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Child and adolescent injury as a result of falls from buildings and structures

机译:建筑物和构筑物坠落造成的儿童和青少年伤害

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摘要

>Design and setting: The Health Care Cost and Utilization Project (KID-HCUP) was used to produce national estimates of hospital admissions due to falls from buildings in the US. Areas of New York with and without window guard legislation were identified through the New York Statewide Planning and Research Cooperative System (SPARCS). >Subjects: Children and adolescents aged 0–18 years. >Interventions: Legislation based window fall prevention programme with enforcement. >Main outcome measures: Hospitalization for injury as a result of falls from buildings and structures in areas with and without enforced mandatory window guard legislation. >Results: New York City has a higher proportion of the population residing in multifamily dwellings with 10 or more units compared with the nation (53.8% v 12.6%, p<0.0001), but the incidence of injury resulting from falls from buildings is nearly half that observed in the US. For young children, warm weather risks begin earlier and extend later than previously reported. Incidence in very young minority children is nearly twice that of whites. Nearly 90% of children aged 0–4 years fall at home, but the proportion decreases linearly with age. >Conclusions: Window guards are associated with reduced injury resulting from falls from buildings and should be mandated in multifamily dwellings where small children reside. Prevention programmes for young children should be initiated in early spring and continued through fall.
机译:>设计和设置:医疗费用和利用项目(KID-HCUP)用于得出美国因建筑物倒塌而导致的住院人数的国家估计。通过纽约州范围内的计划与研究合作系统(SPARCS)确定了有无窗户防护立法的纽约地区。 >主题: 0至18岁的儿童和青少年。 >干预措施:基于法律的窗户防坠落程序,并具有强制性。 >主要结局指标:因实施和未实施强制性窗玻璃保护法规而从建筑物和建筑物坠落造成的受伤住院。 >结果:与全国相比,纽约市居住在10个或更多单元的多户住宅中的人口比例更高(53.8%v 12.6%,p <0.0001),但造成伤害的发生率来自建筑物的跌落所造成的损失几乎是美国观察到的一半。对于年幼的孩子,温暖的天气风险比以前报道的更早开始,并且延伸的时间更晚。很小的少数民族儿童的发病率几乎是白人的两倍。 0至4岁的儿童中有将近90%在家中,但这一比例随年龄呈线性下降。 >结论:窗户防护罩可减少建筑物坠落造成的伤害,应在有小孩居住的多户住宅中强制使用。幼儿预防方案应在早春开始,并持续到秋季。

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