Unintentional injuries in children with disabilities: a systematic review and meta-analysis.
Unintentional injuries in children with disabilities: a systematic review and meta-analysis.
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残疾儿童的意外伤害：系统评价和荟萃分析
DOI：
10.1186/s40621-015-0053-4
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发表时间：
2015-12
影响因子：
2.2
通讯作者：
Xiang H
中科院分区：
文献类型：
--
作者：
Shi X;Shi J;Wheeler KK;Stallones L;Ameratunga S;Shakespeare T;Smith GA;Xiang H
残疾儿童被认为有更高的意外伤害风险，但之前的研究结果还没有得到定量的综合。我们进行了一项系统的回顾和荟萃分析，以评估与非残疾儿童相比，先前存在的残疾是否会增加儿童意外伤害的风险。我们搜索了13个电子数据库，以确定在1990年1月1日至2013年2月28日发表的原创研究。我们纳入了那些报告了既往残疾儿童与非残疾儿童之间的意外伤害的研究。我们进行了质量评估，然后使用随机效应模型计算了伤害的合并优势比。从最初确定的24,898篇参考文献中纳入了15项符合条件的研究，从符合条件的研究中抽取了83,286名残疾儿童作为样本。与非残疾儿童相比，残疾儿童的伤害合并OR为1.86(95%CI为1.65~2.10)。0~4岁、5~9岁和≥10岁亚组的合并OR值分别为1.2 8、1.75和1.86。与非残疾儿童相比，有国际功能分类(ICF)限制的儿童合并OR为1.75(95%CI 1.26~2.43)。当残疾被定义为肢体残疾时，合并OR为2.39(95%CI 1.43-4.00)，在认知障碍者中，合并OR为1.77(95%CI 1.49-2.11)。纳入的研究具有显著的异质性。与没有残疾的同龄人相比，残疾儿童受伤的风险要高得多。残疾青少年可能是未来伤害预防工作的一个重要亚群。需要来自低收入和中等收入国家的更多数据。
Children with disabilities are thought to have an increased risk of unintentional injuries, but quantitative syntheses of findings from previous studies have not been done. We conducted a systematic review and meta-analysis to assess whether pre-existing disability can increase the risk of unintentional injuries among children when they are compared to children without disability. We searched 13 electronic databases to identify original research published between 1 January 1990 and 28 February 2013. We included those studies that reported on unintentional injuries among children with pre-existing disabilities compared with children without disabilities. We conducted quality assessments and then calculated pooled odds ratios of injury using random-effects models. Fifteen eligible studies were included from 24,898 references initially identified, and there was a total sample of 83,286 children with disabilities drawn from the eligible studies. When compared with children without disabilities, the pooled OR of injury was 1.86 (95 % CI 1.65–2.10) in children with disabilities. The pooled ORs of injury were 1.28, 1.75, and 1.86 in the 0–4 years, 5–9 years, and ≥10 years of age subgroups, respectively. Compared with children without disabilities, the pooled OR was 1.75 (95 % CI 1.26–2.43) among those with International Classification of Functioning (ICF) limitations. When disability was defined as physical disabilities, the pooled OR was 2.39 (95 % CI 1.43–4.00), and among those with cognitive disabilities, the pooled OR was 1.77 (95 % CI 1.49–2.11). There was significant heterogeneity in the included studies. Compared with peers without disabilities, children with disabilities are at a significantly higher risk of injury. Teens with disabilities may be an important subgroup for future injury prevention efforts. More data are needed from low- and middle-income countries.