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 Current Projects

Huiyun Xiang, PhD, MPH, MD
The International Program of The Center for Injury Research and Policy is a reflection of the center’s knowledge that injury-related death and disability are preventable events.  The goal of working at the international level to promote injury research is important given what is known about the burden of injury in the world. According to the World Health Organization (WHO), injuries accounted for 9% of the world’s deaths and 12% of the burden of disease in 2000.  The burden of disease measure takes into account, not only mortality, but also disability resulting from injury.  Of the world’s deaths from injuries, 90% occur in low and middle-income countries.  WHO reports an expectation of a substantial increase in the injury-related burden of disease primarily because of road traffic injuries, interpersonal violence, war, and self-inflicted injuries.  The Center for Injury Research and Policy recognizes that its expertise can be utilized to impact injury control initiatives in the developing world. For this reason, CIRP has created the international program.
Title: International Training Program in Injury Research
Project Link: International Training Program in Injury Research
Dawn Comstock, PhD
The National High School Sports-Related Injury Surveillance Study is currently the only nationally representative study of US high school sports-related injuries.  Certified athletic trainers from US high schools use an internet-based data collection tool, RIO™ (Reporting Information Online), to prospectively report athletic exposure and injury data for athletes participating in 18 sports (boys’ football, soccer, basketball, wrestling, baseball, ice hockey, lacrosse, swimming and diving, and track and field and girls’ soccer, volleyball, basketball, softball, gymnastics, field hockey, lacrosse, swimming and diving, and track and field).  By monitoring patterns of injury and identifying sport-specific risk and protective factors, the rate of high school sports-related injuries can be reduced through targeted, evidence-based interventions.
Title: The National High School Sports-Related Injury Surveillance Study
Project Link: Learn more about RIO™ projects
Dawn Comstock, PhD
The Healthy Camp Study: An Illness and Injury Surveillance Project monitors illness and injury among campers and staff at US summer camps and identifies risk and protective factors associated with such adverse events. Long-term objectives of the five-year study are to monitor the annual results so that preventive interventions can be identified and integrated into the risk management programs. Using evidence-based science to establish camp health and safety practices can help camps decrease illnesses and injuries among both campers and staff.
Title: Healthy Camp Study
Project Link: Learn more about RIO™ projects
Lara McKenzie, PhD, MAFunding Agency: CIRP and Samuel J. Rossler Memorial Medical Scholarship Fund
To calculate national estimates of motor vehicle crash-related hospitalization and associated use of health care resources among patients 20 years and younger and to explore the effects of certain sociodemographic, health care system-related factors, and injury severity on use of hospital resources and lengths of stay in the United States.
Title: Factors Associated with Hospital Length of Stay and Hospital Charges of Motor Vehicle Crash-Related Hospitalizations Among Children in the United States
Project Link: Read the Project Press Release
Lara McKenzie, PhD, MAFunding Agency: Nationwide® Foundation
The goal of this project was to develop and disseminate an innovative educational tool using the Precaution Adoption Process Model to guide parents toward correct and consistent booster seat use until their children can safely use an adult restraint system.
Title: Boost Our Kids Nationwide® (Safety Boost)
Project Link: View the Safety Boost Tool
Lara McKenzie, PhD, MAFunding Agency: National Institute of Child Health and Human Development
The goal for this project is to evaluate a theoretically-driven and innovative brief intervention for child safety delivered in the pediatric emergency department. The intervention addresses the use of child safety seats, working smoke alarms, and safely stored poisons.
Title: Brief Child Safety Intervention in Emergency Departments
Lara McKenzie, PhD, MAFunding Agency: CIRP and the Samuel J. Rossler Memorial Medical Scholarship Fund
Ladders are involved in many occupational and non-occupational activities. Falls from ladders can result in serious injury among people of all ages. The purpose of this study was to comprehensively examine nonfatal ladder-related injuries on a national level.
Title: Ladder-Related Injuries Treated in Emergency Departments in the United States, 1990-2005
Project Link: Read the Study Press Release
Lara McKenzie, PhD, MAFunding Agency: Ohio Department of Public Safety, the Division of Emergency Medicine Services and the Ohio Emergency Medical Services Board
The objective of this project was to survey Ohio voters on their attitudes regarding ATV policies and safety.
Title: Ohio ATV Safety
Project Link: View the ATV report and learn more about this project
Lara McKenzie, PhD, MAFunding Agency: Johns Hopkins Center for Injury Research and Policy
The objective of this study was to shed light on the extent to which childhood obesity affects the types of appropriate child safety seats available for young children. This study was the first to estimate of the number of US children whose weight renders them unable to safely use the majority of child safety seats currently on the market.
Title: Tipping the Scales: Obese Children and Child Safety Seats
Project Link: Read the Newsweek article featuring this project
Lara McKenzie, PhD, MAFunding Agency: Association of Pediatric Program Directors
The purpose of this project is to determine the effect of an interactive web-based learning module on acquisition of knowledge and adoption of desired clinical practice behaviors in pediatric residents in primary care training.
Title: Impact of an Interactive Web-Based Module on Resident’s Knowledge and Clinical Practice in Primary Care
Lara McKenzie, PhD, MAFunding Agency: National Institute of Child Health and Human Development
The major goal of this research is to determine whether a brief intervention, Project Carbon Monoxide Detector Education (Project CODE), will increase CO detector use.
Title: Emergency Department Brief Intervention to Increase Carbon Monoxide Detector Use
Huiyun Xiang, MD, MPH, PhDNational Institute of Occupational Health and Safety (CDC)
Major goal: To study work-related injuries among foreign-born persons in the U.S. workforce.
Title: Work-related Injuries Among Immigrant Workers
Huiyun Xiang, MD, MPH, PhDNational Center for Injury Control and Prevention (CDC) / Subcontract through Colorado Injury Control Research Center
Major goal: To study the impact of sleep disturbance and school work pressures on farm work-related injuries among middle school students in China.
Title: Sleep Patterns and Farm Work-related Injuries Among Middle School Students in China
Huiyun Xiang, PhD, MPH, MDNational Institute of Health (NIH)
Major goal: To increase training and research related to agricultural injuries in China in order to develop an infrastructure for future sustainable agricultural injury research in China.
Title: USA-China Agricultural Injury Research Training Project
Project Link: Learn more about this training project
Huiyun Xiang, PhD, MPH, MDNational Institute of Occupational Health and Safety (CDC)
Major goal: To develop and evaluate new evidence-based approaches to youth agricultural injury prevention.
Title: Developing and Evaluating New Approaches to Youth Agricultural Injury Prevention
Huiyun Xiang, PhD, MPH, MDOhio Department of Public Safety
In conjunction with the Ohio Department of Public Safety, Ohio Department of Health, and the Ohio Hospital association, CIRP has established the Ohio CODES (Crash Outcomes Data Evaluation System) Program. Using a sophisticated probablistic matching strategy, Ohio CODES links Ohio traffic crash record data with data from EMS, hospital and emergency department, and other statewide databases to assess the medical and financial outcomes of motor vehicle crashes. These data are used to identify prevention strategies and to inform highway safety planning and public policy decision-making. Visit the CODES section of our website for additional information.
Title: The Impact of Motorized Recreational Vehicle-Related Injuries in Ohio
Project Link: Learn more about the CODES projects
Gary Smith, MD, DrPHFunding Agency: Ohio Department of Public Safety
In conjunction with the Ohio Department of Public Safety, Ohio Department of Health, and the Ohio Hospital association, CIRP has established the Ohio CODES (Crash Outcomes Data Evaluation System) Program. Using a sophisticated probablistic matching strategy, Ohio CODES links Ohio traffic crash record data with data from EMS, hospital and emergency department, and other statewide databases to assess the medical and financial outcomes of motor vehicle crashes. These data are used to identify prevention strategies and to inform highway safety planning and public policy decision-making. Visit the CODES section of our website for additional information.
Title: The Impact of Motorized Recreational Vehicle-Related Injuries in Ohio
Project Link: Learn more about the CODES projects
Gary Smith, MD, DrPHFunding Agency: National Highway Traffic Safety Administration
Major goal: To link automobile crash data, EMS incidence reporting data, trauma registry data, hospital discharge data, death certificate data, emergency department (ED) data, and driver’s license data in State of Ohio.
Title: State of Ohio Crash Outcome Data Evaluation System (CODES)
Project Link: Learn more about the CODES projects
Huiyun Xiang, PhD, MPH, MDNational Highway Traffic Safety Administration
Major goal: To link automobile crash data, EMS incidence reporting data, trauma registry data, hospital discharge data, death certificate data, emergency department (ED) data, and driver’s license data in State of Ohio.
Title: State of Ohio Crash Outcome Data Evaluation System (CODES)
Project Link: Learn more about the CODES projects
Huiyun Xiang, PhD, MPH, MDOhio Department of Public Safety  
Major goal: To evaluate the effect of delay in advanced trauma care on trauma patients’ outcomes using linked data from Ohio CODES.
Title: The Effect of Delay in Transfer to Advanced Trauma Center on Trauma Patients Outcomes in Ohio
Project Link: Learn more about the CODES projects
Gary Smith, MD, DrPHFunding Agency: Ohio Department of Public Safety
Major goal: To evaluate the effect of delay in advanced trauma care on trauma patients’ outcomes using linked data from Ohio CODES.
Title: The Effect of Delay in Transfer to Advanced Trauma Center on Trauma Patients Outcomes in Ohio
Project Link: Learn more about the CODES projects
Huiyun Xiang, PhD, MPH, MDNational Highway Traffic Safety Administration
Major goal: To evaluate pre-hospital factors and their impact on outcomes of injured children using data from Ohio CODES project.
Title: Impact of Pre-Hospital Factors on Functional Independence of Injured Children
Project Link: Learn more about the CODES projects
Gary Smith, MD, DrPHFunding Agency: National Highway Traffic Safety Administration
Major goal: To evaluate pre-hospital factors and their impact on outcomes of injured children using data from Ohio CODES project.
Title: Impact of Pre-Hospital Factors on Functional Independence of Injured Children
Project Link: Learn more about the CODES projects
Dawn Comstock, PhD
Developed by Dr. R. Dawn Comstock in 2004, the RIO™ (Reporting Information Online) surveillance system is an easily navigated online data collection tool that receives front line data in real time from study reporters (certified athletic trainers, coaches, nurses, etc.) nationwide.

The program is highly versatile as it can be tailored to collect high quality injury and illness data from a variety of activities.
Title: RIO™
Project Link: Learn more about RIO™
Huiyun Xiang, Phd, MPH, MD
Currently 40 to 50 million people live in the United States with a variety of disabilities and this number is expected to increase substantially in the coming years. Injury and safety research has recently emerged as an important new direction in promoting the health and wellness of individuals with disabilities, and there is now increased attention on safety research and injury prevention among this vulnerable population. Individuals with disabilities are believed to face a higher injury risk than their healthy counterparts due to deficiencies in gait/motor control, impairments in mental processing, and an inability to adjust to their environment. Although limited in number, previous studies on injuries among individuals with disabilities have indicated that individuals with disabilities are at significantly increased risk for unintentional injuries. Therefore, there is a critical need to better understand the factors that impact the occurrence of injuries among individuals with disabilities, to identify injury patterns, and to investigate the medical costs of these injuries. This research brief summarizes key findings from our previous studies, with an emphasis on children with disabilities. This document serves to highlight an important public health issue in the United States and encourage dialogue on the development of focused, coordinated strategies for safety research and injury prevention among individuals with disabilities.
Title: Secondary Injuries Among Individuals With Disabilities
Project Link: Secondary Injuries Among Individuals With Disabilities Report