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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Persistence of Occurrence of Injury: Can Injuries of Preschool Children Predict Injuries of School-Aged Children?
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Persistence of Occurrence of Injury: Can Injuries of Preschool Children Predict Injuries of School-Aged Children?

机译:伤害持续存在:学龄前儿童的伤害能否预测学龄儿童的伤害?

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Data regarding 10,394 children from the 1970 British birth cohort were used to assess the consistency of injuries reported by parents as occurring between birth and 5 years of age and injuries reported between 5 and 10 years of age. Children with three or more separate injury events reported between birth and 5 years of age were 5.9 times more likely to have three or more injuries reported between 5 and 10 years of age than children without early injuries (95% confidence interval = 4.4 to 8.0). Children with one or more injuries resulting in hospitalization before 5 years of age were 2.5 times as likely to have one or more admissions to the hospital for injuries after 5 years of age than children with no early hospitalizations for injuries (95% confidence interval = 2.0 to 3.3). Stepwise regression was used to identify other predictors of injury. The number of injuries before 5 years of age were the best predictors of injuries reported between 5 and 10 years of age, followed by male sex, aggressive child behavior, young maternal age, many older, and few younger siblings. The findings of this study are consistent with two other large studies that relied on medical records rather than parental report and that focused on more severe injuries. Children with several of the identified risk factors can be predicted to have high rates of accidental injuries and may benefit from focused intervention.
机译:使用来自1970年英国出生队列的10,394名儿童的数据来评估父母报告的出生至5岁之间的伤害与报告的5至10岁之间的伤害的一致性。据报道,在出生至5岁之间发生三起或更多单独伤害事件的儿童是在五岁至10岁之间发生三起或更多伤害事件的儿童的可能性是没有早受伤的儿童的5.9倍(95%的置信区间= 4.4至8.0) 。在5岁之前住院的一名或多名受伤儿童的患病率是未在早期住院的儿童的5岁后住院一或多次受伤的可能性的2.5倍(95%置信区间= 2.0至3.3)。使用逐步回归来确定其他损伤预测因素。 5岁之前受伤的次数是报告5至10岁之间受伤的最佳预测指标,其次是男性,侵略性的儿童行为,年轻的母亲年龄,许多年纪较大且兄弟姐妹较少。这项研究的结果与其他两项大型研究一致,后者依赖医疗记录而不是父母的报告,并且侧重于更严重的伤害。可以预测具有多个已确定风险因素的儿童意外伤害发生率很高,并且可以从有针对性的干预中受益。

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