Toppled television sets cause significant pediatric morbidity and mortality
Toppled television sets cause significant pediatric morbidity and mortality
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DOI：
10.1542/peds.102.3.e32
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发表时间：
1998-09-01
期刊：
影响因子：
8
通讯作者：
King, WD
中科院分区：
文献类型：
--
作者：
Bernard, PA;Johnston, C;King, WD
客观的。量化电视机倾倒造成的儿童伤害和死亡。设计。对美国消费品安全委员会 (CPSC) 数据系统和阿拉巴马州儿童医院 (TCHA) 住院患者医疗记录编制的事件文件进行回顾性分析。环境。美国，1990 年 1 月至 1997 年 6 月。TCHA，1995 年 5 月至 1997 年 10 月。主要成果措施。电视机掉落到儿童身上导致的发病率或死亡率。结果。从1990年1月到1997年6月的7年间，美国消费品安全委员会收到73起电视机坠落事故报告，其中28人死亡。所有受害者的平均年龄为 36 个月（SD +/- 25.4 个月）。死亡者的平均年龄为 31 个月（SD +/- 22 个月）。女性占 42 起事故（58%）和 19 起死亡（68%）。最常见的解剖损伤部位是头部，占 CPSC 人员调查病例的 72%。在 CPSC 进一步调查的 14 例死亡中，有 13 例是头部受伤，另一例是全身挤压伤。在可获得数据的 45 个案例中，76% 的时间梳妆台或看台被确定为电视支架。 TCHA 数据库还发现了另外 5 例病例，其中 1 例死亡，其人口统计数据与 CPSC 数据相似。结论。儿童从家中高处摔倒电视机可能会造成严重伤害和死亡。电视机所在的家具至关重要。从这些数据中无法确定对人群的总体风险的估计。鉴于已报告 73 例病例，其中 28 人死亡；然而，伤害预防咨询和其他支持家庭安全的策略应包括放置电视机的安全且对儿童安全的位置。应注意这种无处不在的产品的更安全的设计和放置。
Objective. To quantify pediatric injuries and deaths that result from toppled television sets.Design. Retrospective analysis of incident files compiled by the US Consumer Product Safety Commission (CPSC) data systems and The Children's Hospital of Alabama (TCHA) inpatient medical records. Setting. United States, January 1990-June 1997. TCHA, May 1995-October 1997.Main Outcome Measures. Morbidity or mortality as a result of a television set falling onto a child.Results. Over the 7-year period from January 1990 to June 1997, 73 cases that involved falling television sets were reported to the CPSC, including 28 deaths. The mean age of all victims was 36 months (SD +/- 25.4 months). The mean age of those who died was 31 months (SD +/- 22 months). Females accounted for 42 incidents (58%) and 19 deaths (68%). The most common anatomic site of injury was the head, which accounted for 72% of cases investigated by CPSC personnel. Of the 14 deaths further investigated by the CPSC, head injury was responsible for 13, with a generalized crushing injury accounting for the other. Of the 45 cases in which data were available, dressers or stands were identified as the television support 76% of the time. The TCHA database yielded five additional cases, including one death, with demographics similar to the CPSC data.Conclusion. Serious injury and death can occur as a result of children toppling television sets from elevated locations in the home. The furniture on which a television set is situated is of fundamental importance. An estimate of overall risk to the population is impossible to determine from these data. In light of 73 reported cases with 28 deaths; however, injury prevention counseling and other strategies supporting in-home safety should include a secure and child-safe location for television sets. Attention should be paid to safer design and placement of this ubiquitous product.