The incidence of injuries among 87,000 Massachusetts children and adolescents: results of the 1980-81 Statewide Childhood Injury Prevention Program Surveillance System.
The incidence of injuries among 87,000 Massachusetts children and adolescents: results of the 1980-81 Statewide Childhood Injury Prevention Program Surveillance System.
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马萨诸塞州 87,000 名儿童和青少年的伤害发生率：1980-81 年全州儿童伤害预防计划监测系统的结果。
DOI：
10.1097/00004630-198607000-00013
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发表时间：
1986
影响因子：
12.7
通讯作者：
S. Goodenough
中科院分区：
文献类型：
--
作者：
S. Gallagher;K. Finison;B. Guyer;S. Goodenough
本研究描述了87，022名马萨诸塞州儿童和青少年在一年内发生的致命和非致命伤害的发生率。在所研究的14个社区，23家医院的伤害监测系统记录了0 - 19岁所有出院人数的93%。样本数据收集了急诊室就诊，住院和死亡的所有原因，但一些意外伤害。总发病率为2，239/10，000。真实的发病率可能高于报告的发病率。急诊室就诊与入院死亡的比例为1,300比45比1。受伤率因年龄、性别、原因和严重程度而有很大差异。婴儿和小学年龄段儿童的伤害率最低，幼儿和青少年的伤害率最高。男性与女性受伤率的总体比例为1.66比1。福尔斯、运动、切割和穿刺器械损伤的发生率高，严重程度低。机动车伤害、烧伤和溺水的发生率较低，但严重程度较高。结果提供的证据表明，发病率和死亡率必须考虑在确定伤害预防的优先事项。必须扩大目前的预防工作，以针对青少年人口中发生率较高的伤害。
This study describes the incidence of fatal and nonfatal injuries occurring in 87,022 Massachusetts children and adolescents during a one-year period. A surveillance system for injuries at 23 hospitals captured 93 per cent of all discharges for ages 0-19 in the 14 communities under study. Sample data were collected on emergency room visits, hospital admissions, and deaths for all but a few causes of unintentional injuries. The overall incidence was 2,239 per 10,000. The true incidence rates are probably higher than those reported. The ratio of emergency room visits to admissions to deaths was 1,300 to 45 to 1. Injury rates varied considerably by age, sex, cause, and level of severity. Age-specific injury rates were lowest for infants and elementary school age children and highest for toddlers and adolescents. The overall ratio of male to female injury rates was 1.66 to 1. Injuries from falls, sports, and cutting and piercing instruments had a high incidence and low severity. Injuries from motor vehicles, burns, and drownings had lower incidence, but greater severity. Results provide evidence that both morbidity and mortality must be considered when determining priorities for injury prevention. Current prevention efforts must be expanded to target injuries of higher incidence and within the adolescent population.