Furniture and television tip-over injuries to children treated in United States emergency departments.
Furniture and television tip-over injuries to children treated in United States emergency departments.
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DOI：
10.1186/s40621-021-00346-6
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发表时间：
2021-08-27
影响因子：
2.2
通讯作者：
Smith GA
中科院分区：
文献类型：
--
作者：
Lu C;Badeti J;Mehan TJ;Zhu M;Smith GA
家具和电视翻倒伤害是儿童尤其是 6 岁以下儿童的重要伤害来源。目前需要对翻倒伤害进行流行病学评估，特别是考虑到衣物储存装置 (CSU) 自愿安全标准的变化、消费市场从阴极射线管转向平板电视 (TV) 以及近年来家庭电视拥有量的下降。本研究的目的是更新我们对美国急诊科治疗的 18 岁以下儿童中家具（尤其是 CSU）和电视翻倒伤的流行病学特征和趋势的了解。本研究回顾性分析了 1990 年至 2019 年国家电子伤害监测系统的数据。使用回归技术评估了基于人群的比率趋势。所有病例数均以国家估计数表示。在 30 年的研究期间，估计有 560,203 名 18 岁以下的儿童因家具或电视翻倒受伤而在美国急诊室接受治疗，平均每年有 18,673 名儿童。 CSU 涉及 17.2% (n = 96,321) 的翻车事故，而 TV 则占 41.1% (n = 230,325)，其中涉及 CSU 和 TV 的翻车事故有 16,904 起 (3.0%)。 1990年至2010年，18岁以下儿童家具和电视翻倒受伤率增加了53.8% (p<0.0001)，然后从2010年至2019年下降了56.8% (p<0.0001)。几乎一半(47.0%)的伤害发生在儿童身上。头部/颈部； 3.4%的儿童入院。家具和电视翻倒事故中，69.9% 的儿童是 6 岁以下；他们占 CSU 相关翻倒伤害的 82.5% 和电视相关翻倒伤害的 74.7%。尽管自 2010 年以来翻倒伤害有所下降，但仍应采取更多措施来预防这些伤害，特别是对于 6 岁以下的儿童，因为伤害数量仍然很高，结果可能危及生命，并且有效的预防策略是已知的。安全教育、警告标签以及尖端约束装置的推广和使用虽然很重要，但不能替代加强和执行 CSU 和 TV 的稳定性要求。
Furniture and television tip-over injuries are an important source of injury to children, especially those younger than 6 years old. A current epidemiologic evaluation of tip-over injuries is needed, especially considering changes in the voluntary safety standard for clothing storage units (CSUs) and the shift in the consumer market from cathode ray tube to flat-screen televisions (TVs), and a decline in household TV ownership during recent years. The objective of this study is to update our understanding of the epidemiologic characteristics and trends of furniture (especially CSU) and TV tip-over injuries treated in United States emergency departments among children < 18 years old. This study retrospectively analyzed data from the National Electronic Injury Surveillance System from 1990 to 2019. Trends in population-based rates were evaluated with regression techniques. All numbers of cases are expressed as national estimates. An estimated 560,203 children < 18 years old were treated in United States emergency departments for furniture or TV tip-over injuries during the 30-year study period, averaging 18,673 children annually. CSUs were involved in 17.2% (n = 96,321) of tip-overs, and TVs accounted for 41.1% (n = 230,325), which included 16,904 tip-overs (3.0%) that involved both a CSU and TV. The rate of furniture and TV tip-over injuries among children < 18 years old increased by 53.8% (p < 0.0001) from 1990 to 2010, and then decreased by 56.8% (p < 0.0001) from 2010 to 2019. Almost half (47.0%) of injuries occurred to the head/neck; 3.4% of children were admitted to the hospital. Children < 6 years old accounted for 69.9% of furniture and TV tip-over injuries overall; they accounted for 82.5% of CSU-related and 74.7% of TV-related tip-over injuries. Despite the decline in tip-over injuries since 2010, more should be done to prevent these injuries, especially among children < 6 years old, because the number of injuries remains high, outcomes can be life-threatening, and effective prevention strategies are known. Safety education, warning labels, and promotion and use of tip restraint devices, while important, are not a substitute for strengthening and enforcing the stability requirements for CSUs and TVs.
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影响因子：
8
作者：
Bernard, PA;Johnston, C;King, WD
通讯作者：
King, WD
影响因子：
1.4
作者：
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通讯作者：
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7.8
作者：
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通讯作者：
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作者：
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1.6
作者：
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通讯作者：
Smith, Gary A.