
object
object
5,268
5,268
Caught
Caught
between 2
between 2
objects
objects
1,144
1,144
25–34
Struck
Struck
by/against
by/against
person or
person
or
object
object
3,342
3,342
Caught
Caught
between 2
between 2
objects
objects
1,017
1,017
35–44
Struck
Struck
by/against
by/against
person or
person
or
object
object
2,146
2,146
Caught
Caught
between 2
between 2
objects
objects
858858
45–54
Struck
65+
Struck
Total
Struck
Total
Struck
by/against Struck
by/against Struck
by/against
by/against
by/against
person or
person or by/against
person or
personobject
or
person object
or
person or
object
object
object1,721
object28,226
1,075
1,075
1,721
28,226
Caught
Caught
Caught
Caught
Caught
Caught
between 2
between 2
between 2
between 2
between 2
between 2
objects
objects
objects
objects
objects
objects
534
474
534
474
7,416 7,416
55–64
Table 9. Number of hospitalisations for struck by/struck against injuries by age group and cause, NSW, 1999–2000 to 2003–2004
Age group
Age group
Rank
0-4
5–9
10–14
15–24
25–34
35–44
45–54
55–64
65+
Table 9. Number of hospitalisations for struck by/struck against injuries by age group and cause, NSW, 1999–2000 to 2003–2004
27
24 / NSW INJURY PROFILE: A Review of Injury Hospitalisations During 1989–1990 to 2003–2004
27