Using Trauma Registry Data to Guide Injury Prevention Program Activities
Using Trauma Registry Data to Guide Injury Prevention Program Activities
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DOI：
10.1097/ta.0b013e3181f1e9fe
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发表时间：
2010-10-01
影响因子：
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通讯作者：
Lapidus, Garry
中科院分区：
文献类型：
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作者：
Rogers, Steven C.;Campbell, Brendan T.;Lapidus, Garry
背景：伤害预防计划应基于客观的伤害数据。这项研究表明，如何当地的伤害数据可以用来帮助指导伤害prevention programmes.Methods：我们回顾了创伤登记数据（2004-2006年）从一级儿科创伤中心。数据包括人口统计学信息、损伤解剖位置、损伤机制、安全器械使用、损伤严重度评分（ISS）以及时间和地理变量。计算每种损伤机制的损伤预防优先评分。结果：共有1,874名创伤患者。大多数入院者为白色男性，年龄11岁至15岁（平均7.9岁至5.2岁）。大多数招生发生在夏季和周末晚上。主要是钝器伤（92%）和骨折（56%）（平均ISS，5.9）。严重ISS >15在11 ~ 15岁组中最高，15岁以上组最低（P < 0.01）。福尔斯、割伤或刺穿、全地形车和越野摩托车在伤害预防优先得分中排名最高。在134名机动车乘员中，52%（n = 70）被约束在汽车座椅/安全带中。只有15%的骑自行车的人，24%的摩托车手，和58%的亚视车手戴helmers.Conclusion：受伤的儿童和青少年的显着比例没有使用行之有效的伤害预防设备在他们受伤的时候。这些数据确定了进一步研究的领域，并将有助于指导我们机构的社区伤害预防计划。
Background: Injury prevention programs should be based on objective injury data. This study demonstrates how local injury data can be used to help guide injury prevention programs.Methods: We reviewed trauma registry data (2004-2006) from a Level I pediatric trauma center. Data included demographic information, anatomic location of injury, mechanism of injury, safety device utilization, Injury Severity Score (ISS), and temporal and geographic variables. The Injury Prevention Priority Score for each mechanism of injury was calculated.Results: There were 1,874 trauma patients. Most admissions were among white males, aged 11 years to 15 years (mean, 7.9 years 5.2 years). Most admissions occurred during summertime and on weekend evenings. Blunt injuries (92%) and fractures (56%) predominated (mean ISS, 5.9). A severe ISS >15 was highest among 11 year to 15 year and lowest among patients older than 15 years (p < 0.01). Falls, cut, or pierce, ATV, and off-road motorcycle ranked highest in the Injury Prevention Priority Score. Of the 134 motor vehicle occupants, 52% (n = 70) were restrained in car seats/seat belts. Only 15% of bicyclists, 24% of motorcyclists, and 58% of ATV riders wore helmets.Conclusion: A significant percentage of injured children and adolescents were not using proven effective injury prevention devices at the time of their injury. These data identified areas for further study and will help guide community injury prevention programs at our institution.