The Step Safely guidelines: a catalyst to address the burden of falls in children and adolescents.
The Step Safely guidelines: a catalyst to address the burden of falls in children and adolescents.
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安全步骤指南：解决儿童和青少年跌倒负担的催化剂。
DOI：
10.1016/s2352-4642(22)00194-8
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Peden M
中科院分区：
文献类型：
--
作者：
Peden M
在全球范围内，2019年跌倒估计造成684277人死亡，3640万残疾调整生命年。1,2尽管这些跌倒大多发生在老年人身上，但它们也是儿童和青少年（年龄< 19岁）受伤的主要原因，每天有100多名儿童死亡，或每年有3.8万名儿童死亡。1此外，在资源匮乏的环境中，跌倒占所有与伤害有关的儿童医院就诊的56%，是5-19岁儿童残疾生活年数的十大原因之一。1,3世卫组织最近发布的“安全一步”技术包为在初级、二级和三级预防层面就这一重要的儿童和青少年公共卫生问题采取行动提供了证据。4然而，大多数证据来自高收入国家，不易推广到儿童负担最重的低收入国家。所有的孩子都会跌倒。这是他们发展的一部分，但并不是所有的跌倒都会导致严重的伤害。每个儿童都有权享有健康和安全的环境，其中包括减少摔伤风险的环境。重要的是要了解这些跌倒发生的背景，以优化预防。例如，在尼泊尔，大多数儿童生活在农村社区，那里典型的家庭是两层的木制建筑，有一个开放式的外部楼梯通向建筑周围的阳台。玩耍的地方都是非正式的，通常在陡峭的梯田上，许多孩子会在家庭的小农场里帮忙，包括爬上树割树叶喂牲畜。5在斐济进行的一项基于人群的损伤监测研究中，跌倒占儿童受伤入院人数的48%，骨折和头部创伤是最常见的损伤类型。在这种情况下，一些最强烈倡导预防跌倒干预措施的是临床医生，他们担心在健康和创伤护理、康复、教育、残疾和对这些受伤幸存儿童的社会支持方面的需求未得到满足。
Globally, falls caused an estimated 684 277 deaths in 2019 and 36· 4 million disability-adjusted life-years. 1, 2 Although most of these falls occur in older adults, they are also a leading cause of injury for children and adolescents (age< 19 years), accounting for more than 100 children dying every day or 38 000 every year. 1 Additionally, falls account for up to 56% of all injuryrelated hospital visits by children in low-resource settings and are a top ten cause of years lived with a disability for those aged 5–19 years. 1, 3 The recently published Step Safely technical package by WHO provides evidence for action at primary, secondary, and tertiary prevention levels on this important child and adolescent public health issue. 4 However, most of the evidence is from high-income countries and is not easily generalised to low-income settings where the greatest burden of childhood falls occurs. All children fall. It is a part of their development, but not all falls should result in serious injury. Every child has the right to a healthy and safe environment, which includes settings that reduce risks of injurious falls. It is important to understand the context in which these falls occur in order to optimise prevention. In Nepal, for example, most children live in rural communities where typical homes are two-storey wooden buildings with an open external staircase leading to a balcony running around the building. Play areas are informal, often on steeply terraced land, and many children will help on family smallholdings, which includes climbing trees to cut leaves to feed livestock. Falls from trees are the leading cause of spinal injury in Nepal. 5In a population-based injury surveillance study in Fiji, falls accounted for 48% of injury admissions in childhood, with fractures and head trauma being among the commonest types of injury. 6 Some of the strongest advocates for fall prevention interventions in this context were clinicians concerned about the unmet needs in health and trauma care, rehabilitation, education, disability, and social support for children surviving these injuries.
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尼泊尔脊髓损伤的人口统计特征和创伤原因：一项观察性研究
影响因子：
0.6
作者：
Arran Willott;Raju Dhakal;C. Groves;J. Mytton;M. Ellis
通讯作者：
M. Ellis
DOI：
10.1136/injuryprev-2019-043286
发表时间：
2020-10
期刊：
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
影响因子：
--
作者：
James SL;Lucchesi LR;Bisignano C;Castle CD;Dingels ZV;Fox JT;Hamilton EB;Henry NJ;Krohn KJ;Liu Z;McCracken D;Nixon MR;Roberts NLS;Sylte DO;Adsuar JC;Arora A;Briggs AM;Collado-Mateo D;Cooper C;Dandona L;Dandona R;Ellingsen CL;Fereshtehnejad SM;Gill TK;Haagsma JA;Hendrie D;Jürisson M;Kumar GA;Lopez AD;Miazgowski T;Miller TR;Mini GK;Mirrakhimov EM;Mohamadi E;Olivares PR;Rahim F;Riera LS;Villafaina S;Yano Y;Hay SI;Lim SS;Mokdad AH;Naghavi M;Murray CJL
通讯作者：
Murray CJL
影响因子：
1.9
作者：
Chen, Elizabeth;Leos, Cristina;Moracco, Kathryn E.
通讯作者：
Moracco, Kathryn E.
斐济致命和住院的儿童伤害（TRIP 项目‐3）
影响因子：
1.7
作者：
Asilika Naisaki;I. Wainiqolo;B. Kafoa;B. Kool;M. Taoi;E. Mccaig;S. Ameratunga
通讯作者：
S. Ameratunga
DOI：
10.2471/blt.08.055798
发表时间：
2009-05-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Hyder, Adnan A;Sugerman, David E;Peden, Margie
通讯作者：
Peden, Margie