Pediatric fall injuries in agricultural settings: a new look at a common injury control problem.

Pediatric fall injuries in agricultural settings: a new look at a common injury control problem.
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农业环境中的儿童跌倒伤害:对常见伤害控制问题的新看法。

DOI:
10.1097/jom.0b013e31804630d0
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发表时间:
2007
影响因子:
3.2
通讯作者:
Marlenga,Barbara
Marlenga,Barbara
中科院分区:
医学4区
文献类型:
--
作者:
Pickett,William;Dostaler,Suzanne;Berg,RichardL;Linneman,JamesG;Brison,RobertJ;Marlenga,Barbara

文献摘要

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目的:农场里的孩子有很高的跌伤风险。这项研究描述了跌倒伤在儿童人群中的原因和后果。方法:从加拿大和美国的登记处收集一系列的回顾性病例。结果:跌落伤占病例总数的41%(484/1193)。20%的跌伤是在移动危险(复杂跌倒)的路径上,91%的复杂跌倒与农业生产有关。61%的复杂高空坠落发生在儿童不工作的时候。死亡和住院伤害在复杂跌倒中比例过高。结论:儿童跌倒伤很常见。这一分析为这一职业伤害控制问题提供了一个新的视角。
Objectives:Children on farms experience high risks for fall injuries. This study characterized the causes and consequences of fall injuries in this pediatric population.Methods:A retrospective case series was assembled from registries in Canada and the United States. A new matrix was used to classify each fall according to initiating mechanisms and injuries sustained on impact.Results:Fall injuries accounted for 41%(484/1193) of the case series. Twenty percent of the fall injuries were into the path of a moving hazard (complex falls), and 91% of complex falls were related to farm production. Sixty-one percent of complex falls from heights occurred while children were not working. Fatalities and hospitalized injuries were overrepresented in the complex falls.Conclusions:Pediatric fall injuries were common. This analysis provides a novel look at this occupational injury control problem.