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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Pediatric mobility aid-related injuries treated in US emergency departments from 1991 to 2008.
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Pediatric mobility aid-related injuries treated in US emergency departments from 1991 to 2008.

机译：1991年至2008年，美国急诊科治疗了与小儿助行器相关的伤害。

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OBJECTIVES: Although mobility aids such as crutches, walkers, and wheelchairs are typically beneficial, they can be associated with injury. The objective of this study was to describe the incidence, patterns, and trends of pediatric mobility aid-related injuries to children and adolescents who were aged < or = 19 years and treated in US emergency departments between 1991 and 2008. METHODS: A retrospective analysis was conducted by using data from the National Electronic Injury Surveillance System database for children and adolescents who were aged < or = 19 years. Sample weights were used to calculate national estimates of mobility aid-related injuries on the basis of 2301 actual cases. RESULTS: An estimated 63 309 cases of children and adolescents who were aged < or = 19 years were treated in US emergency departments for mobility aid-related injuries. Approximately 70% of mobility aid- related injuries occurred while patients were using wheelchairs. Children who were aged 2 to 10 years were more likely to sustain injuries while using walkers and wheelchairs, injure their heads, and sustain traumatic brain injuries. Children who were aged 11 to 19 years were more likely to sustain injuries while using crutches, injure their lower extremities, and sustain sprains and strains. Injuries involving wheelchairs were more likely to be traumatic brain injuries and result in hospitalization. Injuries involving crutches were more likely to involve misuse and be triggered by stairs or curbs. CONCLUSIONS: Injuries related to crutches, walkers, and wheelchairs have distinct injury patterns, mechanisms of injury, and trigger factors. Injury patterns between younger and older children were different. Additional research is needed to identify effective injury prevention strategies for the pediatric population.
机译：目标：尽管拐杖，助行器和轮椅等助行器通常是有益的，但它们可能会导致受伤。这项研究的目的是描述1991年至2008年间在美国急诊室接受治疗的19岁以下儿童和青少年与儿童移动辅助有关的伤害的发生率，方式和趋势。方法：回顾性分析通过使用国家电子伤害监测系统数据库中19岁以下儿童和青少年的数据进行。在2301例实际案例的基础上，使用样本权重来计算国家估计的与流动性援助相关的伤害。结果：估计约有63309名年龄小于或等于19岁的儿童和青少年在美国急诊科接受了与行动辅助相关的伤害治疗。患者使用轮椅时，约有70％的行动辅助相关伤害发生。 2至10岁的儿童在使用步行器和轮椅时更容易受伤，头部受伤，并遭受颅脑外伤。 11至19岁的儿童在使用拐杖时更容易受伤，下肢受伤，扭伤和拉伤。涉及轮椅的伤害更可能是颅脑外伤并导致住院。拐杖造成的伤害更容易被滥用，并可能由楼梯或路缘石引发。结论：与拐杖，助行器和轮椅相关的伤害具有明显的伤害模式，伤害机制和触发因素。年龄较大的孩子之间的伤害方式是不同的。需要进一步的研究来确定针对儿童人群的有效伤害预防策略。

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