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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Pediatric Injuries Attributable to Falls From Windows in the United States in 1990-2008
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Pediatric Injuries Attributable to Falls From Windows in the United States in 1990-2008

机译：1990-2008年美国可归因于Windows跌落的儿科伤害

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摘要

OBJECTIVE: To examine the epidemiological features of pediatric injuries related to falls from windows. METHODS: By usingthe National Electronic Injury Surveillance System, emergency department (ED) data for pediatric injury cases associated with window falls in 1990-2008 were reviewed. RESULTS: An estimated 98 415 children (95% confidence interval [CI]: 82 416-114 419) were treated in US hospital EDs for window fall-related injuries during the 19-year study period (average: 5180 patients per year [95% CI: 4828-5531]). The mean age of children was 5.1 years, and boys accounted for 58.1% of cases. One-fourth (25.4%) ofthe patients required admission to the hospital. The annual injury rate decreased significantly during the study period because of a decrease in the annual injury rate among 0- to 4-year-old children. Children 0 to 4 years of age were more likely to sustain head injuries (injury proportion ratio [IPR]: 3.22 [95% CI: 2.65-3.91]) and to be hospitalized orto die (IPR: 1.65 [95% CI: 1.38-1.97]) compared with children 5 to 17 years of age. Children who landed on hard surfaces were more likely to sustain head injuries (IPR: 2.05 [95% CI: 1.53-2.74]) and to be hospitalized or to die (IPR: 2.23 [95% CI: 1.57-3.17]) compared with children who landed on cushioning surfaces. CONCLUSIONS: To our knowledge, this is the first study to investigate window fall-related injuries treated in US hospital EDs by using a nationally representative sample. These injuries are an important pediatric public health problem, and increased prevention efforts are needed, including development and evaluation of innovative prevention programs.
机译：目的：探讨与儿童从窗户跌落有关的伤害的流行病学特征。方法：使用国家电子伤害监测系统，回顾了1990-2008年急诊科（ED）的与窗户掉落相关的小儿受伤病例的数据。结果：在为期19年的研究期内，估计有98 415名儿童（95％置信区间[CI]：82 416-114 419）在美国医院急诊室接受了与窗坠相关的伤害治疗（平均：每年5180名患者[95] ％CI：4828-5531]。儿童的平均年龄为5.1岁，男孩占病例的58.1％。四分之一（25.4％）的患者需要入院。在研究期间，年伤害率显着下降，这是因为0至4岁儿童的年伤害率降低了。 0至4岁的儿童更容易遭受头部伤害（伤害比例[IPR]：3.22 [95％CI：2.65-3.91]）并住院或死亡（IPR：1.65 [95％CI：1.38- [1.97]）与5至17岁的儿童相比。与硬表面接触的儿童相比，头部受伤的可能性更高（IPR：2.05 [95％CI：1.53-2.74]），住院或死亡（IPR：2.23 [95％CI：1.57-3.17]）降落在缓冲表面上的儿童。结论：据我们所知，这是第一项使用具有全国代表性的样本调查在美国医院急诊室中治疗的与车窗跌落相关的伤害的研究。这些伤害是一个重要的儿科公共卫生问题，需要加大预防力度，包括制定和评估创新的预防计划。

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