NONFATAL WHEELCHAIR-RELATED ACCIDENTS REPORTED TO THE NATIONAL ELECTRONIC INJURY SURVEILLANCE SYSTEM
NONFATAL WHEELCHAIR-RELATED ACCIDENTS REPORTED TO THE NATIONAL ELECTRONIC INJURY SURVEILLANCE SYSTEM
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DOI：
10.1097/00002060-199406000-00004
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发表时间：
1994-06-01
影响因子：
3
通讯作者：
KIRBY, RL
中科院分区：
文献类型：
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作者：
UMMAT, S;KIRBY, RL
为了更好地了解影响轮椅使用者的事故的流行病学，我们评估了1986年至1990年间向美国消费品安全委员会国家电子伤害监测系统（NEISS）部门报告的2,066起非致命轮椅相关事故。NEISS使用了这一时期美国各地代表性急诊部门的数据。从这一样本和1991年和1992年的数据推断，全国平均估计每年有36，559起与轮椅有关的事故，这些事故严重到足以导致受伤者到急诊室寻求关注;随着时间的推移，有显着的上升趋势（P = 0.007）。老年妇女最容易受伤。在受伤的人中，7.6%的人不是轮椅使用者。最常见的事故原因与73.2%的事故中的福尔斯和提示有关，相关的次要原因（例如，41.4%，转移16.9%。最常报告的福尔斯跌倒地点是在家中（50.8%）。损伤类型以挫伤和擦伤（32.8%）、撕裂伤（28.0%）、骨折（20.2%）、扭伤和拉伤（10.3%）为主。12%的病例需要住院治疗。这项分析的结果对康复专业人员，监管机构和轮椅制造商有影响。
To better understand the epidemiology of accidents affecting wheelchair users, we evaluated 2,066 nonfatal wheelchair-related accidents reported, between 1986 and 1990, to the National Electronic Injury Surveillance System (NEISS) Division of the United States Consumer Product Safety Commission. The NEISS used data from representative emergency departments across the United States during this period. An extrapolation from this sample and from those of 1991 and 1992 provided an average national estimate of 36,559 wheelchair-related accidents per year that are serious enough to cause the injured person to seek attention at an emergency department; there was a significant (P = 0.007) upward trend over time. Elderly women were the most likely to sustain an injury. Of the people injured, 7.6% were not wheelchair users themselves. The most common causes of accidents were related to falls and tips in 73.2% of incidents, associated secondary causes (e.g., a ramp) in 41.4% and transfers in 16.9%. The most frequently reported location for the falls was at home (50.8%). The majority of resulting injuries were contusions and abrasions (32.8%), lacerations (28.0%), fractures (20.2%) and sprains and strains (10.3%). Hospitalization was required in 12% of cases. The results of this analysis have implications for rehabilitation professionals, regulatory bodies and wheelchair manufacturers.