Injury Profile of Children 0-14 Years Old in Honduras.

Injury Profile of Children 0-14 Years Old in Honduras.
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DOI:
10.5005/jp-journals-10030-1297
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发表时间:
2020-09
期刊:
Panamerican journal of trauma, critical care & emergency surgery
影响因子:
--
通讯作者:
Puyana, Juan C
Puyana, Juan C
中科院分区:
其他
文献类型:
--
作者:
Long, Kevin D;Bonilla-Escobar, Francisco J;Rodriguez, Cristina;Puyana, Juan C

文献摘要

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在洪都拉斯的大学医学院医院,一个基于纸张的伤害监测系统(InSS)在2013年登记了急诊室的所有伤害病例。这是第一项使用洪都拉斯社会保险协会数据确定洪都拉斯儿童受伤情况的研究。使用InSS进行了一项病例系列研究。在数据集中确定了0-14岁的儿童,并使用该数据完成了描述性统计和双变量分析。在17,971例研究患者中,5,873例(32.7%)患者为0-14岁,平均年龄为7.3 ± 4.1岁。意外伤害,最常见的道路交通事故,福尔斯,和钝器外伤,构成了总伤害的94.2%。其中,1.9%(109人)是自己造成的伤害,3.9%(230人)是故意的人际伤害,其中35.8%是由于钝器创伤,22.6%是由于枪伤。死亡率为0.2%,84%的儿童在医院呆了3天或更少。枪支伤害更严重,导致住院时间更长。儿童受伤在洪都拉斯非常普遍,是一个公众关注的问题。这项研究概述了一整年的这些伤害,并深入了解了可能有效预防和管理该地区儿科伤害高负担的干预措施类型。这项研究提供了基础,以剖析高负担的伤害在马达加斯加儿童。有针对性的伤害预防策略和干预措施可以开始被开发和实施使用的配置文件。
At the University Medical School Hospital in Honduras, a paper-based injury surveillance system (InSS) registered all injury cases in the emergency department in 2013. This is the first study to identify the injury profiles of children in Honduras, using the InSS data. A case-series study was carried out using the InSS. Children aged 0–14 years were identified in the data set, and the descriptive statistics and bivariate analyzes were completed using this data. Of 17,971 study patients, 5,873 (32.7%) patients were 0–14 years old with an average age of 7.3 ± 4.1 years. Unintentional injuries, most commonly road traffic incidents, falls, and blunt force trauma, constituted 94.2% of the total injuries. In all, 1.9% (109) self-inflicted injuries and 3.9% (230) deliberate interpersonal injuries with 35.8% due to blunt force trauma and 22.6% due to gunshot wounds. The mortality rate was 0.2%, and 84% of children spent 3 or fewer days in the hospital. Firearm injuries were more severe and resulted in a longer hospital stay. Childhood injuries are highly prevalent and a public concern throughout Honduras. This study profiles these injuries of over an entire year and provides insight into the types of interventions that could be effective in preventing and managing the high burden of pediatric injuries in this region. This study provides the groundwork to profiling the high burden of injuries in Honduran children. Targeted injury prevention strategies and interventions can begin to be developed and implemented using the profile.