PMID- 10728542 OWN - NLM STAT- MEDLINE DCOM- 20000419 LR - 20190503 IS - 1353-8047 (Print) IS - 1353-8047 (Linking) VI - 6 IP - 1 DP - 2000 Mar TI - Children are not goldfish--mark/recapture techniques and their application to injury data. PG - 46-50 AB - OBJECTIVES: Mark/recapture (or capture-recapture) is a simple technique commonly applied to estimate the hypothetical total (including undercount) in a register composed of cases from two or more independent and separately incomplete case lists. This paper seeks to illustrate serious drawbacks in the use of the mark/recapture technique when applied to injuries. SETTING AND SUBJECTS: Northumbrian children under 15 years of age who were seriously injured in motor vehicle accidents (MVAs) over a five year period ascertained from two data sources: police reports and hospital inpatient records. METHODS: Individuals (n) appearing in both police (S) and hospital (H) case lists are identified using various matching criteria. The separate and combined influence of age, sex, and casualty class (cyclist, passengers, pedestrians) on the probability of such matching is estimated using multivariate techniques. The hypothetical total incidence of child MVA victims (N) is calculated from N = (S x H)/n. MAIN OUTCOMES: Estimates of the incidences of "serious" injuries in MVAs under various conditions of stratification and matching. The overall procedure is tested for conformity with accepted criteria for valid use of mark/recapture. RESULTS: About one third of the 1009 police and 836 hospital records could be exactly matched. There were significant variations in matching proportions by class of accident (pedestrian v passenger v cyclist). This selective recapture or "heterogeneity" was not affected by sex, but was independently influenced by the age of the child. Further uncertainty was introduced when matching criteria were slightly relaxed. Estimates of the total population of children with serious injuries vary accordingly from 1729 to 2743. A number of plausible reasons why these two data sources might not be unbiased or mutually independent samples of the total target population are proposed as explanations for this heterogeneity. CONCLUSION: This typical example of two sample mark/recapture estimation in an epidemiological setting can be shown to violate virtually all the requirements for valid use of the technique. Very little can be deduced accurately about the scale or characteristics of an unobserved group by the use of mark/recapture applied to two overlapping health event registers. FAU - Jarvis, S N AU - Jarvis SN AD - Department of Child Health, University of Newcastle upon Tyne, Gateshead, UK. FAU - Lowe, P J AU - Lowe PJ FAU - Avery, A AU - Avery A FAU - Levene, S AU - Levene S FAU - Cormack, R M AU - Cormack RM LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Inj Prev JT - Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention JID - 9510056 SB - IM CIN - Inj Prev. 2000 Mar;6(1):1-2. PMID: 10728531 MH - Accidents, Traffic/*statistics & numerical data MH - Adolescent MH - Age Distribution MH - Bias MH - Child MH - Child, Preschool MH - Data Interpretation, Statistical MH - *Epidemiologic Methods MH - Female MH - Humans MH - Incidence MH - Injury Severity Score MH - Male MH - *Motorcycles MH - Multivariate Analysis MH - Predictive Value of Tests MH - Probability MH - Registries MH - Risk Factors MH - Sensitivity and Specificity MH - Sex Distribution MH - Survival Analysis MH - United Kingdom/epidemiology MH - Wounds and Injuries/classification/*epidemiology PMC - PMC1730569 EDAT- 2000/03/23 09:00 MHDA- 2000/04/25 09:00 PMCR- 2003/03/01 CRDT- 2000/03/23 09:00 PHST- 2000/03/23 09:00 [pubmed] PHST- 2000/04/25 09:00 [medline] PHST- 2000/03/23 09:00 [entrez] PHST- 2003/03/01 00:00 [pmc-release] AID - 10.1136/ip.6.1.46 [doi] PST - ppublish SO - Inj Prev. 2000 Mar;6(1):46-50. doi: 10.1136/ip.6.1.46.