Land and declining by .year in Scotland.Both these trends have been important at the level (figure B, web table).Within this age group, admissions for nonMVR injury increased in England and decreased in Scotland (table and internet figure B).Amongst adolescents aged years, admission rates for MVR injury in were practically twice as high in Scotland as in England (table , figure C).A steep decline from the autumn of in Scotland resulted in converging rates within the two nations by as rates in England declined extra slowly (figure C).The absolute distinction in rates involving and resulted in .fewer adolescents admitted with MVR injury in in England and .fewer in Scotland, relative reductions of .and respectively (table , figure , internet table).These trends were steeper than the declining trends in nonMVR admissions in both countries, and had been considerable in the level following adjusting for trends in nonMVR injury admissions and seasonal variation (see web table).We estimated an annual decline within the incidence of MVR injury admissions in England of which dated from .The decline for yearolds in Scotland was steeper and dated from (figure C, internet table).The price of admission for nonMVR PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21438884 injury declined similarly in each countries (figure , internet figure C).In sensitivity analyses that restricted MVR injury to codes for maltreatment syndrome or assault, qualitative findings were unchanged, but none from the variations amongst England and Scotland reached significance in the level (see appendixweb table).Maltreatment syndrome or assault codes accounted for .of all childhood MVR admissions in England and .in Scotland.For UNC2541 Inhibitor infants and yearolds, we found weak evidence for increasing trends in England but small numbers in Scotland prevented modelling of trends in these age groups.For yearolds, declines using restricted MVR codes have been steeper in England (.annually) and similar to the decline in Scotland .Figure Monthly incidence trends from January to March of maltreatment or violencerelated injury in (A) infants, (B) young children aged years and (C) adolescents aged years, in England (dark grey) and Scotland (light grey).Faint lines represent observed prices and bold lines represent three monthly moving averages.Dashed lines represent smoothed trends of incidence rates estimated in the segmented regression analysis (except for trends in Scottish yearolds where a normal Poisson regression was utilised) and markers indicate the alter point estimated by the segmented regression model.cy, youngster years.DISCUSSION In between and rates of MVR injury admission increased in England among infants and yearoldsGonzalezIzquierdo A, CortinaBorja M, Woodman J, et al.BMJ Open ;e.doi.bmjopenOpen Access in addition to rises in other injury admissions and declined in adolescents, though less steeply than in Scotland.MVR injury admissions in Scotland enhanced in infants but declined steeply amongst kids aged and years in addition to declines in other injury admissions in all age groups.Similarities involving England and Scotland had been rising rates of MVR injury admissions amongst infants and decreasing rates among yearolds.Among yearolds, incidence trends for MVR injury admissions diverged between England (rising) and Scotland (decreasing), but had been consistent with trends for other injuries within this age group.Among yearolds, prices of MVR injury admission have been twice as higher in Scotland as in England in , but fell extra steeply than in England, resulting in similar rates by .Limitations of.
