Validity of hospital discharge data regarding intentionality of fatal pediatric injuries.
Validity of hospital discharge data regarding intentionality of fatal pediatric injuries.
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关于致命儿科伤害故意性的出院数据的有效性。
DOI：
10.1097/00001648-199611000-00015
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Durkin,MS
中科院分区：
文献类型：
--
作者：
Olsen,SJ;Durkin,MS
这项关于纽约市住院儿童致命伤害的研究（1991-1992年）比较了出院数据上的伤害意图分类与302起可与记录相联系的伤害的死亡证明上的伤害意图分类。以死亡证明为标准，医院数据识别故意伤害的敏感性范围从5岁以下儿童的0.50[95%可信区间(CI)= 0.27-0.73]到青少年的0.85 (95% CI= 0.80-0.90)，从白人儿童的0.75 （95% CI= 0.65-0.83）到非白人儿童的0.89 （95% CI= 0.82-0.93）。这一人口的出院数据似乎低估了由于故意原因造成的致命伤害的发生率和比例，特别是那些发生在幼儿和白人儿童身上的伤害。
: This study of hospitalized fatal injuries to children in New York City (1991-1992) compares the classification of injury intention on hospital discharge data with that on death certificates in 302 injuries for which records could be linked. Using death certificates as the criterion, the sensitivity of hospital data for identifying intentional injuries ranged from 0.50 for children under age 5 years [95% confidence interval (CI)= 0.27-0.73] to 0.85 for adolescents (95% CI= 0.80-0.90), and from 0.75 for white children (95% CI= 0.65-0.83) to 0.89 for nonwhite children (95% CI= 0.82-0.93). Hospital discharge data for this population appear to understate both the incidence and the proportion of fatal injuries due to intentional causes, particularly those occurring to very young children and to white children.