24‐Hour, Weekly, and Annual Patterns in Traumatic and Non‐Traumatic Surgical Pediatric Emergencies
24‐Hour, Weekly, and Annual Patterns in Traumatic and Non‐Traumatic Surgical Pediatric Emergencies
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创伤性和非创伤性儿科急诊的 24 小时、每周和每年模式
DOI：
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发表时间：
2005
影响因子：
2.8
通讯作者：
M. Mechkouri
中科院分区：
文献类型：
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作者：
O. Reinberg;A. Reinberg;M. Mechkouri
在我们早期的一项研究中，对儿科创伤发生率中具有高频成分的24小时模式进行了验证和量化。在此，我们进一步探讨了时间高频，24小时，每周（7天），半周（3.5天）和年度模式的创伤（1990-1997; n= 15，110起事件）和非创伤性儿科外科急诊（PSE）（1992-2001; n= 5，593起事件）以及车祸（AA）（1990-1997; n= 67，712）。后者作为人类成年活动和风险的参考系统。使用双因素方差分析、χ2、相关性和余弦分析作为统计工具。在创伤性和非创伤性PSE和AA中验证了每年可重现的24小时模式。24小时的模式是不相关的，彼此不同，在他们的acrophase（峰值时间）和振幅。仅在每周（7天）和半周（3.5天）模式的非创伤性时间序列中发现了性别相关差异。后者在男孩中检测到，但在女孩中没有检测到。在其他时期的时间模式中，男孩和女孩的顶相和振幅没有统计学差异。在汽车事故（acrophase：9月4日±37 d（SD））和儿科创伤（acrophase：6月14日±10 d）中验证了年度模式，但在非创伤性PSE中未验证。这些结果表明，环境调节在创伤性和非创伤性PSE的发生率之间存在差异。据推测，这两种现象涉及时间组织的不同方面和/或一组生物节律对环境因素的不同程度的敏感性。
24 h patterns with high frequency components in the incidence of pediatric trauma were validated and quantified in one of our earlier studies. Herein, we further explored the temporal—high frequency, 24 h, weekly (7 d), hemi‐weekly (3.5 d), and annual – patterns in traumatic (1990–1997; n=15,110 events) and non‐traumatic pediatric surgical emergencies (PSE) (1992–2001; n=5,593 events) as well as automobile accidents (AA) (1990–1997; n=67,712) in the County of Vaud, Switzerland. The latter served as a reference system of human adult activity and risk. Two‐way ANOVA, χ2, correlation, and cosinor analyses were used as statistical tools. A 24 h pattern, reproducible from year to year, was validated in traumatic and non‐traumatic PSE and AA. The 24 h patterns were not correlated and differed from one another in terms of their acrophase (peak time) and amplitude. A gender‐related difference was found only in the non‐traumatic time series for weekly (7 d) and hemi‐weekly (3.5 d) patterns. The latter were detected in boys but not girls. No statistically significant difference was found in the acrophase and amplitude between boys and girls in the temporal patterns of other periods. An annual pattern was validated in automobile accidents (acrophase: 4th of September ±37 d (SD)) and pediatric trauma (acrophase: 14th of June ±10 d), but not in non‐traumatic PSE. These results suggest that environmental modulations differ between the incidence of traumatic and non‐traumatic PSE. Presumably, the two phenomena involve different aspects of the temporal organization and/or different levels of susceptibility of a set of biological rhythms to environmental factors.