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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Pediatric fireworks-related injuries in the United States: 1990-2003.
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Pediatric fireworks-related injuries in the United States: 1990-2003.

机译：美国的小儿烟花相关伤害：1990-2003年。

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OBJECTIVE: Our goal was to describe the epidemiology of pediatric fireworks-related injuries among children aged 19 years and younger by using a nationally representative sample. DESIGN: We performed a retrospective analysis of data from the US Consumer Product Safety Commission's National Electronic Injury Surveillance System from 1990-2003. RESULTS: An estimated 85800 pediatric fireworks-related injuries were treated in US emergency departments during the 14-year study period. Injured children had a mean age of 10.8 years, and 77.9% were male. Fireworks users accounted for 49.5% of the injuries, whereas 22.2% of the injuries were to bystanders; however, user status could not be determined in 28.3% of cases. The overall fireworks-related injury rate decreased significantly during the study period, but subgroup analysis did not indicate consistent declines among all ages and types of fireworks. Injuries were most commonly caused by firecrackers (29.6%), sparklersovelty devices (20.5%), and aerial devices (17.6%). The most commonly injured body sites were the eyeball (20.8%), face (20.0%), and hands (19.8%), and the most common injury type was burns (60.3%). Approximately 91.6% of all children with fireworks-related injuries were treated and released from hospital emergency departments, 5.3% were admitted, and 2.3% were transferred to another institution. Bystanders accounted for 13.3% of admitted cases and 20.6% of transferred cases. CONCLUSIONS: Consumer fireworks cause serious preventable injuries among pediatric fireworks users and bystanders in the United States. Parents should be advised to take their children to safer public fireworks displays rather than allowing consumer fireworks to be used by or near their children. A national restriction of consumer fireworks, in accordance with the policy recommendations of the American Academy of Pediatrics, should be implemented to reduce the burden of fireworks-related injuries among children.
机译：目的：我们的目标是通过使用具有全国代表性的样本来描述19岁及以下儿童的小儿烟花相关伤害的流行病学。设计：我们对1990年至2003年美国消费者产品安全委员会的国家电子伤害监视系统的数据进行了回顾性分析。结果：在为期14年的研究期内，估计美国急诊部门治疗了85800例与小烟花有关的伤害。受伤的儿童平均年龄为10.8岁，其中77.9％为男性。烟火使用者造成的伤害占49.5％，而旁人受伤的占22.2％。但是，在28.3％的情况下无法确定用户状态。在研究期间，与烟花相关的总体伤害率显着下降，但亚组分析并未表明所有年龄和类型的烟花均持续下降。伤害最常见的是鞭炮（29.6％），烟火/新奇设备（20.5％）和航空设备（17.6％）。最受伤的身体部位是眼球（20.8％），面部（20.0％）和手（19.8％），最常见的受伤类型是烧伤（60.3％）。所有因烟花引起的伤害的儿童中约有91.6％接受了医院急诊部门的治疗并被释放，其中5.3％的儿童入院，而2.3％的儿童被转移到另一家机构。旁观者占受理案件的13.3％，占移交案件的20.6％。结论：在美国，消费烟花会导致儿童烟花使用者和旁观者遭受严重的可预防的伤害。应该建议父母将孩子带到更安全的公共烟花汇演中，而不要让孩子或附近的孩子使用消费烟花。根据美国儿科学会的政策建议，应实施全国性的烟花爆竹限制措施，以减轻儿童烟花爆竹相关伤害的负担。

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