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首页> 外文期刊>International Journal of Environmental Research and Public Health >Characteristics and Trends of Hospitalized Pediatric Abuse Head Trauma in Wuhan, China: 2002–2011
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Characteristics and Trends of Hospitalized Pediatric Abuse Head Trauma in Wuhan, China: 2002–2011

机译：2002-2011年中国武汉市小儿住院头部外伤的特点和趋势

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This study investigated characteristics and trends of hospitalized abuse-related traumatic brain injuries (TBI) treated at a large pediatric medical center in Wuhan, China during the past 10 years. De-identified hospital discharge data for patients 0–4 years old hospitalized at the Wuhan Medical Care Center for Women and Children were analyzed, and ICD-10 codes were used to identify cases of TBI. Medical notes provided by doctors in the medical record were used to identify TBI cases in which suspected child abuse was the cause. From 2002 to 2011, 3,061 pediatric TBI patients were hospitalized and 4.6% (140) of these cases were suspected child abuse-related. The majority of suspected child abuse cases involved children younger than 1 year of age (68.6%) and usually affected males (63.6%). Children with non-Abusive Head Trauma (AHT) were more likely to have full recovery outcome (68.4%, 95% CI: 66.6%–70.0%) than children with suspected AHT (44.3%, 95% CI: 36.1%–52.5%). The proportion of all childhood TBI attributable to abuse did not appear to have increased in the 10-year period at this medical center. This is the first comprehensive study highlighting the important role of suspected child abuse in causing TBIs among Chinese children. Child abuse as a major cause of TBIs among infants in China should be studied further, and there should be greater awareness of this important social and medical problem in China.
机译：这项研究调查了过去十年来，在中国武汉的一家大型儿科医学中心治疗的住院虐待相关的创伤性脑损伤（TBI）的特征和趋势。分析了在武汉市妇幼保健中心住院的0-4岁患者的出院数据，并使用ICD-10代码识别TBI病例。医生在病历中提供的医学笔记被用于识别怀疑是虐待儿童的原因的TBI病例。从2002年到2011年，有3,061名儿科TBI患者入院，其中4.6％（140）被怀疑与虐待儿童有关。大多数可疑的虐待儿童案件涉及1岁以下的儿童（68.6％），通常是受影响的男性（63.6％）。与可疑AHT患儿（44.3％，95％CI：36.1％–52.5％）相比，非滥用性颅脑外伤（AHT）的儿童更可能具有完全康复的结果（68.4％，95％CI：66.6％–70.0％）。 ）。在该医疗中心的十年中，归因于虐待的所有儿童TBI比例似乎没有增加。这是第一项全面的研究，强调了可疑的虐待儿童在引起中国儿童TBI方面的重要作用。虐待儿童是中国婴幼儿TBI的主要原因，应对此进行进一步研究，并应在中国进一步认识这一重要的社会和医学问题。

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